Print Form

Token No. EMBASSY OF INDIA Jumbo/Ordinary

Doha, Qatar NP / CP / NB
(To be filled in block letters)

Name of the Applicant : (Given Name/Surname to be indicated clearly, if desired separately in the passport)

Name of the Father :

Name of the Mother :

Name of the Spouse (Husband / Wife) :

Permanent Address in India :

Place of Birth :

Date of Birth : Day Month Year Sex M MF F

Passport No. : ………………………………… Place of Issue : …………………………..…………………………….

Date of Issue : ………………………………… Date of Expiry : ……………………………………….……………….
Post Box No. (Qatar) Telephone No. ID Card Number

Name of Sponsor : __________________________________________________________________________

For Office Use Only:

File No. : ……………………… Passport No. : ………………………… Receipt No. : …………………….………….

ECR / ECNR Reg. No. : ……………………………. Birth Reg. No. : …………………………………….

Date of Issue : ………………………………… Final Validity : …………………………..…………………………….

OBSERVATION OBJECTION NTL