Passport applicationform main_english_v2.0
- 1. Page of 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 * Normal Tatkaal Type of Passport Booklet * 36 Pages 60 Pages Validity Required (For minors between 15 and 18) 10 years Up to age 18 Not Applicable Applicant Details Applicant's Given Name (Given Name means First Name followed by middle Name (if any)) * Surname Are you known by any other names(aliases)? * Yes No Have you ever changed your name ? * Yes No Date of Birth (DD/MM/YYYY) * Place Of Birth Village or Town or City * Country (If abroad)* State (If in India)* District (If in India)* If born before 15/08/1947 in a place now in Pakistan or Bangladesh, select "Undivided India". Gender * Marital Status * Citizenship of India by * PAN (If available) Voter ID (If available) Employment Type * Is either of your parent (in case of minor)/ spouse, a government servant? * Educational Qualification * Are you eligible for Non-ECR category? * 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)) Surname Legal Guardian's Given Name (if applicable) Surname Select Select
- 2. Page of Mother's Given Name (Given Name means First Name followed by Middle Name (If any)) Surname Present Residential Address Details (where applicant presently resides) Is your present address out of India? * Yes No Is permanent address same as present address? * Yes No Emergency Contact Details * Name and Address * Mobile Number Telephone Number E-mail ID References in your Village or Town or City First Reference Name and Address * Mobile Number Telephone Number Second Reference Name and Address * Mobile Number Telephone Number Previous Passport/ Application Details Have you held/ hold any diplomatic/ official passport? * Yes No Have you ever applied for passport, but not issued? * Yes No Other Details 1) Have you ever been charged with criminal proceedings or any arrest warrant/ summon pending before a court of India? * Yes No 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? * Yes No 3) Have you ever been refused or denied passport? * Yes No 4) Has your Passport ever been impounded or Revoked? * Yes No 5) Have you ever applied for/ been granted political asylum to/ by any foreign country? * Yes No 6) Have you ever returned to India on Emergency Certificate (EC) or were ever deported or repatriated? * Yes No Self 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 given 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 * Date (DD/MM/YYYY) * VALIDATE & SAVE