Government of India Ministry of External Affairs Passport Application Form (No.1) (For New / Re-issue/ Replacement of Lost/Damaged Passport) Paste your unsigned recent colour photograph. Size: 3.5 X 3.5 cm (Please tick the required category) Signature OR Thumb Impression Please read the Passport Information Booklet carefully before filling the form, in CAPITAL LETTERS in blue/ black ball point pen only: (CAUTION: Please furnish correct information. Furnishing of incorrect information would attract penal provisions as prescribed under the Passports Act, 1967). Please produce your original documents at the time of submission of the form. For official use only File Number .............. Police Verification required (Yes/No) ECR / ECNR ............. Signature of Checking Official Fee Amount Rs. Cash /D.D Bank Code D.D No. Date of Issue of D.D 1. Name of applicant as it should appear in the Passport (Initials not allowed) Surname Given Name (with documentary proof) 2. In case of change of name/surname (after marriage or otherwise with documentary proof), please indicate the previous name/surname in full 3. Sex Male Female Others 4. Date of Birth: DD MM YYYY (with documentary proof) In words.________________________________________________ 5. Place of Birth: Village / Town, District, State, Country (with Documentary Proof) 6. Father/Legal Guardian's Full Name (including surname, if any): (Initials not allowed) 7. Mother's Full Name (including surname, if any): (Initials not allowed) 8. If married, Full Name of wife/husband (including surname, if any). (Initials not allowed). (1) 8 (i) If divorced/widow/widower, Please indicate the category with documentary proof. 9. Current Residential Address (where staying presently), Residing since ............. (In case of students, please see Section III of Passport Information Booklet) P I N Telephone No. Mobile No. 9 (a) If you have been resident at your current address for less than one year, please furnish other addresses of your residence during the last one year. From.......To........ From.......To....... ________________________________ _________________________________ ________________________________ _________________________________ ________________________________ _________________________________ ________________________________ _________________________________ 10. Permanent Address with PIN code (if the permanent address is same as the present address write "Same" only) P I N 11. Details of latest held/existing Ordinary / Diplomatic / Official passport(s): (i) Passport Office File No: ........../ Passport(s) No................. (ii) Date and Place of Issue: ........../ Date of Expiry .............. (iii) In case passport was applied for and not issued, please give File No. & Date ......... (iv) Has your passport(s) ever been lost / damaged (if so attach FIR and give details)......... ......................................... 11. (a) If you have returned to India on Emergency Certificate (EC) or were ever deported or repatriated, please furnish details: EC No., date and place of issue & attach seizure memo in original ................ Place & Country from where deported / repatriated and reason thereof:............. ....................... ..................... ......................................... 12. Other Details: a) Educational Qualifications.............................. b) Visible Distinguishing Mark, if any........................... c) Height .......cms. (2) 13. Are you working in Central Government/ State Govt/ PSU/ Statutory Bodies (Y)es/ (N)o If 'Yes' attach Identity Certificate (As per Annexure "B" of Passport Information booklet). 14. Are you a citizen of India by: (B)irth/(D)escent/(R)egistration/(N)aturalisation; ..........
passport consultancy If you have ever possessed any other
