PASSPORT APPLICATION FORM

PASSPORT APPLICATION FORM
Government of India, Ministry of External Affairs

Please read the Passport Instruction Booklet carefully before filling the form. Furnishing of incorrect information/ suppression of information would lead to rejection of application and would attract penal provisions as prescribed under the Passports Act, 1967. Please produce your original documents at the time of submission of the form. All fields marked with (*) are mandatory to fill.

Applying for*

Type Of Application*

NormalTatkaal

Type of Passport Booklet*

36 Pages60 Pages

Applicant's Given Name (Given Name means First Name followed by middle Name (if any *

Surname*

Surname

Gender*

Are you known by any other names(aliases)?*

YesNo

Have you ever changed your name ?*

YesNo

Date of Birth (DD/MM/YYYY)*

Date

Is your Place of Birth out of India?*

YesNo

Is your Place of Birth out of India?

Marital Status*

Citizenship of India by*

PAN (If available)

Voter ID (If available)

Employment Type*

Is either of your parent (in case of minor)/ spouse, a government servant?*

Educational Qualification*

Are you eligible for Non-ECR category?*

Visible Distinguishing Mark

Aadhaar Number

I, the holder of above mentioned Aadhaar Number , hereby give my consent to Passport Seva to obtain my Aadhaar Number, Name and Fingerprint/Iris for authentication with UIDAI. I have no objection using my identity and biometric information for validation with Aadhaar (CIDR) database only for the purpose of authentication.

I agree

YesNo

Family Details (Father/Mother/Legal Guardian details; at least one is mandatory *

Father's Given Name Given Name means First Name followed by Middle Name If any

Surname

Legal Guardian's Given Name (if applicable)

Surname

Mother's Given Name Given Name means First Name followed by Middle Name If any

Surname

Present Residential Address Details (where applicant presently resides)*

YesNo

Is your present address out of India? *

House No. and Street Name

Village or Town or City

Region/Country*

State/ Province*

Area CodePhone Number

District/ County*

Zip Code*

Mobile Number*

Area CodePhone Number

Mobile Number*

YesNo

Telephone Number

Area CodePhone Number

Do you have a Permanent Address?

example@example.com

Name and Address

Mobile Number*

Area CodePhone Number

Telephone Number

Area CodePhone Number

Identity Certificate /Passport Details

example@example.com

Have you ever held/hold any Identity Certificate?*

YesNo

(Identity Certificate(IC) is normally issued to Tibetan/other stateless people residing in India) Details of Previous/Current Diplomatic/Official Passport*

Details AvailableDetails Not Available/Never Held Diplomatic/Official Passport

Have you ever applied for passport, but not issued?*

YesNo

1) Provide the following details if there are any criminal proceedings pending against the applicant.

Are any proceedings in respect of an offence alleged to have been committed by you pending before a criminal court Yes in India?*

Has any warrant or summons for your appearance been issued and pending before a court under any law for the time Yes being in force?No

Has a warrant for your arrest been issued by a court under any law for the time being in force? *

No*

YesNo

Has an order prohibiting your departure from India been made by any court? *

No*

YesNo

2) Provide the following details if the applicant has been convicted by a court in India.

Have you, at any time during the period of five years immediately preceding the date of this application,

been convicted by a court in India for any offence involving moral turpitude and sentenced in respect thereof to

No*

YesNo

imprisonment for not less than two years?*

3) Provide the following details if the applicant has been refused/denied passport.

Have you ever been refused/denied passport? *

Yes*

NoNo

Has your passport ever been impounded?*

Yes*

YesNo

Has your passport ever been revoked?*

YesPage of

Yes*

YesNo

4) Provide the following details if applicant has applied for or been granted foreign citizenship.

Have you ever been granted citizenship by any other region/country?*

YesNo

Have you ever held the passport of any other region/country at any time?*

YesNo

Have you ever surrendered your Indian passport?*

YesNo

Have you ever applied for renunciation of Indian citizenship?*

YesNo

5) Provide the following details if applicant has returned to India on Emergency Certificate.

Have you ever returned to India on Emergency Certificate (EC) ?*

YesNo

Have you ever been deported from any country?*

YesNo

Have you ever been repatriated from any country back to India?*

YesNo

AADHAR CARD*

Browse Files

PAYMENT SCREEN SHOT (RS 1800)*

Browse Files

PAYTM, PHONEPE, GPAY +917868837708 (JAHANGEERKHAN AZEEZ KHAN)

I owe allegiance to the sovereignty, unity & integrity of India, and have not voluntarily acquired citizenship or travel document of any other country. I have not lost, surrendered or been deprived of the citizenship of India. I have not contravened any of the conditions relating to the possession and use of an Indian passport. I affirm that the information and particulars given by me in this form are true and correct. I further state that I am not suppressing any material information in this regard. I further affirm that the enclosures and documentary proof submitted in support of my application for an Indian passport are authentic and solely pertain to me and I am fully responsible for the accuracy of the same. I am liable to be penalized or prosecuted if found otherwise. I am aware that under the Passports Act, 1967 it is a criminal offence to furnish any false information or to suppress any material information with a view to obtaining passport or travel document. I have read and understood the contents of the above and by submitting this form certify that all the information submitted by me in the form is Bonafide.

I Agree

Place*

Date (DD/MM/YYYY)

Date

Applicant Details

Place Of Birth

Village or Town or City

Emergency Contact Details

Other Details

Self-Declaration