Banner Registration

Registration

YOUR DATA

First Name *

Date of Birth *
(12/31/2000)
Passport No. *

Nationality *


YOUR FAMLIY

Father's Name *

Nationality *

Mother's Name *

Nationality *

Spouse Name
(if married)
Nationality

Children Name(s), if any:
a)


b)


c)
Nationality :
a)
b)
c)

OTHER DETAILS

Profession/Occupation *

Job Description *

Year(s) of having left India *

Number of Year(s) in Seychelles *

If you are a member of any association related to India (professional, religious, cutural or social),
please give details


YOUR CONTACT DETAILS

Local Contact Details (Residential) *

Local Contact Details (Office/Business) *

Local Contact Details in India *

Your E-mail Address *