Instructions For Filling of Passport Application Form and Supplementary Form
Instructions For Filling of Passport Application Form and Supplementary Form
Instructions For Filling of Passport Application Form and Supplementary Form
CAUTION
A passport is issued under the Passports Act, 1967. It is an offence punishable with imprisonment or fine or both, to furnish false
information or suppress information, which attracts penal and other action under relevant provisions of Section 12 of the Passports
Act, 1967. Passport is a very valuable document. Hence, all holders are required to take due care that it does not get damaged,
mutilated or lost. Passports should not be sent out to any country by post/ courier.
Loss of passport should be immediately reported to the nearest Police Station and to the Passport Office or Indian Mission, if
abroad. Passport holder shall be responsible for misuse of passport, due to non-intimation of loss, to the concerned Passport
Office/Indian Mission. Passport is a government property and should be surrendered when demanded in writing by any Passport
Issuing Authority.
This booklet is an abridged version of all the important instructions. In case of any doubt please visit our website www.passportindia.gov.in
A. GENERAL INSTRUCTIONS – Please read these instructions carefully before filling the application form
The Application Form consists of two forms, i.e., Passport Application Form and Supplementary Form. References for columns to be filled in
the Supplementary Form have been given in the Passport Application Form, which has to be filled only if they are applicable to you, else leave
them blank.
This Passport Application Form and Supplementary Form, issued by the Government of India, is machine-readable. It will be scanned by
Intelligent Character Recognition (ICR) enabled scanners. Incomplete or inappropriately-filled application form will not be accepted. Please
follow the instructions given below while filling the form.
Use CAPITAL LETTERS only, throughout the application form, as shown in the image below –
Applicant's Given Name Applicant's Given Name
s h a s h i S H A S H I
Incorrect Correct
Use standard fonts and avoid stylized writing.
Use black or blue ball point pen only. Do NOT fill the application form with ink-pen or pencil.
Write as clearly as possible. Use a pen with a thinnest possible tip.
Put a cross ( ) in the boxes where you have to choose one or more options as your answer and leave the other option(s) blank. For
example, if your gender is male, put a cross in the box against male as shown in the image below -
Do NOT put dots ( ), tick marks ( ), etc, in the boxes, to choose the appropriate option as your answer.
Write clearly within the boxes without touching the boundaries. Try and write in the centre of the box, as shown in the image below–
Incorrect Correct
Leave one box blank after each complete word, while filling up the boxes.
Father's Given Name Father's Given Name
D E V A N G J I G N E S H D E V A N G J I G N E S H
Incorrect Correct
Do NOT write anything outside the given boxes. Adjust the information you need to fill, within the given number of boxes.
Do NOT overwrite in case of a mistake. Just strikeout the character and continue to write in the next box.
Incorrect Correct
Do NOT fold or smudge the application form.
Do NOT write “NA” or “N/A” or “NOT APPLICABLE” in any boxes in the form to convey that the column is not relevant for your case. Leave
that column blank.
Particulars given in the application form will be printed in the passport booklet. Therefore, you must be careful in filling up the
Application Form and submit the form without mistakes. The applicant shall be held responsible for any mistake in the application
form submitted.
WHERE TO APPLY: Please see page 13 for details.
Depending on whether an application is for issue of fresh passport or re-issue of passport, Passport Office shall decide whether Police
Verification is required for issuance of Passport to you. In most cases of issue of fresh passport, pre-police verification would be required,
exception being Government servants on submission of ‘Identity Certificate’ as per Annexure ‘B’, or minors whose parent(s) hold valid
passport etc. Normal passport applications of all first time applicants furnishing Aadhaar, Electoral Photo Identity Card (EPIC), Permanent
Account Number (PAN) Card and an affidavit in the format of Annexure-I will be processed on Post-Police Verification basis, enabling faster
issue of passport, without payment of any additional fees, subject to successful online validation of Aadhaar number. In addition, EPIC and
PAN card may also be validated, if required, from the respective databases. The general rules, regulations and procedures pertaining to issue
of passports as stipulated in Passports Act and Passports Rule would apply. In most cases of re-issue, depending on records available in the
Passport Office system, police verification would not be required or only post police verification would be required, exceptions being re-issue
of passport in lieu of lost passport or complete change of name.
