CHANDIGARH ADMINISTRATION CHANDIGARH POLICE To The Senior Superintendent of Police, Cum- D.F.R.O., U.T., Chandigarh. 1. Name in full Mr., Mrs., Miss Surname Other Name 2. Date of birth 3. Place of birth 4. Nationality 5. Passport No.Issued atDated Valid up to 6. Visa No.Type of Visa Duration7. Father's/Husband's Name 8. Address in Country of domicile 9. Occupation of the applicant 10. I have entered in India on viaand reached Chandigarh on 11. I have come here for and stay at Chandigarh 12. Address at Chandigarh House No. Sector 13. I own the immovable propertyYes No Moveable property Yes No 14. In India if yes, attach the detail of the property owned, (immovable with value, moveable with value). (a) I will submit the necessary documents i.e. Eligibility Certificate of Bona fide Certificate etc. (b) I will submit the half-yearly property return on 31st December and on 30th June, without fail. (c) I will submit IN WRITING in case of any change in my residential address. (d) I will inform IN WRITING when ever I will leave Chandigarh to visit any other place (in India or abroad) I may kindly be registered in your office. Thanking you. Yours faithfully, Date (Applicant's Signature)