REGISTRATION OF FOREIGNERS' RULE 1939 (Registration Report) 1. Serial No. _______________________________________ 2. Name in full (Block capital, Surname first) _______________________________________ 3. Sex, Height, Colour of Eyes _______________________________________ 4. Date and place of birth _______________________________________ 5. Present Nationality _______________________________________ 6. Previous Nationality, if any _______________________________________ 7. Manner and date of acquiring present nationality _______________________________________ 8. Occupation or profession and purpose of visiting India _______________________________________ 9. If member of any country's Naval, Military or Air Force or its reserves state which country and rank _______________________________________ 10. Number, date and office of issue of passport or particulars of other proof ofidentity _______________________________________ 11. Address in India _______________________________________ 12. Port or place of embarkation or departure from India _______________________________________ 13. Date and place of arrival in India _______________________________________ 14. Name of vessel on which or how arrived in India _______________________________________ 15. Address of last residence outside India _______________________________________ 16. Name of husband/wife and children and their nationality (if accompanying visiot) _______________________________________ 17. Signature of registree _______________________________________ 18. Date of expiry of registration (Tourist only) _______________________________________ Place: Panaji Date: Registration Office Panaji - Goa PHOTO