Police Verification is not Passport is expected to be dispatched on third working day excluding the date of
Normal
required submission of application.
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Type of Application Type of Police Verification Dispatch of Passport
Police Verification is required on Passport is expected to be dispatched on third working day excluding the date of
a Post-Passport Issuance basis submission of application - without waiting for the Police Verification Report.
Police Verification is required on Passport is expected to be dispatched within three working days of receipt of a
Pre-Passport Issuance basis “Recommendatory” Police Verification Report (PVR) from the Police Department.
This does not include date of receipt of “Recommendatory” PVR.
Police Verification is not Passport is expected to be dispatched within one working day excluding the date
required of submission of application.
Tatkaal
Police Verification is required on Passport is expected to be dispatched on third working day excluding the date of
a Post-Passport Issuance basis submission of application - without waiting for the Police Verification Report.
Note:
(i). In complex cases, such as adoption, application on behalf of a minor from single parent, major change in name, duplicate passport,
doubtful documentation, the processing time will be approximately 30 days excluding the date of submission of application.
Mandatory Pre Police Verification cases such as J&K and Nagaland subjects would also need additional processing time.
(ii). Issue of passport is subject to data check in the system and finding no adverse entry/ report.
Photograph:
Photograph is NOT REQUIRED for applications submitted at Passport Seva Kendra (PSK), Mini-PSK.
For other applications i.e. the ones submitted at any other Collection Centre (i.e. District Passport Cell (DPC), Authorized Speed Post Centre
(SPC), or other Citizen Service Centre (CSC) e.g. Bangalore One, e-Seva, e-Sampark etc), following are the DOs and DON’Ts to be followed
while affixing the photograph:
Table 1: DOs and DON’Ts concerning Photograph to be submitted at DPC/SPC/CSC
DOs DON’Ts
Paste ONLY ONE COLOUR photograph as per the Do not paste black and white photographs
specifications given below Dimensions of photograph should not be smaller than the box
Paste your recent passport size photograph (4.5 cm length (i.e. 4.5 cm length x 3.5 cm width) provided in the application
x 3.5 cm width) in colour in the box meant for affixing the form
photograph Photograph with dark background or in uniform, or with eyes
Background of the photograph should be plain white hidden under coloured or dark glasses will not be accepted
and the dress should be in dark colour Photograph in computer print will not be accepted
Photograph should fit within the given box Photograph is NOT to be signed
Frontal view of the full face should be visible in the Distracting shadows on the face or on the background should
photograph not be there
Photograph should be printed on good quality photo paper Eyes must not be covered by hair. Glares on eyeglasses
Print of the photograph should be clear and with a should be avoided with a slight upward or downward tilt of the
continuous-tone quality head
Expression of the face should be natural (no grinning, Photograph should not be damaged, for example: torn,
frowning or raised eyebrows) creased, or marked
Eyes must be open and both edges of face must be clearly Head coverings are not permitted except for religious reasons,
visible but the facial features from bottom of chin to top of forehead
Head should be in the centre of the frame and both ears and both edges of the face must be clearly visible
should be visible Photographs cut from group photographs are not acceptable
Signature/Thumb Impression:
a. This signature/thumb impression will be scanned and printed in the passport. Therefore, it must be kept strictly within the box, without
touching the boundaries.
b. Illiterate applicants should put left hand thumb impression instead of signature. Use right hand thumb in case the applicant’s left thumb is
permanently disfigured and unfit for use. Clearly mention under the signature box that right hand thumb impression has been put.
c. In case of minor applicants, this box should contain the minor’s signature or thumb impression as the case may be. Minor’s parents
should not put their signature or thumb impression in this box.
d. Use only blue/ black ball point pen for signature.
