Application Form For Issue of Photo Inner Line Permit

Service Specific Information

Select Application Processing District : *

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Applicant Category : *

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Applicant's Information

Full Name of Applicant *

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E-Mail *

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Mobile Number *

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Father/Husband *

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Full Name of Father/Husband *

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Nationality *

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Place of Visit *

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Purpose of Visit *

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Present Occupation *

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Do you hold any business license to do business in A.P. If so details of business and name & place of your business. *

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Yes

No

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Business Name and Place of Business *

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Photo *

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Whether hold any inner line permit issued by Dist. Authority of A.P. if so mentions Issuing Authority, ILP No and Issue Date. *

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Yes

No

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ILP Issuing Authority *

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ILP No. *

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ILP Issue Date *

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Permanent Address

Locality Address *

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Village *

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Post Office *

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Police Station *

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State Permanent *

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District *

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Present Address

Care of

Locality Address *

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Village *

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Post Office *

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Police Station *

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State Present *

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District *

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Declaration

I do hereby declare that the above particulars are true and correct to the best of my knowledge and belief and in case of any false statement / information shall be liable for any action under appropriate section of law.

I Agree *