Islamic Republic of Afghanistan

‫ﺟﻤﮭﻮری اﺳﻼﻣﯽ اﻓﻐﺎﻧﺴﺘﺎن‬

Passport Application Form
‫ﻓﻮرﻣﮫ درﺧﻮاﺳﺖ ﭘﺎﺳﭙﻮرت‬
Personal Details ‫ﺷﮭﺮت ﻣﮑﻤﻞ‬
Title : : ‫ﻟﻘﺐ‬
Family Name: EBADI ‫ ﻋﺑﺎدی‬:‫اﺳﻢ ﺧﺎﻧﻮادﮔﯽ‬
Given Names: MUHAMMAD HAMZA ‫ ﻣﺣﻣد ﺣﻣزه‬:‫اﺳﻢ‬
Father’s Full Name: MASIHULLAH EBADI ‫ ﻣﺳﯾﺢ هللا ﻋﺑﺎدی‬:‫اﺳﻢ ﻣﮑﻤﻞ ﭘﺪر‬
Grandfather’s Full Name: EBADULLAH EBADI ‫ ﻋﺑﺎد هللا ﻋﺑﺎدی‬:‫اﺳﻢ ﻣﮑﻤﻞ ﭘﺪرﮐﻼن‬
Date of Birth (Gregorian): 3 December 2019 1398 ‫ ﻗوس‬12 :(‫ﺗﺎرﻳﺦ ﺗﻮﻟﺪ )هﺠﺮی ﺷﻤﺴﯽ‬
Place of Birth details: ‫ﺟﺰﺋﻴﺎت ﻣﺤﻞ ﺗﻮﻟﺪ‬
- Country: TURKEY ‫ ﻣﻤﻠﮑﺖ؛ ﺗرﮐﯾﮫ‬-
- Province / State: ANKARA ‫ وﻻﻳﺖ؛ اﻧﻘره‬-
- District / Suburb: MAMAK ‫ ﻧﺎﺣﻴﻪ؛ ﻣﻣﺎک‬/‫ وﻟﺴﻮاﻟﯽ‬-
- Village: EKIN MAHALASI ‫ ﻗﺮﻳﻪ؛ اﯾﮑن ﻣﺣﻠﮫ ﺳﯽ‬-
Marital Status: † Single Engaged ‫ﻧﺎﻣﺰد‬ ‫ﻣﺠﺮد‬ :‫ﺣﺎﻟﺖ ﻣﺪﻧﯽ‬
Married Separated Widow / Widower
‫ ﺑﻴﻮه‬/‫زﻧﻤﺮده‬ ‫ﺟﺪا ﺷﺪﻩ‬ ‫ﻣﺘﺎﻫﻞ‬
Divorced ‫ﻃﻼق ﺷﺪﻩ‬
Gender: Female Male Unknown ‫ﻧﺎﻣﻌﻠﻮم‬ ‫ﻣﺬﮐﺮ‬ ‫ﻣﻮﻧﺚ‬ :‫ﺟﻨﺲ‬
Child: (Under 18 Years) Yes No ‫ﻧﯽ‬ ‫ﺑﻠﯽ‬ (18 ‫ )زﻳﺮ ﺳﻦ‬:‫ﻃﻔﻞ‬
Country of Residence: TURKEY ‫ ﺗرﮐﯾﮫ‬:‫ﻣﻤﻠﮑﺖ ﻣﺤﻞ اﻗﺎﻣﺖ‬
Other Nationalities: :‫ﺗﺎﺑﻌﻴﺖ هﺎی دﻳﮕﺮ‬
‫ﺳﺎﻧﺗﯽ ﺳﺎﻧﺗﯽ‬
Height (cm): 51 51 :(‫ﻗﺪ )ﺑﻪ ﺳﺎﻧﺘﯽ ﻣﺘﺮ‬
Hair Colour: † Black † Blonde † Brown ‫ﺧﺮﻣﺎﻳﯽ‬ ‫زرد‬ ‫ﺳﻴﺎه‬ † :‫رﻧﮓ ﻣﻮ‬
† Red † Grey † Brunette ‫ﻣﺸﮑﯽ‬ ‫ﺳﻔﻴﺪ‬ ‫ﺳﺮخ‬ †
Eye colour: † Blue † Brown † Green ‫ﺳﺒﺰ‬ ‫ﺧﺮﻣﺎﻳﯽ‬ ‫آﺑﯽ‬ :‫رﻧﮓ ﭼﺸﻢ‬
† Grey † Hazel † Other ‫دﻳﮕﺮ‬ ‫ﻣﻴﺸﯽ‬ ‫ﺧﺎﮐﺴﺘﺮی‬
Other Distinguishing Marks: :‫ﻋﻼﺋﻢ ﻓﺎرﻗﻪ دﻳﮕﺮ‬

