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- 1. PASSPORT APPLICATION FORM Government of India, Ministry of External Affairs Please read the Passport Instruction Booklet carefully before filling the form. Furnishing of incorrect information/ suppression of information would lead to rejection of application and would attract penal provisions as prescribed under the Passports Act, 1967. Please produce your original documents at the time of submission of the form. All fields marked with (*) are mandatory to fill. Service Required Applying for * Type of Application * Type of Passport Booklet * RENEWAL (gjNormal @f56 Pages (gfl 0 years OTatkaal O 60 Pages QUptoage 18Validity Required (For minors between 15 and 18) Applicant Details Applicant's Given Name (Given Name means First Name followed by middle Name (if any)) ONot Applicable JOHr/ Surname Are you known by any other names(aliases)? Have you ever changed your name ? * O Yes 0Uo O Yes 息 N o Date of Birth (DD/MM/YYYY) * Place Of Birth Village or Town or City * Country (If abroad)* Select State (If in India) Select Mi)(n&f)> District (If in India)* M/UA RftSTRA If born before 15/08/1947 in a place now in Pakistan or Bangladesh, select "Undivided India". Gender MALE. Marital Status * Citizenship of India by * fjlRrTH PAN (If available) Employment Type Voter ID (If available) Is either of your parent (in case of minor)/ spouse, a government servant? ^ 0 Educational Qualification * Visible Distinguishing Mark Aadhaar Number 10th sT**fpe*P Are you eligible for Non-ECR category? * NOEducational Qualification * Visible Distinguishing Mark Aadhaar Number Educational Qualification * Visible Distinguishing Mark Aadhaar Number 33396/ $13164 Family Details (Father/Mother/Legal Guardian details; at least one is mandatory.) * Father's Given Name (Given Name means First Name followed by Middle Name (If any)) LAvJRflNCE Surname Legal Guardian's Given Name (if applicable) Surname Page 1 of 2
- 2. PASSPORT APPLICATION FORM Government of India, Ministry of External Affairs Please read the Passport Instruction Booklet carefully before filling the form. Furnishing of incorrect information/ suppression of information would lead to rejection of application and would attract penal provisions as prescribed under the Passports Act, 1967. Please produce your original documents at the time of submission of the form. All fields marked with (*) are mandatory to fill. Service Required Applying for * Type of Application * Type of Passport Booklet * RENEWAL (VjNormal @fS6 Pages Validity Required (For minors between 15 and 18) 0 1 0 years Applicant Details Applicant's Given Name (Given Name means First Name followed by middle Name (if any)) OTatkaal O 60 Pages Q U p t o a g e 18 ONot Applicable JOHr/ Surname Are you known by any other names(aliases)? Have you ever changed your name ? * O Yes 0ko O Yes 息 N o Date of Birth (DD/MM/YYYY) * Place Of Birth Village or Town or City * KAWflTAKA Country (If abroad)* Select State (If in India) Select MVfflSfll District (If in India)* M/tW/) RftSTRA If born before 15/08/1947 in a place now in Pakistan or Bangladesh, select "Undivided India Gender MALE Marital Status * HfrRill&D Citizenship of India by * &1R.TH PAN (If available) Employment Type Voter ID (If available) Is either of your parent (in case of minor)/ spouse, a government servant? Educational Qualification * Are you eligible for Non-ECR category? NO Visible Distinguishing Mark Aadhaar Number Family Details (Father/Mother/Legal Guardian details; at least one is mandatory.) * Father's Given Name (Given Name means First Name followed by Middle Name (If any)) 39 39 6/ $13164 Surname Legal Guardian's Given Name (if applicable) Surname Page 1 of 2