Government of India

Ministry of External Affairs Paste your

Passport Application Form (No.1) unsigned recent
(For New / Re-issue/ Replacement of Lost/Damaged Passport) colour
(Please tick the required category) photograph.
Ur Signature Size: 3.5 X 3.5 cm
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
1000 CASH
1. Name of applicant as it should appear in the Passport (Initials not allowed)
Surname Father Name eg; Kandhasamy and not as K.Kandhasamy
Given Name
(with documentary Ur name eg; Aruchsamy and not as K.Aruchsamy
proof)
2. In case of change of name/surname (after marriage or otherwise with documentary proof), please indicate
the previous name/surname in full ( Put No If u are not In the case of this Box else put kandhasamy/Muna)
If u are female ur intial change after marriage or Male/FemaleMom diversed ur father and marry other.

3. Sex Male/female
4. Date of Birth: Eg;14-NOV-1987 ( Plz of birth proof not compulsary upto 1988 born members)
(with documentary proof)
In words. FOURTEEN NOVEMBER NINETEEN EIGHTY SEVEN __
5. Place of Birth: Village / Town, District, State, Country (with Documentary Proof)
Eg; cumbum Theni
6. Father/Legal Guardian's Full Name (including surname, if any): (Initials not allowed)
Father name
7. Mother’s Full Name (including surname, if any): (Initials not allowed)
Mother name
8. If married, Full Name of wife/husband (including surname, if any). (Initials not allowed).
Put ur Wife name Eg Pen and not as I.Pen

8 (i) If divorced/widow/widower, Please indicate the category with documentary proof.

Put Yes or No if yes Attach Divorce or

death certificate
 9. Current Residential Address (where staying presently), Residing since
(In case of students, please see Section III of Passport Information Booklet) (XX-XXX-XXXX)
If u are a student as hostaler put ur hostel vacation date above ; or if u are transfer
To some place and staying there give that address .

Telephone No /Email Address. Mobile No.

00000/.@.com XXXX
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 Eg 26-JAN-2008 To 29-DEC-2008 From Eg 30-DEC-2008 To 01-JUL-2009
If your living in that address for less than 1 year If your living in that address for less than 1 yr
Write ur previous address or put “same” like Below write ur Current address or put “same” like below

--------------SAME----------------------- -----------------SAME-------------------

10. Permanent Address with PIN code (if the permanent address is same as the present address write “Same”
only)
XXXX;XXXXX;XXXX

XXXX XXXX XXX (Make sure this Address should same as ur Voter ID and
Dont worry about Ration card address Ration card just to verify u in that family)
11. Details of latest held/existing Ordinary / Diplomatic / Official passport(s):( Fill No for 11)
(i) Passport Office File No.………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)…… NO ……..
…………………………………………………………………………………………… // …..
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:……………………………
..………………………………--NO--……. …………………………………………………
……………………………………………………………………………………………………….
12. Other Details:
BE;MBBS;Bsc;Xii;Diploma
a) Educational Qualifications…………………………………………………………………………..
b) Visible Distinguishing Mark, if any…Eg; if u have big mole in face or acid scar on ur face etc
c) Height ……XXX……………cms. d) Profession .........Eg.UNEMPLOYED.....................................
13. Are you working in Central Government/ State Govt/ PSU/ Statutory Bodies (Y)es/ (N)o X
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; ……BIRTH……….
If you have ever possessed any other citizenship, please indicate previous citizenship …INDIAN…
15. “Emigration Check Not Required” status? Yes/No …-YES-……
(Please note that all 10 and above qualified applicants are eligible for ECNR status.)
If yes, mention the eligible category (see Section III of Passport Information Booklet) and enclose copy
of relevant certificate/document____________-YES-_____________________________________
16. In case of minors (applicant below the age of 18), if EITHER of the parents hold a Valid Indian
Passport or has applied for it give the following details. Please see and fill up attached Annexure-H.
Passport/ File No. Date & Place of Issue/ Application
Mother ___XXX____________ ________XXX___________________
Father _______XXXX _________XXX

