Loss Of Passport Form
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1
2DETAILS TO BE FURNISHED ALONG WITH
APPLICATION FORM FOR LOSS OF PASSPORT CASES
1. Name : __________________________________________________________________
2. Father’s name :____________________________________________________________
3. How many passports you have
_________________________________________
been issued so far ? (Please give
_________________________________________
Passport No., date & place of issue) : _________________________________________
4. No. of occasions on which passport
_________________________________________
lost ? (Furnish numbers of the lost
_________________________________________
passports with dates and places of issue):________________________________________
5. Who were the sureties at the time
_________________________________________
of the issue of the above passports ? : _________________________________________
6. Countries visited on lost passport with _________________________________________
dates and period of stay :
_________________________________________
7. Permanent address in India :
_________________________________________
8. Present address in India :
________________________________________
9. Names of friends / relatives in India,
____________________________________
who are available on telephone and
____________________________________
from whom your bonafides can be verified :_____________________________________
10. Circumstances in which
________________________________________________
the passport was lost :
________________________________________________
11. Relatives / friends in Thailand________________________________________________
who can help in establishing ________________________________________________
your Indian citizenship :
________________________________________________
12. Place of stay in Thailand :
________________________________________________
13. Did you draw foreign exchange for
_________________________________________
the journey abroad ? If so, the amount _________________________________________
of foreign exchange sanctioned
_________________________________________
with Voucher Nos., if any :
_________________________________________
14. Documents in your possession which _________________________________________
can establish your Indian citizenship. _________________________________________
(A copy of the above mentioned
_________________________________________
documents may please be furnished) : _________________________________________
15. Any other information you may like
_________________________________________
to furnish in support of your Indian
_________________________________________
citizenship :
_________________________________________
Bangkok.
Date :_________________
___________________________(Signature)
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