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Consulate General of India, New York, USA
3 East, 64th Street, New York, NY 10021
FORM FOR REGISTERING WITH THE CONSULATE
For Indian Citizens and People of Indian Origin in USA
*
Indicates mandatory fields
*
Family/Last Name
*
First Name
*
Middle Name
*
Name of Father
*
Name of Mother
Residential address in USA
*
Street
Apt #
*
City
*
State
*
Zip
Business address in USA
Address
City
State
Zip
*
Telephone
email Address
*
Passport No.
*
Date of Issue
*
Place of Issue
*
Citizenship
*
Place of Birth
*
Date of Birth (mm/dd/yy)
Educational Qualification
Marital Status
Single
Married
Divorced
Widowed
Permanent Address in India
*
Address
*
City/Village
*
P.O.
Pin Code
District
*
State
Name and address as of the next kin and person to be informed in case of emergency
Name
Address
City
State
Zip
Phone
Email
Date of arrival in USA
Estimated Period of Stay
Would you like to get mail/email communication from the Consulate
Yes
No
