Passport Application Form (Page 2 of 6) in pdf

8 (i) If divorced/widow/widower, Please indicate the category with documentary proof.

9. Current Residential Address (where staying presently), Residing since ……………………………….

(In case of students, please see Section III of Passport Information Booklet)

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Telephone No.

Mobile No.

9 (a) If you have been resident at your current address for less than one year, please furnish other addresses

of your residence during the last one year.

From……………..To………………….

From…………………To……………….

________________________________

_________________________________

________________________________

_________________________________

________________________________

_________________________________

________________________________

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10. Permanent Address with PIN code (if the permanent address is same as the present address write “Same”

only)

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11. Details of latest held/existing Ordinary / Diplomatic / Official passport(s):

(i)

Passport Office File No: …………………………/ Passport(s) No..…………………………………..

(ii)

Date and Place of Issue: …………………………/ Date of Expiry ………………………………….

(iii)

In case passport was applied for and not issued, please give File No. & Date ………………………

(iv)

Has your passport(s) ever been lost / damaged (if so attach FIR and give details)…………………..

………………………………………………………………………………………………………..

11. (a) If you have returned to India on Emergency Certificate (EC) or were ever deported or repatriated,

please furnish details:

EC No., date and place of issue & attach seizure memo in original …………………………………...

Place & Country from where deported / repatriated and reason thereof:……………………………….

..……………………………….…………………. …………………………………………………….

………………………………………………………………………………………………………….

12. Other Details:

a) Educational Qualifications………………………………………………………………………….…

b) Visible Distinguishing Mark, if any…………………………………………………………………..

c) Height …………………cms.

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Passport Application Form Page 2