FORM A
(Rule 6)
(To be completed in quadruplicate)

Part 1. - Registration report.
Part 11. - Duplicate registration report.
Part III. - Certificate of registration (vide Rules 2, 5, 6, 7, 9, 12, 13, I 5, 16 and 17).
Part IV. - Triplicate of registration report.
1. Serial Number.
2. Name in full (block capitals, surname first).
3.  Sex…….. Height……… Colour eyes………
4. Date and place of birth.
5. Present nationality.
6. Previous nationality (if any).
7. Manner and date of acquiring present nationality.
8. Occupation or profession, and purpose of visiting India.
9. If a member of any country’s naval, military or air force, or the
     reserves, state which country’s and rank held.
10. Number, date and office of issue of passport or particulars of other proof of Identity.
11. Address or intended address in India.
12. Port or place of embarkation for India.
13. Date and place of arrival in India.
14. Name of vessel on which or how arrived in India.
15. Address of last residence outside India.
16. Names of husband/wife and children and their nationalities (if accompanying the visitor).
17. Signature of registers.
18. Date of expiry of registration.
     (only for tourists)
Signed………………………
(Seal)………………………..
Signed…………………………
(Registration Officer)
Registered at…… on ………19………………………… Registration transferredto:
District                                          Date                                   Signature and
seal of Registration Officer of district in Column I
1                                                  2                                                            3
1.
2.
3.
4.
NOTICE
1. Every registered foreigner is required;
(i) On the demand of any Registering Officer or Magistrate or any Police Officer not below the rank of Head Constable to produce this Certificate and his passport or such other proof of identity as may be required of him by such Magistrate or officer.
(ii) to surrender his certificate of registration, if he is about to depart finally from India either to the Registration Officer of the place where he is registered or of the place from where he intends to depart or to the Immigration Officer at the port/checkpost of exit from India.
(iii) to intimate in person or through an authorised representative or by post under certificate of posting the Registration Officer of the district in which his registered address is situated -
(a) before he leaves his registered address, if he proposes to be absent from his registered address for a continuous period of eight weeks or more, the address or addresses at which he proposes to stay and the date on which he expects to return to his registered address.
(b) if he proposes to change his registered address or to leave India, the particulars of his new address and the date of the proposed change or departure; and
(c) any circumstances which in any way affect the accuracy of any of the particulars set out in this Certificate of Registration.
(vi) if he stays for more than eight weeks at any place (other than a hotel or other premises where travellers are accommodated) in any district other than the district in which his registered address is situated to report his presence in that other district to the Registration Officer thereof within seven days of his arrival.
(2) Failure to comply with the foregoing provisions will render the holder of this certificate liable to be punished with imprisonment or fine or both, under Sec. 5 of the Registration of foreigners Act, 1939 (XVI of 1939).