Passport Application Form

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PASSPORT APPLICATION FORM

Government of INDIA, Ministry of External Affairs

Applying For FRESH/REISSUE


Type of Application NORMAL/TATKAL
Type of Passport Booklet 36 PAGES/ 60 PAGES

Applicant Details
Applicant's Name _________________________________________

Date of Birth (DD/MM/YYYY) _________________________________________

Validity Required _________________________________________

Place of Birth (Village/Town/City) _________________________________________

District _________________________________________

State/UT _________________________________________

Region/Country _________________________________________
Gender MALE/FEMALE
Marital Status SINGLE/MARRIED/WIDOW
Citizenship of India by BIRTH

Employment Type _________________________________________

Educational Qualification _________________________________________

Family Details
Father's Name _________________________________________

Mother's Name _________________________________________

Spouse’s Name _________________________________________

Present Residential Address Details


_________________________________________
Address

_________________________________________

_________________________________________

PIN _________________________________________

Police Station _________________________________________

Mobile/Tel No. _________________________________________

E-mail _________________________________________

Emergency Contact Details


Name and Address _________________________________________

_________________________________________

_________________________________________

Mobile/Tel No. _________________________________________

Previous Passport Details


Passport No. ________________________________________
Place of Issue _________________________________________

ज़ुल्फ़िक़ार अली, २०३/११, शास्त्री नगर, मेरठ, ल.ल.र.म.

मेड कॉलेज, मेरठ,

उत्तर प्रदेश - 250004

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