Country [you are returning from] *  
  Flight Number  
  Date of Return [dd/mm/yyyy]  
  Name  *  
  Address (in India) *  
  District *  
  Mobile Number *  
  e_mail *  
  DOB [dd/mm/yyyy]  
  Passport No  
  Old Passport No(if any)  
  Returned through Emergency Certificate *  
  Emergency Certificate Number  
  Election ID Card Number  
  Aadhar Number  
  Educational Qualification *  
  Job held Abroad *  
Details of Visa
  Place of work in Abroad  
  Reason for Return  
  Overseas Duration [Years and Months]  
  Whether interested in Overseas Jobs again *  
  Overseas Job preference [Industry/Category]    
  Overseas Job Preference [detailed description]    
Whether interested in starting any Self Employment Venture *
            if Yes then Area of Interest/ Category  
            Detailed nature of the Project/ Sub  category   
  Details of assistances expecting  
  Any other details