Fresh Passport Application Form

Service Required

Type of Application *

Standard (25-30 business days)
Express (12-15 business days)

Type of Passport Booklet *

36 pages
60 pages

Applicant Details

Applicant's Given Name *

The given name means the first name followed by middle name, if any

Surname *

Gender *

Are you known by any other names? *

Do you have any aliases?

Have you ever changed your name? *

Date of Birth (DD/MM/YYYY) *

Place Of Birth

Is your Place of Birth out of India? *

Village or Town or City *

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

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

Provide the details for one of the following *

Father
Mother
Legal Guardian

Present Residential Address Details (where applicant presently resides)

Is your present address out of India? *

House No. and Street Name *

Village or Town or City *

Mobile *

Telephone

Email *

Do you have a Permanent Address? *

Mobile Number

Telephone Number

Emergency Contact Details

Name and Address *

Mobile Number *

Telephone Number

Identity Certificate /Passport Details

Have you ever held/hold any Identity Certificate? *

(Identity Certificate(IC) is normally issued to Tibetan/other stateless people residing in India)

Details of Previous/Current Diplomatic/Official Passport *

Details Available
Details Not Available/Never Held Diplomatic/Official Passport

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

Other Details

Have you ever been charged with criminal proceedings or any arrest warrant/ summon pending before a court of India? *

Have you at any time during the period of 5 years immediately preceding the date of this application been convicted by a court in India for any criminal offence and sentenced to imprisonment for two years or more? *

Have you ever been refused or denied passport? *

Has your Passport ever been impounded or Revoked? *

Have you ever applied for/ been granted political asylum to/ by any foreign country? *

Have you ever returned to India on Emergency Certificate (EC) or were ever deported or repatriated *

Self Declaration

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 the citizenship of India and I affirm that the information given by me in this form and the enclosures is true and I solely responsible for its accuracy, and I am liable to be penalized or prosecuted if found otherwise. I am aware that under the Passport 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 Agree

Place *

Date (DD/MM/YYYY) of application *

NOTE:

Applicants are required to submit the proof of address of the present address only, irrespective of the date from which he/she has been residing at the given address. However, he/she is required to mention all the places of stay during previous one year (from the date of application filling) in the Passport application form.

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