Bangladesh New Passport Application Form For Abu Dhabi Embassy printable pdf download

EMBASSY OF THE PEOPLE’S REPUBLIC OF BANGLADESH

Sl. No.

: ___________

ABU DHABI, UNITED ARAB EMIRATES

Dirhams

: ___________

P.O. BOX NO. 2504, Tel. 02 4465100, Fax : 02 4464733

Receiving date : __________

Delivery date : ___________

APPLICATION FORM FOR NEW PASSPORT

(ea¥ e f¡p−f¡−VÑ l SeÉ B−hce fœ)

Form should be filled in block letters.(glj Cw−l¢S hs q¡−al Ar−l f§ l Z Ll−a q−h)

(a)

4 (Four) recent passport size photographs.(4 L¢f pcÉ ®a¡m¡ f¡p−f¡VÑ p¡C−Sl R¢h )

(b)

Previous passport or travel permit.(f¤ l ¡ae f¡p−f¡VÑ h¡ VÊ ¡ −im f¡l¢jV pwk¤ J ² Ll−a q−h)

(c)

Any other document(s) as and when required by the authority.(fË − u¡Se£u AeÉ¡eÉ L¡NSfœ pwk¤ J ² Ll−a q−h)

(d)

1. Name (e¡j)

: ______________________________________________________________________

2. Name of Father / Husband (¢fa¡/ü¡j£l e¡j) : _________________________________________________________

3. Name of Mother (j¡a¡l e¡j)

: ________________________________________________________

4. Profession as per visa (¢ip¡ Ae¤ k ¡u£ −fn¡)

: ________________________________________________________

5. Place of birth (S¾j ÙÛ ¡ e)

: ________________________________________________________

6. Date of birth(S¾j a¡¢lM)

: _________________________________________________________

7. Colour of eyes : ______________Colour of hair : ____________Height : _________m._________cm. ________

(®Q¡−Ml lw)

(Q¥ − ml lw)

(EµQa¡)

(¢jx)

(−px¢jx)

8. Visible distinguishing mark (mrZ£u ¢h−no ¢Qq² -k¢c b¡−L) : _______________________________________________

9. Permanent Address In Bangladesh : (h¡wm¡−c−n ÙÛ ¡ u£ ¢WL¡e¡)

Village (NË ¡ j) : __________________________

P.O. (®f¡ØV A¢gp) : ________________________

P.S. (Ef−Sm¡) _____________________________

District (®Sm¡)

: ________________________

10. Present Address in the United Arab Emirates : (Blh B¢jl¡−a haÑ j ¡e ¢WL¡e¡)

P. O. Box No. ____________ City / Town: _______________________________ Phone: __________________

(®f¡ØV h„ ew)

(nql)

(®g¡e ew)

11. Particulars of previous passport / Travel document (f¤ l ¡ae f¡p−f¡VÑ h¡ VÊ ¡ −im f¡l¢j−Vl abÉ):

Passport No. __________________________ Date of issue: _____________________ Place of issue: ______________

(f¡p−f¡VÑ ew)

(fË c ¡−el a¡¢lM)

(fË c ¡−el ÙÛ ¡ e)

: cn hvpl ®ju¡c Eš£ZÑ qJu¡l L¡l−Z

12.

Reason for the application for a new passport

(ea¥ e f¡p−f¡−Vl SeÉ B−hc−el L¡lZx fË − k¡SÉ −r−œ ¢VL¢Qq² ¢ce)

f¡p−f¡VÑ q¡l¡−e¡/eø qJu¡l L¡l−Z

13.

Supporting documents submitted along with this application (if any): _____________________________________

(fË − k¡SÉ ®r−œ AeÉ fË j ¡e¡¢c B−hcef−œl p¡−b pwk¤ J ² Ll−a q−h)

14.

Particulars of children to be included in the passport ( size of photos : 26X25mm, 3 photographs each ) :

(−kph ®R−m/®j−ul e¡j, ¢fa¡/j¡a¡l f¡p−f¡−VÑ A¿¹ i ¨ Ñ š ² Ll−a Q¡e a¡−cl ¢hhlZ- fË − aÉ−Ll 3 L¢f 26 X 25¢j|¢j| p¡C−Sl R¢h)x

Name (e¡j)

Sex (®R−m/®j−u)

Place of birth (S−¾jl ÙÛ ¡ e)

Date of birth (S−¾jl a¡¢lM)

i. ____________________________

_______

___________________

___________________________

ii. ____________________________

_______

___________________

____________________________

I do hereby solemnly declare that I am a Bangladeshi citizen and the above information provided by me are true to the best of my

(B¢j HC j−jÑ ®O¡oZ¡ Ll¢R ®k, B¢j HLSe h¡wm¡−cn£

Knowledge. I shall be held responsible for furnishing any false statement

e¡N¢lL Hhw Ef−l fË c š abÉ Bj¡l p−hÑ ¡ µQ S¡e¡j−a p¢WLz H−r−œ ¢jbÉ¡/i¥ m abÉ fË c ¡−el pLm c¡u c¡¢uaÄ B¢j hqe Llh z)

Date (a¡¢lM) :

___________

Applicant’s signature

(B−hceL¡l£l ü¡rl)

Applicant’s signature (ej¤ e ¡ ü¡rl)

FOR OFFICIAL USE ONLY

(A¢g−pl L¡−S hÉhq¡−ll SeÉ)

Passport No. : ___________________

Date of Issue : ___________________

Date of Expiry : ___________________

Consular Officer

Bangladesh New Passport Application Form For Abu Dhabi Embassy

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