17. (a) 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 criminal offence & sentenced to imprisonment
for two years or more? If so, give name of the court, case number and relevant sections of Law.
(Attach copy of judgement)
……If ur arrested and put into jail more than 2 years put Yes else put No....................................
(b) Are any criminal proceedings pending against you before a court in India? If so, give name of court,
case number and relevant sections of Law.
…………………… any criminal case in court not consider civil case………………..
(c) If answer at (b) is (Y)es, please furnish No Objection Certificate from competent court for grant of
Passport.
…………………IF…17 B : Yes ; Get no objection certificate from court Else put No
………………………………………………………………………………………………....

(d) Have you been ever refused/denied passport? If yes, give details:
if u previously applied passport and denied during police verification...or u refused accept
....the passport rule Else put NO
(e) Has your passport ever been impounded / revoked? If yes, give details:
………………………………………………………………………………………………………..
………………………………NO…………………………………………………………………..

(f) Have you ever applied/granted political asylum by any foreign country? If yes, give details.
………………………………………………………………………………………………………..
………………………………NO………………………………………………………………..

18. Particulars of person to be intimated in the event of death or accident:

Name Kandhasamy(Father)………………………………………………....
Address XXXX/XXXX/XXXX
……………………..................................................
Mobile / Tel. No. / email ID xxxxxxxxx/.@.com…...............

19. Self Declaration:

I owe allegiance to the sovereignty, unity & integrity of India, and have not voluntarily
acquired citizenship or travel documents of any other country. I have not lost, surrendered or been deprived
of citizenship of India. The information given by me in this form and enclosures is true and I am solely
responsible for its accuracy. I am aware that it is an offence under the Passports Act, 1967 to furnish any
false information or to suppress any material information with a view to obtaining a passport or any other
travel document.
I further declare that I have no other passport/ travel document.

(Signature/Thumb Impression of Applicant)

Date …………. (Left Hand Thumb Impression if male and Right
Hand Thumb Impression if female)
Place …………
20. Enclosures:

1 Proof of date of birth .…X or XII mark sheet....2 Proof of Residence …RationCard…...........

3 Educational Qualifications ……XXX…........4 ……..……VOTER ID XEROX…………..

5............................................................................. 6 ……TC………………………....................

(For Official Use Only)

Checked by Name Signature/date

Granted by Name Signature/date

Scanned by Name Signature/date

Dispatched by Name Signature/date

PASTE 2 Photograph Here

For general 3 proof required; Tatkal 5 proof required

 Paste your
write here Ur nearer Place were the police station
located cross signed
PERSONAL PARTICULARS FORM recent colour
photograph.
(In Duplicate)
Size: 3.5 X 3.5 cm

1. Full name (Initials not allowed)

… Auto filled during online REG …....................................

2. Sex: Male / Female / Others Auto filled during online REG.

(a) Has the applicant ever changed name?
(b) If yes, previous name: ……As mentioned previously……………………………………….
4. Date of Birth Auto filled during online REG 5. Place of Birth Auto filled during online REG
6. Profession ……… Auto filled during online REG ……………………..
7. a) Father Auto filled during online REG ……………………………………
(Surname) (Name)
b) Mother Auto filled during online REG
.

(Surname) (Name)
c) Husband / wife …… Auto filled during online REG ……
(Surname) (Name)
8 a) Permanent Address & Tel. No. 8(b) Present Residential Address & Tel. No, along with
along with Police Station Police Station and residing since
Auto filled during online REG, Auto filled during online REG
………………………………………………. ……………………………………………………

………………………………………………. ……………………………………………………

………………………………………………. ……………………………………………………

………………………………………………. ……………………………………………………
9. If you have not been resident at the address given at COLUMN 8(b) continuously for the last one year,
please furnish other address(es) with duration(s) resided (Please furnish an additional set of P P Forms
for each address with Police station.
From……………..To…………………. From…………………To……………….
________________________________ _________________________________
________________________________ _________________________________
As mention before As mention before
________________________________ _________________________________
10. References: Names and Addresses of two responsible persons in the applicant’s locality who can vouch
for the applicant.
(1) Name, Address & Tel. No. (2) Name, Address & Tel. No.
…….xxxxx ………xxxxxxxx …………… ....
………xxxxx ………........ …………xxx ……………… ... ...
………………xxxxx………………………. …………xxxxx………………………………

