Online Passport Registration Form

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Online Passport Application for Passport Office

Re-Print A Previous Applic ation

Note: Columns marked with * are compulsory to fill in.

Passport Office* Select Office Service Desired* Select Service Surname First Name* if you have ever changed your name click the box Previous Name Sex* Select Sex Place of Birth* Qualification Visible Mark* Present Address* (At Least First Two Address Lines are to be filled) Date of Birth* District or Country* Profession Height (cms)* Permanent Address*
(DD/MM/YYYY)
(Names should be in full. Initials & titles such as Mr, Mrs, Dr etc. are not allowed)

District* Select One

and indicate Previous Name(s) in full

Please give the Date since residing at the Present Address* Phone No Email Address Mobile No

(DD/MM/YYYY)

Applicant's Family Information ( All Names should be in full (including surname if any). Initials and titles are not allowed) Marital Status* Select Marital Status Father's Name* Mother's Name* If you are not residing at the Present Address for the last one year, click on this box and furnish addresses of the other place(s) of residence in the last one year along with the duration(s) of living there. From Select Month To Address 1
Select Month Select Year Select Year

Spouse's Name

From Select Month To Address 2

Select Month

Select Year Select Year

If you have a Demand Draft, click on this box DD No DD Date Old/Existing Passport No Place of Issue Date Of Expiry
(DD/MM/YYYY) (DD/MM/YYYY)

and fill the details below:

Bank Name State Bank of India and fill the details below:
(DD/MM/YYYY)

If you have held a passport or hold a passport at present, click on this box Issue Date File Number

Access Code Enter Access Code*

Save Re-Print Form

http://passport.gov.in/pms/OnlineRegistration.jsp

1/25/2012