PASSPORT APPLICATION INDIA

                                                          

PLEASE FILL UP THIS FORM IN CAPITAL LETTERS ONLY

• Name of Applicant -      _________________________________________________________

                Surname                             first name                                middle name

• In case of change of name / surname, please indicate the previous name / surname in full

            __________________________________________________________________

₃	Sex   :   Male   /   Female.	Date of Birth: ________/______/________
		D D/	M M/Y Y Y Y
₃	Place of Birth: ______________________________________________________________
	Village / Town	District	State

₃      Father’s Full Name: ___________________________________________________

₃      Mother’s Full Name: __________________________________________________

₃       Full Name of  Spouse:__________________________________________________

₃      Current Residential Address (where staying presently, with pin code ) :

        _______________________________________________________________________

        _______________________________________________________________________

       _______________________________________________________________________

• Telephone No. - _______________________ Mobile ______________________

• Residing Since on above mention address   :_________/______/ ________________

DD    /    MM    /     Y Y Y Y

₃      If you have been resident at your current address for less than one year, please mention other addresses of your residence during the last one year.

      ________________________________________________________________________

      ________________________________________________________________________

·        Residing Since on above mention address:  FROM ___   /____/____ TO   ___   /____/______                                                          

                                                                                         DD /   MM   /   Y Y Y Y            DD  /   MM   /   Y Y Y Y

·        Permanent Address with PIN code:

                 _________________________________________________________________________

                __________________________________________________________________________

₃      Educational Qualification: _______________Height: _______cms.  Profession: _________

₃      Details of Old Passport: Passport No. _________________ Date of Issue _______________

Place of Issue ________________ Date of Expiry ______________

₃      Are any criminal proceedings pending against you before a court in India? If YES, give name of court, case number and relevant sections of Law.

             ________________________________________________________________________________

₃      Names and Addresses of two responsible persons : ( NOT RELATIVES )

(2)   Name: _______________________________ ( 2 ) __________________________________

Address: _______________________________	__________________________________
_______________________________	__________________________________

* PLS CLEAR YOUR POLICE VERIFICATION IN TIME TO AVOID DELAY & PENALTY

The information given by me in this form is true and I am solely responsible for its accuracy. I am aware that it is an offence under the Passports Act, 1967 to furnish any false information or to suppress any material information with a view to obtaining a passport or any other travel document.

Date: ___________	Signature of applicant
Place: _____________
	______________________

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                                     DOCUMENTS REQUIRED FOR FRESH PASSPORT

ADDRESS PROOF:

You are required to submit atleast 1 of the documents listed below.

1.         Water Bill

2.         Telephone (landline or post paid mobile bill)

3.         Electricity bill

4.         One year statement (with transactions)/ Passbook of running bank account

            (Scheduled Commercial bank excluding Regional Rural banks and local area

             banks)

5.         Income Tax Assessment Order

6.         Election Commission Photo ID card

7.         Proof of Gas Connection

8.         Certificate from Employer of reputed companies on letter head

9.         Spouse's passport copy (First and last page including family details), (provided

             the applicant's present address matches the address mentioned in the spouses

             passport)

10.       Applicant's current and valid ration card

11.       Parent's passport copy, in case of Minors(First and last page)

12.       Aadhaar Card

Note (For Document No. 1, 2, and 3) : Atleast 2 bills are required - One bill should of be of last year and the other bill of current year.

Note (For Document No. 8) : Only public limited companies can give address proof on company letter head along with seal. Computerised print-outs shall not be entertained.

Note (For Document No. 10) : If any applicant submits only ration card as proof of address, it should be accompanied by one more proof of address out of the given categories.

PROOF OF DATE OF BIRTH

You are required to submit atleast 1 of the documents listed below.

1. Birth certificate issued by a Municipal Authority or any office authorized to issue Birth

    and Death Certificate by the Registrar of Births & Deaths

    (Mandatory if birth is after 26.01.1989)

2. School leaving certificate / Secondary School leaving certificate/ Certificate of

    Recognized Boards from the school last attended by the applicant or any other

    recognized educational institution

3. Affidavit sworn before a Magistrate/Notary stating date/place of birth as per the

    specimen in Annexure 'A' by illiterate or semi-illiterate applicants

    (Less than 5^th  class).