Application For No Objection Certificate For Obtaining Indian Passport Page 2

PART - B

(To be filled by the Head of the Institution)

1. Name & Designation of the Applicant.

2. Whether the applicant is under any contractual

or bonded obligation to serve the Government.

(If so give details)

3. Whether any liabilities, including loan & advance

such as House Building Advance, Motor Cycle

Advance, Computer Advance, Marriage Advance

etc., paid to the applicant from the Govt. Funds

are pending, outstanding. (If so, give details)

4. Whether any disciplinary proceedings is pending

or contemplated against the applicant.

5. Whether any vigilance case is pending or

contemplated against the applicant.

6. Whether there are grounds to believe that the

applicant could figure adversely on the security

records of the Govt.

Certified that the details furnished by the applicant in item (1) to (8)

PART – A are correct. His/her application is recommended/not

recommended for

the following reasons.

Station:

Signature with Name &

Date

Designation

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