ANNEXURE-1

Application for Issuance of Identity Certificate (IC)

To

Sir,

I wish to apply for an ordinary international Passport and hence I would request you to issue me
Identity Certificate (IC). My details:

1. Name of the Employee :

2. Name of Father/ Husband :

3. Designation :

4. Date from which present post held :

5. Identity Card Number :

6. Office Address :

I have read the provisions of article 6(2) of Passport Act and they are not applicable on me.

I certify that the information provided is true to best of my knowledge. In case any discrepancy is
detected at any stage, I shall be solely liable for it.

Three passport size photographs attached herewith.

Yours faithfully,

(Name of the Applicant)

 ANNEXURE-1

Application for Issuance of No Objection Certificate(NOC)

To

Sir,

I wish to apply for an ordinary international Passport and hence I would request you to issue me a
No Objection Certificate (NOC). My details:

1. Name of the Employee :

2. Name of Father/ Husband :

3. Designation :

4. Date from which present post held :

5. Identity Card Number :

6. Office Address :

I have read the provisions of article 6(2) of Passport Act and they are not applicable on me.

I certify that the information provided is true to best of my knowledge. In case any discrepancy is
detected at any stage, I shall be solely liable for it.

Three passport size photographs attached.

Yours faithfully,

(Name of the Employee)

 Annexure ‘N’

Prior intimation (PI) from the Government/ PSU/Statutory Body employee to his/her Administrative Office
for submission of Passport application for himself/herself (On Plain Paper)

Place:……………………………….

Date:………………………………..

[To be addressed to the Controlling/Administrative Authority with full postal address]

………………………………………………………………………………
………………………………………………………………………………
……………………………………PIN:…………………………………..
Tel:………………………………………………………………….........
Fax:………………………………………………………………………..
Email:…………………………………………………………………….
Subject: Prior Intimation for Submission of Passport Application

Sir/Madam,

I hereby give prior intimation that I am applying for an ordinary Passport to Regional Passport

Office,……………………………………………………………

2. This is for your kind information and record.

Yours faithfully,

Signature:…………………………………………………………………….
Name:………………………………………………………………………….
Date of Birth:……………………………………………………………….
Desingnation:………………………………………………………………
Name of office where Workinging:………………………………
……………………………………………………………………………………
Name of Organisation:…………………………………………………
……………………………………………………………………………………
Address of Present Office……………………………………………..
…………………………………………………………………………………….
…………………………………………………………………………………….
Residential Address:……………………………………………………..
…………………………………………………………………………………….
…………………………………………………………………………………….
 ANNEXURE-I
To be submitted by the incumbent
Declaration in connection with foreign visit

1. Name of the Officer

2. Service of Officer/Department

3. Designation

4. Name of the country/countries to be visitied

5. Period of proposed visit with specific dates

6. Purpose of visit

7. Nature of visit (Official/Private)

8. Who will bear the cost of Air fare?

If self, mention source like salary/Savings etc

i)
or

ii) If organization, details thereof, or

If individual, state the name, Nationality &

ii) relation with the officer

Who will bear the cost of board and lodging

and travel during visit

If self, mention source like salary/Savings etc

or

If organization, details thereof, or

If individual, state the name, Nationality &

relation with the officer

Whether the Officer will accept foreign

hospitality during his/her stay abroad, if so,
details thereof