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PassportApplicationForm Main English V1.0
PassportApplicationForm Main English V1.0
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
Employment Type *
Surname
Surname
Mother's Given Name (Given Name means First Name followed by Middle Name (If any))
Page of
Surname
E-mail ID
References in your Village or Town or City
First Reference Name and Address *
Place of Issue
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 Yes No
before a court of India? *
2) Have you at any time during the period of 5 years immediately preceding the date of this application Yes No
been convicted by a court in India for any criminal offence and sentenced to imprisonment for two
years or more? *
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
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