Form "A" Dip 1 Passport Forms

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Form “A” DIP 1 (Rev)
Free of Cost
For persons above 12 years
Photos
2x2
1.
Name
First
Middle
Surname
Mr./Mrs./Miss
Day
Month
Year
2. Date of Birth
(In words)
3. Place of Birth
Vill./Town
Tehsil
District
Province
Country
4. Father’s / Husband’s Name:
5. Nationality:
6. Religion :
7. Qualification
8. Profession:
9. Whether Pakistani
By Birth
By Descent
By Migration
By Registration/
(Tick the box applicable)
on (date) …………………….
Naturalisation No. …………………………..
10. NADRA - CNIC/NICOP Card
11. Place of Issue:
12. Date of Issue:
13. Permanent Address:
…………………………………………………………………………………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………………………………………………………………………………
14. Present Address: ………………………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………….………Tel. No. ___________________________________
15. FOR AJ & K Applicant
Place
Period
Applicant’s Father/Husband
…..………………………………………………..
……………………………………………….…………….
….…………………………………………………
………………………………………………………………
16. CHILDREN:
No.
Full Name (Block letters)
Place/Date of Birth
Sex
1. ……………………………………………….
…………………………………………………………….
…………………..
2. ……………………………………………….
…………………………………………………………….. …………………..
3. ……………………………………………….
……………………………………………………………..
…………………..
4. ………………………………………………………….
…………………………………………………………………………..
………………………
FOR OFFICIAL USE ONLY
i
) In person/A/L …………………………………………………
ii) P.V./Exempted ……………………………………………….
Signature & Thumb Impression
………………………………………………………………….
iii) N.I.C. seen and punched/already punched ……………….
(Photocopy attached)
iv) Int./Appear to be Pak. National ……………………………..
Authority
Name

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