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Your last passport expired more than three years ago.
You want to change the personal particulars or other details specified in your current passport and get a booklet with changed details.
Pages in the existing passport booklet are exhausted.
Passport is lost.
Passport is damaged. The booklet may be damaged beyond recognition or damaged but recognizable (i.e. Passport number is readable,
name is legible and photograph is intact).
See the instructions booklet “Table-2 – (II)” while applying for re-issue of passport for the particular category you belong to and attach the
concerned documents needed as given in the same table. Attach appropriate documents for Normal and Tatkaal Application for which you
are applying.
For re-issue of passport, details of latest held/existing/lost/damaged passport must be furnished in Column 7.1 of passport application form.
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<Column 2.5: Place of Birth>
If you were born in India, write the place of birth (such as village or town or city), district, and the State or Union Territory in which the
place is located, under the respective headings.
If you were born outside India, write the country in which the place is located. In this case, leave the Place of birth (village or town or
city), District and State/UT boxes blank.
If you were born before the partition of India (i.e. before 15/08/1947), at a place that now lies in Pakistan or Bangladesh, write the place
of birth (such as village or town or city) and the country as “Undivided India”. In this case, leave the District and State/UT boxes blank.
<Column 2.6 & 2.7> Put a cross on appropriate box for ‘Gender’ and ‘Marital Status’
<Column 2.9, 2.10 & 2.11> Write your ‘PAN (if available)’, ‘Voter ID (if available)’ and put cross mark on your ‘‘Employment Type’
<Column 2.13: Is either of your parent (in case of minor)/ spouse, a government servant?>
Put a cross in the appropriate box to specify if either of your parent (in case of minor)/ spouse is working in a government organization. For list
of documents to be attached, see Section D of the passport instruction booklet.
<Column 2.14: Educational Qualification> Put a cross in the appropriate box applicable to you
At present Emigration control is exercised by the Ministry of Overseas Indian Affairs, through Protector of Emigrants (POE) under the
Emigration Act, 1982. Emigration clearance is required for employment in the following countries (18 in total):
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United Arab Emirates (UAE), Kingdom of Saudi Arabia (KSA), Qatar, Oman, Kuwait, Bahrain, Malaysia, Libya, Jordan,
Yemen, Sudan, Brunei, Afghanistan, Indonesia, Syria, Lebanon, Thailand, and Iraq.
ECR passport holders taking up employment in the above mentioned countries require emigration clearance from the office of the Protector of
Emigrants (POE) before leaving India; otherwise, they will be stopped from traveling at the port of exit. For further clarification refer website
www.moia.gov.in
With effect from October 1, 2007 Government of India has abolished Emigration Check Required Suspension (ECRS). Therefore, ECR
passport holders traveling abroad for purpose other than employment, to any of the above mentioned 18 countries, will be allowed to leave the
country on production of valid passport, valid visa and return ticket at the immigration counters at international airport in India.
Note: A passport holder having employment visa in passport does not require clearance from POE when they go back after short visit to India.
Write the passport number of the minor’s parent(s) or legal guardian. If the minor’s parent(s) or legal guardian do not hold a
passport, but have applied for it, enter the file number.
Note: If either parent holds a valid passport with spouse name endorsed, passport will be issued to the minor without any police
verification. Original passport of parent(s) should be presented for the verification of particulars. If parent(s) hold a valid passport,
but spouse name is not endorsed, then they must get the spouse name added in their passport. For this they have to apply for a
reissue of passport and get the specified change in personal particulars. Processing of minor’s passport would be much faster if the
parents apply for endorsement of spouse name along with the minor’s passport application form.
Write the nationality of the minor’s parent(s) or legal guardian if it is other than Indian.
If either parent does not hold a valid passport, passport will be issued to the minor only after police verification.
Please see Section D of the passport instruction booklet “Case No. I (B) in Table 2: List of Applicant Categories and Documents to be
submitted with the application”.