Contact Details :‫ﺟﺰﺋﻴﺎت ﺗﻤﺎس‬

Current Address: ‫اﻧﻘره‬/‫ﻣﻣﺎک‬،6#‫ ﻣﻧزل‬،1592 ‫ ﺳرک‬،‫ اﯾﮑن ﻣﺣﻠﮫ ﺳﯽ‬:‫ﺁدرس ﻓﻌﻠﯽ‬
Ekin Mah. 1592 Sok. No.6/3 Mamak/Ankara /‫ﻣﻣﺎک‬،6#‫ ﻣﻧزل‬،1592 ‫ ﺳرک‬،‫ اﯾﮑن ﻣﺣﻠﮫ ﺳﯽ‬/‫ﻣﻣﺎک‬،6#‫ ﻣﻧزل‬،1592 ‫رک‬
Previous Address: ‫ وﻻﯾت ﺗﺧﺎر‬،‫ ﺷﮭر ﺗﺎﻟﻘﺎن‬،‫ﮔذر ﻣﻼﻏﻔور‬ :‫ﺁدرس ﻗﺒﻠﯽ‬
Mulla Ghafoor district, Taluqan/Takhar ‫ وﻻﯾت‬،‫ ﺷﮭر ﺗﺎﻟﻘﺎن‬،‫ﮔذر ﻣﻼﻏﻔور‬
Email Address: masihullahebadi@gmail.com masihullahebadi@gmail.com :‫ﭘﺴﺖ ﺑﺮﻗﯽ‬
Mobile: 05432076204 Work Tel: :‫ ﺗﻴﻠﻔﻮن ﻣﺤﻞ ﮐﺎر‬05432076204:‫ﺗﻴﻠﻔﻮن هﻤﺮاﻩ‬
Home Tel: 05432076204 Fax: :‫ ﻓﮑﺲ‬05432076204 :‫ﺗﻴﻠﻔﻮن ﻣﻨﺰل‬
Employment Details ‫ﺟﺰﺋﻴﺎت وﻇﻴﻔﻪ‬
Occupation: :‫ﺷﻐﻞ‬
Employer: :‫ﮐﺎرﻓﺮﻣﺎ‬
Employers Address: :‫ﺁدرس ﮐﺎرﻓﺮﻣﺎ‬

Embassy ofGeneral
Afghanistan I.R of Afghanistan in Canberra
Consulate Istanbul

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 Previous Employer: :‫ﮐﺎرﻓﺮﻣﺎی ﻗﺒﻠﯽ‬
Employers Address: :‫ﺁدرس ﮐﺎرﻓﺮﻣﺎ‬

Other Details ‫ﻣﺸﺨﺼﺎت دﻳﮕﺮ‬

Passport Type: Ordinary Diplomatic Service
:‫ﻧﻮع ﭘﺎﺳﭙﻮرت‬ ‫ﻋﺎدی‬ ‫ﺳﻴﺎﺳﯽ‬ ‫ﺧﺪﻣﺖ‬
If Diplomatic Passport or Service Passport, please enter your Job Title:
‫ ﻟﻄﻔﺎ ﻣﻘﺎم ﺧﻮد را درج ﻧﻤﺎﻳﻴﺪ؛‬،‫در ﺻﻮرﺗﯽ ﮐﻪ ﭘﺎﺳﭙﻮرت ﺳﻴﺎﺳﯽ ﻳﺎ ﺧﺪﻣﺖ ﺑﺎﺷﺪ‬
Identification: † Identity Card Marriage Certificate † Birth Certificate Passport
‫ ﺗﺸﺨﻴﺺ ﻫﻮﻳﺖ‬: ‫ﮐﺎرت ﻫﻮﻳﺖ‬ ‫ﮔﻮاﻫﯽ ﺗﻮﻟﺪ‬ ‫ﺗﺼﺪﻳﻖ ازدواج‬ ‫ﭘﺎﺳﭙﻮرت‬
Have you ever had an Afghan passport? Yes No
‫ﺁﻳﺎ ﮔﺎهﯽ ﭘﺎﺳﭙﻮرت اﻓﻐﺎﻧﯽ داﺷﺘﻪ اﻳﺪ؟‬ ‫ﺑﻠﯽ‬ ‫ﻧﯽ‬
If yes, please provide:
‫ ﻟﻄﻔﺂ ﺟﺰﺋﻴﺎت ذﻳﻞ را ﺗﮑﻤﻴﻞ ﻧﻤﺎﺋﻴﺪ؛‬،‫اﮔﺮ داﺷﺘﻴﺪ‬
Previous Passport Number:
‫؛ ﺷﻤﺎرﻩ ﭘﺎﺳﭙﻮرت ﻗﺒﻠﯽ‬
Passport Type:
‫؛ﻧﻮع ﭘﺎﺳﭙﻮرت‬
Issue Date: Expiry Date:
‫؛ﺗﺎرﻳﺦ ﺻﺪور‬ ‫؛ﺗﺎرﻳﺦ اﻧﻘﻀﺎ‬
Place of Issue (In English and Dari):
(‫؛ ﻣﺤﻞ ﺻﺪور )ﺑﻪ دری و اﻧﮕﻠﻴﺴﯽ‬
Do you have a criminal record? Yes No
‫ﺁﻳﺎ ﺳﺎﺑﻘﻪ ﺟﻨﺎﻳﯽ دارﻳﺪ ؟‬ ‫ﺑﻠﯽ‬ ‫ﻧﯽ‬
If Yes, please provide details: (attach separate sheet if more ‫ ﻟﻄﻔﺂ ﺗﺸﺮﻳﺢ دهﻴﺪ؛) اﮔﺮ ﺟﺎی ﮐﺎﻓﯽ ﻧﻴﺴﺖ در‬،‫در ﺻﻮرت داﺷﺘﻦ‬
room is required) (‫ورق ﺟﺪاﮔﺎﻧﻪ ﻧﻮﺷﺘﻪ و ﺿﻤﻴﻤﻪ ﻧﻤﺎﻳﻴﺪ‬

