Form 1 - Passport Application Form Page 2
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1
2
3a.) NAME
b.) Relationship
c.) Tel.
d.)
ADDRESS
i) Birth
ii) Descent
iii) Naturalization Registration
18. ARE YOU A CITIZEN OF INDIA BY
19. DID YOU EVER POSSESS ANY OTHER NATIONALITY OR TRAVEL DOCUMENT OF ANY OTHER
COUNTRY? If so, please give details
Yes
No
20. IS THIS APPLICATION FOR A PASSPORT FOR THE
FIRST TIME
NEW PASSPORT IN REPLACEMENT OF AN EXPIRED PASSPORT
DUPLICATE PASSPORT?
21. IF THIS APPLICATION IS FOR DUPLICATE PASSPORT, WAS THE PREVIOUS PASSPORT
LOST
DAMAGED
(If damaged, please attach damaged passport)
22.
PRESENT PASSPORT NO. OR DAMAGED OR LOST PASSPORT NO.
II) PLACE OF
I) DATE OF ISSUE
III) DATE OF EXPIRY
ISSUE
23. a.) WERE YOU EVER REFUSED A PASSPORT?
Yes
No
b.) WAS YOUR PASSPORT EVER ORDERED TO BE IMPOUNDED OR REVOKED?
Yes
No
IF ANSWER TO ANY OF THESE QUESTIONS IS “YES,” PLEASE ENCLOSE A COPY OF THE OFFICIAL COMMUNICATION RECEIVED
BY YOU AND GIVE OTHER DETAILS.
24. HAVE YOU EVER APPLIED FOR ASYLUM OR REFUGEE STATUS IN THE UK? IF YES, PLEASE ATTACH
RELEVANT DOCUMENTS.
Yes
No
25. a.) BRIEFLY STATE CIRCUMSTANCES OF LOSS/THEFT/DAMAGE OF PASSPORT AND ATTACH REPORT LODGED WITH LOCAL
POLICE IN CASE OF LOSS OF PASSPORT. (PLEASE ATTACH YOUR EXPLANATION ON A SEPARATE SHEET OF PAPER)
b.) DETAILS OF RESTRICTION, IF ANY, PUT ON APPLICANT’S DAMAGED/LOST PASSPORT
26. DETAILS OF THE SERVICE REQUIRED:
(IF APPLYING FOR MISC. SERVICE)
SPECIMEN SIGNATURES OF APPLICANT ONLY
(THUMB IMPRESSION, IN CASE OF AN INFANT)
Please sign within the box above
Please sign within the box above.
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