Given Name and Passport Information Booklet Essay

Please read the notch Information Booklet carefully before cream the form. Furnishing of incorrect breeding/ suppression of information would lead to rejection of application and would attract penal provisions as prescribed under the Passports Act, 1967. Please produce your accepted documents at the time of submission of the form. All fields marked with (*) are mandatory to fill.PASSPORT APPLICATION FORM Government of India, Ministry of External Affairs advantage Required Applying for * suit of Application * Type of Passport Booklet * Validity Required (For minors between 15 and 18) Normal 36 Pages 10 eld Tatkaal 60 Pages Up to age 18 Not ApplicableApplicant Details Applicants Given defecate (Given forebode means kickoff Name followed by middle Name (if any)) * last name Are you known by any other names(aliases)? * Have you ever changed your name ? * fight of blood line (DD/MM/YYYY) * Place Of Birth Village or Town or City * Country (If abroad)* State (If in India)* Gende r * PAN (If available) Employment Type * Is either of your parent (in case of minor)/ spouse, a government servant? * Educational Qualification * Visible Distinguishing Mark Family Details (You have to provide atleast one set about/Mother/Legal Guardian expound.) Fathers Given Name (Given Name means First Name followed by Middle Name (If any)) Surname Legal Guardians Given Name (if applicable) Surname Mothers Given Name (Given Name means First Name followed by Middle Name (If any)) Are you eligible for Non-ECR category? * Yes Yes No NoDistrict (If in India)* Marital Status * Citizenship of India by *If born before 15/08/1947 in a place now in Pakistan or Bangladesh, select Undivided India.Voter ID (If available)Page ofSurname Present Residential Address details (where applicant presently resides) Is your present address out of India? * Is permanent address same as present address? * Emergency Contact Details * Name and Address * Yes Yes No NoMobile Number E-mail ID References in y our Village or Town or City First Reference Name and Address *Telephone NumberMobile Number Second Reference Name and Address *Telephone NumberMobile Number Previous Passport/ Application DetailsTelephone NumberHave you held/ hold any diplomatic/ official passport? Passport Number Date of Expiry (DD/MM/YYYY) Place of Issue Have you ever applied for passport, but not issued? * Other Details 1) Have you ever been charged with criminal proceedings or any arrest warrant/ summon pending before a court of India? * 2) Have you at any time during the period of 5 years immediately preceding the date of this application been convicted by a court in India for any criminal offence and sentenced to imprisonment for two years or more? * 3) Have you ever been refused or denied passport? * 4) Has your Passport ever been impounded or Revoked? * 5) Have you ever applied for/ been granted political asylum to/ by any foreign country? * 6) Have you ever returned to India on Emergency Certificate (EC) o r were ever deported or repatriated? * Yes Yes No No Yes No Date of Issue(DD/MM/YYYY)Yes Yes Yes YesNo No No NoSelf Declaration I owe allegiance to the sovereignty , unity & integrity of India, and have not voluntarily acquired citizenship or travel document of any other country. I have not lost, surrendered or been deprived of the the citizenship of India and I affirm that the information effrontery by me in this form and the enclosures is true and I solely responsible for its accuracy, and I am liable to be penalized or prosecuted if found otherwise. I am aware that under the Passport Act, 1967 it is a criminal offence to furnish any false information or to suppress any material information with a view to obtaining passport or travel document. I Agree Place