EAP II
CONSULATE GENERAL OF INDIA
GUANGZHOU
APPLICATION FORM FOR MISCELLANEOUS SERVICES
ON AN INDIAN PASSPORT
(a)Extension of validity of the Short Validity Passports (b) Change of Address (Observation)
(c) PCC (d) Birth certificate on the basis of passport particulars (e)For endorsing Surname
separately from the given name as shown in the passport (f)Additional Endorsements like
inclusion of spouse name (g) Child Deletion (h) Any Other Service (Specify) (Please delete
inapplicable)
Applicant must paste
(40 x 40 mm) one photograph
here with half the signature on
the photograph and half on the
application
Amount of fee (paid in cash): (RMB) _______________ (to be filled in by the applicant)
1. Full Name _____________________________ Sex (Tick Mark): Male/Female
2. Applicant’s Car Driving License No./Labour Card(Pataka) No./Health Card no./Identity
Card
no.________________________
Date
&
Place
of
Issue
________________________
3. Residential Address* :
(i) In India
(ii) In country of domicile
___________________________
_____________________________
___________________________
_____________________________
___________________________
_____________________________
Tel./Tlx./Fax/E-Mail___________
Tel./Tlx./Fax/E-Mail __________________
____________________________ ___________________________________
4. Profession and business address*__________________________________________
________________________________Tel./Tlx/Fax/E-Mail_____________________
*Please give complete physical location and not just the P.O. Box no. Please indicate
Flat/Apartment/Villa no., No./Name of the Building, No/Name of the Street, Area/Zone
important landmarks to help identify the building etc. and telephone/telex/fax no. and e-mail
address, if any