Application Form For Miscellaneous Services On Indian Passports (Page 2 of 3) in pdf

Application Form For Miscellaneous Services On Indian Passports Page 2

Full Name______________________________________________________________

Applicant‘s DATE OF BIRTH_________________

Place of BIRTH______________

Residential address:

(i)

In India

(ii)

In country of domicile

_________________________________

______ _________________________

_________________________________

________________________________

_________________________________

________________________________

Tel.:_______________________

Tel.:_____________________

Profession and business address_________________________ Tel.._________________

Is applicant registered with the Indian Mission/Post? If not is he a member of any Indian

Organisation? Give details.

(i)

Name of Father

(ii)

Name of Mother

(iii)

Name of spouse & Nationality

Current Passport No.______________

Valid until________________________

Place of issue____________________

Date of issue______________________

Particulars of children to be deleted:

Name

Place & Date of Birth

Sex (M/F)

_______________________

___________________

_____________

_______________________

___________________

_____________

_______________________

___________________

_____________

Application Form For Miscellaneous Services On Indian Passports Page 2