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NEW PASSPORT APPLICATION

Service Required

Applying for

Type of Application

Type of Passport Booklet

Applicant Details

Applicant's First Name

Middle Name

Surname

Aadhaar No

Gender

Marital Status

Date of Birth

Is your Place of Birth out of India?

Birth Village or Town or City

Country

State

District

Citizenship of India by

PAN (If available)

Voter ID (If available)

Educational Qualification

Employment Type

Organisation Name

Is your parent/ spouse, a govt servant?

Are you eligible for Non-ECR category?

Visible Distinguishing Mark (If any?)

Are you known by any other names?

Have you ever changed your name ?

Family Details (Father/Mother/Legal Guardian details; at least one is mandatory.)

Father's First Name

Middle Name

Surname

Mother's First Name

Middle Name

Surname

Legal Guardian's First Name

Middle Name

Surname

Spouse's First Name

Middle Name

Surname

Present Residential Address Details (where applicant presently resides)

Is your present address out of India?

House No. and Street Name

Village or Town or City

Country

State/ Province

District

Police Station

Mobile No

E-mail ID

Do you have a Permanent Address?

Is permanent address same as present address?

House No. and Street Name

Village or Town or City

Country

Emergency Contact Details

Name and Address

Mobile No

E-mail ID

Previous Passport/ Application Details

Have you ever held/hold any Identity Certificate?

Detail of Previous/Current Diplomatic/Official Passport

Have you ever applied for passport, but not issued?

Other Details

Have you ever been charged with criminal proceedings or any arrest warrant/ summon pending before a court of India? *

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?

Have you ever been refused or denied passport?

Has your Passport ever been impounded or Revoked?

Have you ever applied for/ been granted political asylum to/ by any foreign country?

Name of the Country

Have you ever returned to India on Emergency Certificate (EC) or were ever deported or repatriated?

Documents Submitted as Proof

Proof of Birth

Proof of Present Residential Address

Declaration:

I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.

I Agree

ऑनलाइन पासपोर्ट पंजीकरण

Online Passport Registration

(Private Consultancy Service Provider)

NEW PASSPORT APPLICATION

Service Required

Applicant Details

Family Details (Father/Mother/Legal Guardian details; at least one is mandatory.)

Present Residential Address Details (where applicant presently resides)

Emergency Contact Details

Previous Passport/ Application Details

Other Details

Documents Submitted as Proof

Declaration: