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Registration Form
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Address Details
Details of Stay in abroad as per visa
Nominee Details
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Basic Details
Name of Applicant
Registration Date
Resubmitted Date
Name of Father / Husband
Gender
Date of Birth
Email ID
Phone Number
Marital Status
Religion
Educational Qualification
Do You Have A Valid Identity Card Issued From NORKA, A Kerala Government Venture
NORKA ID Card Number
Photo & Signature
Photo
Signature
Address Details
District
Taluk
Village
Permanent Address
Pin Code
Communication Address
Pin Code
Aadhar Number
Aadhar Name
ID Details KYC Purpose
Pravasi Category
Id Type
Number
Expiry Date
Age Proof
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Age Proof
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Passport Front Page and Address Page
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Valid Visa Page / Iqama
Nativity Certificate
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Passport Visa Page
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Proof For Resided In India Outside Kerala
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Proof For Working In India Outside Kerala
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Proof For Malayalee
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Other Id Type
Other Id Number
Other Id Expiry Date
Other ID Card Upload
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Aadhar Proof
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Payment Details
Customer Id
Paid Date
Amount
Payment Status
Nominee Details
Previous Remarks Details
Details of Stay in abroad as per visa
Type Of Employment In Foreign Country
Currently Working Country
Previous Employment Type (if any)
Incase of Pre-employment , specify the job start date
Incase of new visa, specify date which you Decided to Go
Address in Foreign Country
How Many Years Worked in Other Country
Start Date
End Date
Type Of Employment In Other Country
Visa No.
Name of the Country Issued
Reason for Return from Abroad
Details of Current Job(if any)
Monthly Income
Do you Have Any Plan to Go Abroad
State
How Long You Have Been Working
Type of Employment
Date on which you left Kerala
Are You Working Out of Kerala on Deputation or on Leave From Any Permanent Employee Post in Central Government/ State Government/Public Sector Undertaking in India
Details of Govt.Job
Address Outside Kerala
Rejected/Verification Details
Rejected Reason
Rejected Date
Verification Remarks
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