Pakistan Passport Application Form Page 2
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312. Present Address: Street _______________________________________________________
Postal code____________ City_____________________ Country____________________
13. Permanent Address (in Pakistan) Street__________________________________________
Postal code_____________ City__________________ Country
PAKISTAN
14. Present Telephone and Fax number : Home_______________________________
E mail address Work :_____________________________________________
Private: ___________________________________________
15. Passport No. of present Pakistani passport _______________________________
Date of issue________________ Place of issue_____________________________
16. The application is regarding:
[_] Renewal of the old passport
[_] New passport in lieu of lost passport
[In case of lost passport, please attach i) Police report & ii) Personbevis or certificate of legal residence from county of residence]
17. Marital Status [_] Unmarried
[_] Married
[_] Divorced
18. Name of children to be included in the passport:
Name:______________________________ Date of birth_______________ Sex :
Male / Female
Name:_____________________________ Date of birth_______________ Sex :
Male / Female
Name:_____________________________ Date of birth_______________ Sex :
Male / Female
19. DECLARATION (for all applicants)
I declare on solemn affirmation as under:
A. To the best of my knowledge and belief, the information given in this application is true.
B. I have not previously been refused passport facilities.
C. All previous passports granted to me have been surrendered other than the passport mentioned
above in column 15.
_______________________________________
(Signature of applicant)
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