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Data Collection Form for Repatriation The Indian Club -Bahrain , to Chennai International Airport
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* Indicates required question
Email
*
Your answer
Given Name as per Passport
*
CAPITAL LETTERS ONLY
Your answer
Surname as per Passport (if not just Type 'N" )
*
'
Your answer
Age
*
Choose
Less than one year (infant)
01 (Infant)
02 (Infant - should be less than 24 month , even one day more than 24 month not infant )
03
04
05
06
07
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100
Option 102
Adult / Infant
*
Choose
Adult
Child (Up to 12 years old)
Infant (less than 24 months )
Gender
*
Choose
Female
Male
Passport Number
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Passport issue Date
*
MM
/
DD
/
YYYY
Passport expiry date
*
MM
/
DD
/
YYYY
Place of Birth
*
CAPITAL LETTERS ONLY (Special Characters (/.*\@#$!&. )Are Not Allowed. Spaces are only allowed between two words)
Your answer
Passport Place of Issue
*
CAPITAL LETTERS ONLY (Special Characters (/.*\@#$!&. )Are Not Allowed. Spaces are only allowed between two words)
Your answer
CPR Number
*
Your answer
Full Address in India with Pin code as per Passports format only
*
HOUSE NAME /NUMBER , PLACE ,POST OFFICE , DISTRICT, PIN CODE, STATE
Your answer
Present address in India (if different from passport)
*
HOUSE NAME /NUMBER , PLACE ,POST OFFICE , DISTRICT, PIN CODE, STATE
Your answer
Reason for Traveling back to India
*
Those Facing Deportation by foreign governments
Migrant workers/ Labourers who have been laid off
Non-Permanent Residents/Short-Trem Visa holder faced with expiry of visas
Those Faced with medical emergency/ Seeking treatment for terminal illness
Pregnant Women /Elderly
Those Required to Return to India due to death of family member
Tourists /Visitors stranded abroad
Students if their education institutions /hostels are closed
Category
*
Student
Professional
Worker
Tourist
Visitor
Deportee
Amnesty
Crew
Fisherman
Others
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