11. Citizenship of India by: Birth Descent Registration Naturalization

12. Furnish details of previous passport / travel document, if any:
(i) Passport/Travel document No: ……………………... (ii) Date & Place of issue …………………….
For Police Use Only

Recommended Passport: YES/NO Signature or Thumb Impression of the applicant

(Left Hand T.I. if male and Right Hand T.I. if female)
 (write here Ur nearer Place were the police station
located) Paste your
cross signed
PERSONAL PARTICULARS FORM
recent colour
(In Duplicate) photograph.
Size: 3.5 X 3.5 cm

1. Full name (Initials not allowed)

… Auto filled during online REG................................

2. Sex: Male / Female / Others Auto filled during online REG

(a) Has the applicant ever changed name?
(c) If yes, previous name: ……… Auto filled during online REG ………………………………..

4. Date of Birth:. Auto filled during online REG 5. Place of Birth Auto filled during online REG
7. Profession Auto filled during online REG ………………………………..
8. a) Father ……… Auto filled during online REG ……………………………..
(Surname) (Name)
b) Mother.... Auto filled during online REG
(Surname) (Name)
… Auto filled during online REG …………
c) Husband / wife
(Surname) (Name)
8 a) Permanent Address & Tel. No. 8(b) Present Residential Address & Tel. No, along with
along with Police Station Police Station and residing since
Auto filled during Online REG
……………………………………………….
Auto filled during Online REG
……………………………………………….

………………………………………………. ……………………………………………………

………………………………………………. ……………………………………………………

………………………………………………. ……………………………………………………
9. If you have not been resident at the address given at COLUMN 8(b) continuously for the last one year,
please furnish other address(es) with duration(s) resided (Please furnish an additional set of P P Forms
for each address with Police station.
From……………..To…………………. From…………………To……………….
________________________________ _________________________________
________________________________ _________________________________
AS Mention before ______________ As Mention Before
________________________________ _________________________________
10. References: Names and Addresses of two responsible persons in the applicant’s locality who can vouch
for the applicant.
(1) Name, Address & Tel. No. (2) Name, Address & Tel. No.
…XXXXXXX ……….. ……XXXXXX……………... ... ...
……XXXXXX…………............. …………XXXXXX…………... ... ... ... ..
………………………………………………. ……………………………………………………

11. Citizenship of India by: Birth Descent Registration Naturalization

12. Furnish details of previous passport / travel document, if any:
(i) Passport/Travel document No: ……………………... (ii) Date & Place of issue …………………….
For Police Use Only

Recommended Passport: YES/NO Signature or Thumb Impression of the applicant

(Left Hand T.I. if male and Right Hand T.I. if female)
Procedure To Apply online: for Freshers

• 1.Fill Half of the Form in Online and get the appointment Date and Time .Try to

go Very early As the Office open So to avoid sanding in Que

• 2.Take 2 set of Proof Xerox

• 3.pin 1st set between 1st and 2nd page

• 4pin 2nd set between 5th and 6th page

• 5.keep the orginals of the Xerox and show when they ask

• 6 Almost 3 set of que

• 1st putting seal with number for general and Tatkal in ur form and check wether

u pin all Xerox correctly

• 2nd u are waited in AC room Called as per seal Number and verify ur Xerox proof

and Orginals and Seal ur form wit ECR or ECNR

• 3rd After getting the seal u are allowed to pay cash in Cash counter.Keep the bill

safely

• 7.after a 2 weeks Police verification to be done so the police will Call u to the

Station for enquiry after verification(u must give them a 2 photograph and Place

of Living certificate fromVAO) over within a month u will recive a passport

• U can check ur passport status Online .