Islamic Republic of Afghanistan

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Passport Application Form
4./5,"6 7,(/8.9 3*./'
Personal Details :1;* 4<0=
Title: :>?@
Family Name: :)A9(/%"8 B,(
Given Names: :B,(
Father’s Full Name: :.C6 :1;* B,(
Grandfather’s Full Name: :!+D.C6 :1;* B,(
Date of Birth (Gregorian): DD / MMM / YYYY '%( / $%& / !"# :()$1= -<HI) C@/E FG."E
Place of Birth details: C@/E :M* 4"JKL2
- Country: N7;O1* -
- Province / State: N7GPQ -
- District / Suburb: N3JR"% /)@(/$@Q -
- Village: N3G<S -
Marital Status: ! Single ! Engaged 9L*"% ! 9<H* ! :)%C* 7@"R
! Married ! Separated ! Widow / Widower T/JV /T9<1%U ! TC= (C2 ! :I"#* !
! Divorced TC= W+X !
Gender: ! Female ! Male ! Unknown Y/OZ*"% ! <D[* ! \%/* ! :]^2
Child: (Under 18 Years) ! Yes ! No )% ! )OV ! (18 `, <GU) ::_X
Country of Residence: :7*"S( :M* 7;O1*
Other Nationalities: :<aG9 -"I 7JZV"E
Height (cm): :(<#* )#%", 3V) CS
Hair Colour: ! Black ! Blonde ! Brown )G"*<8 ! 9.U ! T"J, ! :/* b%.
! Red ! Grey ! Brunette );c* ! CJ_, ! d<, !
Eye colour: ! Blue ! Brown ! Green Le, ! )G"*<8 ! )Vf ! :Bcg b%.
! Grey ! Hazel ! Other <aG9 ! )SC^' ! -<#$D"8 !
Other Distinguishing Marks: :<aG9 3S."' BK+h

Contact Details :i"1E 4"JKL2

Current Address: :)OZ' i.9f

Previous Address: :)OeS i.9f

Email Address: :)S<V 7$6

Mobile: Work Tel: :."D :M* !/_OJE :T(<1I !/_OJE
Home Tel: Fax: :];' :jL^* !/_OJE
Employment Details 3_JkQ 4"JKL2
Occupation: ::&=
Employer: :"*<'."D
Employers Address: :"*<'."D i.9f

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Previous Employer: :)OeS -"*<'."D
Employers Address: :"*<'."D i.9f

Other Details <aG9 4"lmc*

Passport Type: ! Ordinary ! Diplomatic ! Service
:4./5,"6 n/% -9"h ),"J, 7*C8
If Diplomatic Passport or Service Passport, please enter your Job Title:
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Identification: ! Identity Card ! Marriage Certificate ! Birth Certificate ! Passport
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Have you ever had an Afghan passport? ! Yes ! No
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If yes, please provide:
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Previous Passport Number:
)OeS 4./5,"6 T."1= N
Passport Type:
4./5,"6 n/%N
Issue Date: Expiry Date:
.QCo FG."EN "x?%( FG."EN
Place of Issue (In English and Dari):
()$JOa%( Q -.9 3V) .QCo :M* N
Do you have a criminal record? ! Yes ! No
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If Yes, please provide details: (attach separate sheet if more .9 7$J% )'"D -"2 <A( )NCJI9 yG<cE v_q@ r`#=(9 4./o .9
room is required) (CJG"1% 31J1z Q 3#=/% 3%"A(C2 W.Q

Purpose of Travel: ! Business ! Convention / Conference ! Education ! Employment

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! Exhibition ! Visiting Friends / Family ! Holiday ! Other
T"acG"1% T9(/%"8/!"#,Q9 "V .(CG9 )#l8. !C%(.[A <aG9
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
:3;^G( Y.(CJ* .(<S( :*"D )I"A( "V
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Passport Photograph:
4./5,"6 ];h
Note: The photograph must comply with guidelines.
Signature: (please sign within the box)
.C="V "I 9/1^I. 3V sV"q* CG"V ];h : 4/%
"x*( (CJK"1% "x*( :Gw 4"D/g :8(9 .9 v_q@) Guarantor must
endorse the photo
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Please Attach &'(/. 1'&23
Photo Here This is a true photo of:
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!" #$%& '% ()* !+,-
./$!01 2!3-' ------------------------------
(name of applicant)
(4.556 78'9:%& ;8')
Date: DD / MMM / YYYY
------------------------------
FG."E : !"# / $%& / '%( (signature of guarantor)
(4.556 71!0< !=>')

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