Purpose of Travel: Business Convention / Conference Education Employment

‫هﺪف ﻣﺴﺎﻓﺮت‬ ‫ﺗﺠﺎرت‬ ‫ﮐﺎﻧﻮﻳﻨﺴﻴﻮن‬/‫ﮐﺎﻧﻔﺮاﻧﺲ‬ ‫ﺗﺤﺼﻴﻞ‬ ‫ﮐﺎر‬
Exhibition Visiting Friends / Family Holiday Other
‫ﻧﻤﺎﻳﺸﮕﺎه‬ ‫ﺧﺎﻧﻮاده‬/‫دﻳﺪار ﺑﺎ دوﺳﺘﺎن‬ ‫ﮔﺬراﻧﺪن رﺧﺼﺘﯽ‬ ‫دﻳﮕﺮ‬
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
:‫ﺑﺎ اﮔﺎهﯽ ﮐﺎﻣﻞ اﻗﺮار ﻣﻴﺪارم اﻳﻨﮑﻪ‬
‫ ﻣﻦ ﻳﮏ ﺷﻬﺮوﻧﺪ اﻓﻐﺎن هﺴﺘﻢ‬-
‫ اﻇﻬﺎرات ﻣﻦ درﻳﻦ درﺧﻮاﺳﺖ راﺳﺖ و درﺳﺖ ﻣﻴﺒﺎﺷﺪ‬-
Passport Photograph:
‫ﻋﮑﺲ ﭘﺎﺳﭙﻮرت‬
Note: The photograph must comply with guidelines.
Signature: (please sign within the box)
.‫ ﻋﮑﺲ ﺑﺎﻳﺪ ﻣﻄﺎﺑﻖ ﺑﻪ رهﻨﻤﻮد هﺎ ﺑﺎﺷﺪ‬: ‫ﻧﻮت‬
‫)ﻟﻄﻔﺂ در داﺧﻞ ﭼﻮﮐﺎت ذﻳﻞ اﻣﻀﺎ ﻧﻤﺎﺋﻴﺪ( اﻣﻀﺎ‬ Guarantor must
endorse the photo
‫ﺿﻤﺎﻧﺖ ﮐﻨﻨﺪه ﺑﺎﯾﺪ در ﻋﮑﺲ‬
‫ﺗﺼﺪﯾﻖ ﻧﻤﺎﯾﺪ‬
Please Attach This is a true photo of:
Photo Here ------------------------------
(name of applicant)
‫ﻟﻄﻔﺎ ﻋﮑﺲ را درﯾﻦ‬
‫ﺟﺎ اﻟﺼﺎق ﻧﻤﺎﯾﯿﺪ‬ ------------------------------
Date: 12/09/2019 (signature of guarantor)
‫)اﻣﻀﺎ )ﺿﻤﺎﻧﺖ ﮐﻨﻨﺪه‬

‫ﺗﺎرﻳﺦ‬ : 1398/09/18

Embassy
AfghanistanofGeneral
I.R ofConsulate
Afghanistan in Canberra
Istanbul

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