Application Form Miscellaneous Services On Indian Passports - Moscow Embassy printable pdf download

Application Form Miscellaneous Services On Indian Passports - Moscow Embassy

EMBASSY OF INDIA, MOSCOW

APPLICATION FORM MISCELLANEOUS SERVICES ON

INDIAN PASSPORTS

(Photocopy of this form is accepted)

For use in Indian Mission/Post

(a)Passport extension (b) Identity certificate (c) Change of address in Passport (d) PCC

(e) Additional endorsement (f) Inclusion of spouse name in Passport (g) Other

Miscellaneous service (Specify)

(Please delete inapplicable)

Applicant must paste

one color photograph

of size 35mm*45mm

above with half the

signature on the

photograph and half

on the application

Payment of Fee (to be filled by applicant)

Amount paid _______________________ By _________________________ mode of

payment)

1. Full Name __________________________________________________________

(expanded initials)

(surname)

2. Residential Address:

(i) In India ____________________

(ii) In Russia _____________________

_____________________________

_______________________________

_____________________________

_______________________________

_____________________________

_______________________________

_____________________________

_______________________________

Tel:__________________________

Tel: ___________________________

3. If the application is for PCC/IC/Miscellaneous Certificates, please specify the purpose

for which it is required: ____________________________________________________

_______________________________________________________________________

Application Form Miscellaneous Services On Indian Passports - Moscow Embassy