Professional Documents
Culture Documents
NZfSa
a hwmcn plLl
AhceLll fal
HLV lPe 30 ^ 25
jxjx ALll Rh
AW cu mNel fl
paue Lla qh
AhceLll jal
HLV lPe 30 ^ 25
jxjx ALll Rh
AW cu mNel
fl paue Lla qh
Affix applicants
Fathers photograph
here and attest on the
photo
Affix applicants
Mothers photograph
here and attest on the
photo
* Ahcel fLa x
eae
fex fce
Application type
New
Reissue
pdle
Agpum
LVeaL
Ordinary
Official
Diplomatic
pdle
Sll
Regular
Express
2z*
AhceLll ej x _______________________________________________________________________
Name of Applicant
3z*
BhceLll ej - Afe fpfV ej kih cMa Qe pih VCf Lle z phQ 48V Arl hhql Ll khz
Name of Applicant Type as you want it to appear in your passport. Maximum 48 characters are allowed.
(ejl nown 2u Awn mMa qh Hhw 1j Awn HLdL Awn bLm fa Awnl jTMe 1V Ol ne lM flZ Lla qh z The last
part of the name should appear in second part. Keep a blank space between two parts of the name).
fbj Awn First Part (Given Name)
4z*
5z*
Nationality
6z
Profession
j/ -l ej x ________________
(fkS qm) Spouses Name
Profession
Nationality
Nationality
(if applicable)
7z
AiihLl ej x _____________
(fkS qm) Guardians Name
(if applicable)
fa-1
Nationality
8z*
9z*
hhqL Ah () Qq ce x
Ahhqa
hhqa
hfaL / hdh
amLff
Marital Status
Put () in appropriate box
Unmarried
Married
Widower/Widow
Divorced
fn x _____________________________________________________________________________ _
Profession
10z*
11z*
12z*
13z*
Date of Retirement
Place of Birth
Country
District
Se alM x
ce
Date of Birth
Day
jp
hvpl
Month
Year
mwN () Qq ce x
flo
jqm
Aee
Male
Female
Others
Se pecf ew x
Birth Identification
Number
Or Abh
Sau flQufl ew x
National Identification
Number
14z
Tax Identification
Number (if available)
15z*
17z*
18z
EQa x
pxjx
Height
cm
16z*
hwmcn eNlLal p x
(VL () Qq ce)
hwnp
by birth
by descent
Type of Citizenship
Put () in appropriate box
hhqLp
Aee, EM Lle
by marriage
inch
Religion
Aihpe
Migration
cnuLlZ p
Naturalization
19z*
dj
Or
Abh
Sjp
Passport No.
haje WLe x
Present
Address
Road/Block /Sector
Post Office
Sm __________________________________ fVLX
District
Post Code
ge el
C-jCm WLe
Contact Number
e-mail Address
20z*
u WLe x
Nj/hp _______________________
Permanent
Address
Village/House
______ l/hL/pl________________________
Road/Block /Sector
Post Office
Post Code
ge el
C-jCm WLe
Contact Number
e-mail Address
fa-2
21z
WLe
Address
22z*
cn
ge/g el
C-jCm WLe
Country
Phone/Fax Number
e-mail Address
AhceLll pb pfL x
Name
WLe x
Address
23z
24z
25z*
ge/g el
C-jCm WLe
Phone/Fax Number
e-mail Address
Cpl e J alM
flhae
hhqll Aefk
juc EZ
qle
conversion
Unusable
Expired
Lost
SX el (fkS r)
bel ej
alM
Date
Rsfl (HeJp) Lf
(fkS r)
(Copy of TIN Certificate)
nM
lnc ew
alM
Branch
Receipt/Transaction No.
Date
AwNLl ej (Declaration)
)
(
1z
2z
Aj Al fa LlR Aj/Ajl pe h fo, k Le LlZ AihN qu fsm hcn bL AjL Abh Ajl foL cn fahae
Lll r khau MlQ flnd hd bLh Hhw hcn Ajl/Ajl pe h fol ja OVm jlcql flhqe MlQ Ajl hd EldLl/Ajl LR
bL AcukN qhz
alM x _____________________
fa-3
faue (Certification)
)
(
Ajl e J hnpja Efl hZa ab pa Hhw BhceLl
LlRez
paueLll AhpL WLe x
paueLll ej J rl
fpfV/Sau flQu f ew
alM x _____________
(pm jql)
pWL
alM x_____________________
pWL eu
eu
pWL e qm LlZ (hwmcn eNlL ee/pSf/ jjmde/ WLe pWL eu/ Aee LlZ) x
_____________________________
________________________
_____________________________
pfliCSw Agpll rl
ecne (General
Instruction))
(
AhceLlL ej
mMa cmmc Bhcef AhnC pwk Lla qh
ejmMa
qh
1z plLl, AdplLl, unoa J lua pwl u LjLa/LjLl, Ahplf plLl QLlSh J acl eilnm /j Hhw plLl
QLlShl 15 (fel) hvpll Lj hupl pe, 5 (fyQ)/10 (cn) hvpll Aa, pjfeLa (pllX) cl Se HLV glj J Aeecl r eae
fpfVl Se 02 (cC) Lf flZLa fpfV glj cMm Lla qh z
2z Afhu (15 hRll Lj) AhceLll r AhceLll fa J jal HLV Ll lPe Rh (30 ^ 25 jxjx) Rh AW cu mNel fl paue
Lla qhz
3z Sau flQuf Abh Se ehe pec Hhw fkS r fpL VLeLm pecpjql (kje Xl, Ceul, XCil Cac) paua gVLfz
4z k pLm hNZ fpfVl Ahcef J Rh faue J paue Lla flhe- pwpc pcp, pV Lflnel jul, XfV jul J LEpmlNZ,
NSVX LjLa, fhmL hnhcmul nrL, EfSm flocl Qulje J iCp Qulje, CEeue flocl Qulje, flpil jul J fl
LEpmlNZ, hplLl hnhcmul AdfL, hplLl LmSl Adr, hplLl EQ hcmul fde nrL, Sau ceL fLl pfcL, eVl
fhmL J AdplLl/unpa/lu pwl Sau hae ml 7j J acd NXl LjLaNZ z
5z fkS r fpL S J (GO)/ He J p (NOC) cMm Lla qh z
6z LVeaL fpfV mil kN AhceLlNZL flZLa glj J pwkpjq fll jZmu Sj ca qh z
7z ejl pwrlfl flha fZlf ( kje-jx/MD. Hl m jqjc/MOHAMMAD) mM heu z nrNa h QLlp f fchpjq (kje
Xl, Ceul, Xl, fHCQX Cac) ejl Awn qph flNZa qh e z gljl jL ew 3 flZl r, HLdL Awn bLm fa Awnl jTMe
1V Ol ne lM flZ Lla qh z AhceLll fa, ja, j/ ja qmJ, al/acl ejl fh "ja/jlj/Late' mM kh e z
2z
3z
4z
5z
fa-4