Application Form For Renewal Of Indian Passport And Miscellaneous Consular Services

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CONSULATE GENERAL OF INDIA
540 Arguello Boulevard, San Francisco, CA 94118
Telephone : (415) 668 0662 (2.00 to 4.30 p.m.)
Fax : (415) 668 9764
Applications are accepted at the counter from 9:00am to 1:00pm (Mon.-Fri.) ONLY
Application Form for Renewal of Indian Passport and Miscellaneous Consular Services
Total Pages: 2
• Renewal (No Fee[For short validity passports])
• Change of Address ($ 8.00)
• Additional Endorsement ($ 8.00)
• Police Clearance Certificates (3 Photograph Required) ($ 11.00)
• Birth/Death Certificate ($ 21.00)
• Deletion of child’s name ($ 8.00)
• Emigration Check Not Req. ($ 8.00)
• Life Certificate {Must notarize, if by mail} ($ 11.00)
• Attestation - for Adoption ($ 11.00)
• Attestation – General {Original plus one copy} ($ 11.00)
• Marriage Certificate ($ 21.00)
• Attestation - for property {Original plus one copy} ($ 21.00)
• Attestation-Commercial Documents {Original plus one copy} ($ 52.00)
DO NOT USE THIS FORM, If Applying for Change of Name, Change of Name Consequent to Marriage and/or Change of Appearance.
Instead use New Passport Application Form.
Please Specify Service Applied for___________________________________________________________________________________
1. Full Name __________________________________________________________________________________________
(Last)
(First)
(Middle)
2. Date of Birth(
)_____/______/_____ Place of Birth___________________Country of Birth________________
dd/mm/yy
3. Resident Alien Temporary Resident/Employment Authorization Card No. _________________________________
4. Residential Address
i) In India _____________________________________ ii) In USA ______________________________________________
_______________________________________ Tel. No ______________________________________________________
5. Profession and business address _______________________________________________________________________
6. Is applicant registered with the Indian Mission/Post? If not is he a member of any Indian
organization? Give details ______________________________________________________________________________
7. i) Name of Father ________________________________ ii) Name of Mother __________________________________
iii) Name of Spouse and Nationality ________________________________________________________________
8. Current Passport No. _________________________ Place of issue _____________________________________
Date of Issue ________________________________ Valid until _____________________________________
9. Particulars of children to be deleted:
Name Place & Date of Birth Sex
1.____________________________________________________________________________________________
2.____________________________________________________________________________________________
______________________
Signature of Applicant
10. Declaration
(To be signed by Indian Citizens only)
I solemnly affirm that :
i) I owe allegiance to the sovereignty and integrity of India.
ii) Information given above is correct and nothing has been concealed and I am aware that it is an offense under the Passport Act
1967 to knowingly furnish false information or suppress material information, and
iii) I solemnly declare that I have not lost, surrendered or been deprived of my Indian citizenship
iv) I further declare that I have not voluntarily acquired citizenship of any other country and I have no other passport or travel
.
document in my possession
This declaration has to be notarized by a Notary Public only in case of an applicant whose passport expired more than six months
before the date of submission of this application.
___________________________________________________
Signature of applicant or thumb impression of his legal guardian
(Left thumb impression of male & right hand thumb of female)
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