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Print Form

EMBASSY OF INDIA

Token No.

Doha, Qatar
(To be filled in block letters)

Jumbo/Ordinary
NP / CP / NB

Name of the Applicant : (Given Name/Surname to be indicated clearly, if desired separately in the passport)

Name of the Father :

Name of the Mother :

Name of the Spouse (Husband / Wife) :

Permanent Address in India :

Place of Birth :

Date of Birth : Day

Month

Year

Sex

M MF F

Passport No. : Place of Issue : ...


Date of Issue : Date of Expiry : ..
Post Box No. (Qatar)

Telephone No.

ID Card Number

Name of Sponsor : __________________________________________________________________________


For Office Use Only:
File No. : Passport No. : Receipt No. : ..
ECR / ECNR

Reg. No. : . Birth Reg. No. : .

Date of Issue :
OBSERVATION

Final Validity : ...


OBJECTION

NTL

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