Islamic Republic of Afghanistan

Passport Application Form

Personal Details
Title:

Yahya
Family Name:
Rezai
Given Names:
Yahya
Fathers Full Name:
Abdullah
Grandfathers Full Name:
Zabihullah
Date of Birth (Gregorian): 04
DD / 02
MMM / 1976
YYYY
Place of Birth details:
Afghanistan
- Country:

Engaged
Widow / Widower

Male

Unknown

Child:

Yes

No

Country of Residence:
Other Nationalities:

sweden
swedish

Height (cm):
Hair Colour: Black
Red

Blonde
Grey

Eye colour: Blue Brown

Grey Hazel
Other Distinguishing Marks:

:
:

/ -

Gender: Female
(Under 18 Years)

Darabad

Marital Status: Single

Married
Separated
Divorced

:( )

/ 11
/ 15

1354

- District / Suburb:
- Village:

Farah

- Province / State:

Brown
Brunette
Green
Other

:





:

(18 ) :

175 :( )

:

:

:

:
Bjrnbergs Vg 23 lgh 1101 :
433 34 Partille Gteborg sweden

Contact Details
Current Address:

Previous Address:

yahya7622@gmail.com

Email Address:
Mobile:

Work Tel:

0762304589Fax:

Home Tel:

Employment Details
Occupation:
Employer:
Employers Address:

Version 1

student

: 0762304589:

:
:
:

Page 1

Previous Employer:

Employers Address:

Other Details
Passport Type:

Ordinary

Diplomatic

Service

If Diplomatic Passport or Service Passport, please enter your Job Title:

Identification:

Identity Card

Marriage Certificate Birth Certificate

Have you ever had an Afghan passport?

Yes

No

If yes, please provide:

Passport

Previous Passport Number:

Passport Type:

Issue Date:

1383688

Expiry Date:

1391/08/10

1396/08/09

Place of Issue (In English and Dari):

( )
Do you have a criminal record?

Yes

If Yes, please provide details: (attach separate sheet if more

room is required)

Purpose of Travel:

Business

Exhibition

No

)
(

Convention / Conference

Visiting Friends / Family

Education

Holiday

Employment
Other

I declare that:
- to the best of my knowledge and belief I am an Afghan Citizen
- the statements made in this application are true and correct

:
Passport Photograph:

Signature: (please sign within the box)

Note: The photograph must comply with guidelines.

. :

) (

Guarantor must
endorse the photo

Please Attach
Photo Here


Date:

Version 1

DD / MMM / YYYY
/
/

This is a true photo of:

-----------------------------(name of applicant)

()

-----------------------------(signature of guarantor)
()

Page 2

Islamic Republic of Afghanistan

Passport Application Form

OFFICE USE ONLY

RECEIVING OFFICE:

PROOF OF IDENTITY

TYPE:

DOCUMENT NUMBER:

ISSUED BY:

Certified Copy Supplied

Original Document Sighted

PROOF OF RESIDENCY:

Supplied

Authorising Body:

INTERVIEW

BY:

LOCATION:

Comments:

Signature of Interviewer:

Date:

Islamic Republic of Afghanistan

Passport Application Form

No

PASSPORT ISSUED: Yes

PASSPORT NUMBER:

ISSUED BY:

ISSUING OFFICE:

DATE:

COLLECTED BY:

(Note, if collected by someone other than the applicant, written authorisation must be provided by
)the applicant and retained on file

)
. .