Registration Form For Foreign National Staying on Rent / Lease / Paying Guest

The Foreigners (Report to Police) order 1971 made by the Central Government in exercise of the powers conferred by section 3 of the Foreigners Act, 1946. As per this order every householder of other persons should report to the officer-in-charge of the nearest Police station about the arrival or presence of his household or in any premises occupied by him or under his control of any foreigner. Any person contravening this order shall be punishable under Section 188 of I.P.C.
Note-This is Not in Lieu of the Registration of Foreigners, As required by the Registration of Foreigners Act 1939.
Fields marked with asterisk * are mandatory
Property Owner (Land Lord) Details
Last Name *
First Name *
Middle Name
Sex *
Male     Female
Date of Birth * (dd/mm/yyyy)
Nationality *
Communication Address *
Street *
City * Pincode *
Mobile Telephone
E-mail ID *
Profession *
 
Property Details
Property Address *
Street
PoliceStation/Pincode *


 
Licensee Details
The Property is Rented / Leased to *  Individual     Company
 
For Individual
Registered with FRRO *
Yes     No
Registration No.
Last Name *
First Name *
Middle Name
Sex *
Male     Female
Nationality *
Licensee's Permanent Address *
Street
City * Country *
Mobile Telephone
 
For Company
Company Name *
Company Address *
No. of Members * Duration of Leasing *
Purpose of Leasing *
 
Licensee's Passport Details
Passport No * Place of Issue *
Date of Issue * (dd/mm/yyyy) Date of Expiry * (dd/mm/yyyy)
 
Licensee's Visa Details
Visa No * Place of Issue *
Date of Issue * (dd/mm/yyyy) Date of Expiry * (dd/mm/yyyy)
Visa Type