Professional Documents
Culture Documents
Cummins x2.5 PDF
Cummins x2.5 PDF
Embassy of India
Muscat
Website: http:// www.indemb-oman.org
E-mail : cons.muscat@mea.gov.in or indiamct@omantel.net.om
7.Educational
5. DATE OF BIRTH 6. SEX: Male / Female
Qalification:
(DD) / (/MM) / (YYYY)
15. ADDRESS OF PERSONS TO BE INTIMATED IN THE EVENT OF DEATH OR ACCIDENT ONE IN OMAN AND ONE IN INDIA:
OMAN INDIA
19. DID YOU EVER POSSESS ANY OTHER NATIONALITY OR TRAVEL DOCUMENT OF ANY OTHER
COUNTRY? If so, please give details Yes No
20. IF THIS APPLICATION IS FOR DUPLICATE PASSPORT, WAS THE PREVIOUS PASSPORT LOST DAMAGED NOT APPLICABLE
(If damaged, please attach damaged passport & if lost, then attach the requisite documents as per list)
25. HAS APPLICANT EVER BEEN REPATRIATED FROM ABROAD TO INDIA AT THE EXPENSE OF THE GOVT. OF INDIA? IF SO, DETAILS
PLEASE
26. NO. OF LOST/DAMAGED PASSPORT ____________ PLACE OF ISSUE _____________ DATE OF ISSUE _________________ VALID
UNTIL __________________________
27.Briefly state circumstances of loss/theft/damage of passport on a plain paper and attach copy of report lodged with local police in case
of loss/theft’
29. Did applicant avail himself/herself of transfer of residence, foreign travel scheme or any other facility like gold/silver import on
lost/damaged passport? If so, details please _______________________________________
SELF DECLARATION :
I OWE ALLEGIANCE TO THE SOVEREIGNTY & INTEGRITY OF INDIA AND HAVE NOT VOLUNTARILY ACQUIRED THE CITIZENSHIP OR
TRAVEL DOCUMENT OF ANY OTHER COUNTRY. I HAVE NOT LOST, SURRENDERED OR BEEN DEPRIVED OF CITIZENSHIP OF INDIA.
THE INFORMATION GIVEN BY ME IN THIS FORM AND ENCLOSURES IS TRUE AND I AM SOLELY RESPONSIBLE FOR ITS ACCURACY. I AM
AWARE THAT IT IS AN OFFENCE UNDER PASSPORT ACT, 1967 TO FURNISH ANY FALSE INFORMATION OR TO SUPPRESS ANY MATERIAL
INFORMATION WITH A VIEW TO OBTAINING PASSPORT OR ANY OTHER TRAVEL DOCUMENT.
________________________________________
(Signature or thumb impression of applicant)
1) Information given above in respect of _____________________________ of whom I am the parent / legal guardian is true.
2) I undertake to be entirely responsible for his / her expenses.
3) I solemnly declare that he / she has not lost, surrendered or been deprived of his/her citizenship of India.
4) I hereby declare that ________________________________ born in Oman has not applied for or acquired Omani/ any other
citizenship/travel document. Should I approach the Omani or any other authorities for such a travel document, I undertake to
inform the Embassy of India, Muscat immediately so that Indian travel document may be withdrawn.
Place: _________________________
Date: __________________________
Signature of both the Parents / Legal guardian
* Copies of passports of both parents to be enclosed in the case of Minor applicants