Students staying away from their parents have the option of applying for a passport from their place of study. In such cases, a bonafide
certificate from the Principal/Director/Registrar/Dean of the educational institution is required to be submitted as proof of address. Please see
Section D of the passport instruction booklet “Case No. 17 in 1 (A) and Case No. 14 in 1 (B) in Table 2: List of Applicant Categories and
Documents to be submitted with the application”.
<Column 4.2 & 4.3> ‘House No. and Street Name’ and ‘Is permanent address same as present address?’ - Self Explanatory
Column 9: Fee Details: Applicants submitting the application form at the Passport Seva Kendra are NOT required to fill the fee
details.
<Column 9.1: Fee amount in Rs>
Only applicants submitting forms at District Passport Cell (DPC) or Speed Post Centre (SPC) or Citizen Service Centre (CSC) like Bangalore-
1, E-Seva, E-Sampark etc., are required to fill the fee amount in Rupees. For fee details, see Section E of the passport instruction booklet.
Note:
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You can pay at a Passport Seva Kendra (PSK)/ Mini Passport Seva Kendra (Mini PSK) in cash only.
If you are submitting your application at a District Passport Cell (DPC), you can pay only by demand draft.
If you are submitting your application at a Speed Post Centre (SPC), you can pay in cash or by demand draft.
If you are submitting your application at a Citizen Service Centre (CSC), you can pay in cash or credit/ debit card as applicable.
<Column 9.2: If paid by Demand Draft (DD), provide the following details>
If you are paying the fee by a Demand Draft (DD), write the DD Number, DD issue date, DD expiry date, name of the bank that has issued the
DD, and bank branch location, under the respective headings.
Note:
Demand Draft should be in favor of “PAO-MEA” payable at the city where the RPO is located.
Full name and date of birth of applicant must be written on the back side of the demand draft.
Column 1: Alias Name Details (if you are also known by any other names)
<Column 1.1 & 1.2> ‘Alias Name1, Given Name & Surname’ and ‘Alias Name2, Given Name & Surname’
If you are also known by any alias name other than that mentioned in Column 2.1 of the Passport Application Form, write the
alias name in the given boxes.
For example, if your name is Rajesh Bansal and your alias name is Raja, write the given name in the boxes provided for Alias
Name1, Given Name. Leave the "Surname" column blank; if you do not use a surname in your alias name.
Please follow the instructions as given in Column 2.1 of Section B for filling up details in this column.
Column 2: Previous Name Details (If you have ever changed your name)
<Column 2.1> ‘Previous Name1, Given Name & Surname’ and ‘Previous Name2, Given Name & Surname’
If you have ever changed your name, write your earlier name in the given boxes. This will be applicable to an applicant who has
even marginally changed the name or a female who has changed her name or surname after marriage.
For example, if you have changed your name from Vidhi Mehta to Aditi Mehta write the details in this column.
Please follow the instructions as given in Column 2.1 of Section B for filling up details in this column.
Column 3: Previous Residence with Reference Details (Maximum two residences of longest period of stay)
<Column 3.1 & 3.2> Previous Residence 1 & Previous Residence 2
Write the time period (in MM-YYYY format) for which you resided at the given address, in the From and To boxes.
Write the complete postal address of your previous address, and the contact details if any.
Column 4, 5 & 6: ‘Permanent Residential Address (If it is different from present residential address)’, ‘Present Residential Address
(If you are on a temporary visit to India)’ and ‘Diplomatic/ Official Passport Details’
Column 7: Other Details - Please fill the details as specified in this column. Also attach the documentary proof along with it.
Applicants are required to attach self attested photocopies of all documents with the application form. In case of submission at Citizen Service
Centre (CSC) particularly at Bangalore-1, applicants are requested to attach attested photocopies (either gazetted official or notary) of all
documents with the application form. Original documents must also be produced at the counter, which will be returned after verification.
For fresh passport, normally an applicant is required to submit proof of address, proof of date of birth and documentary proof that the
applicant is eligible for Non-ECR category (previously ECNR). Refer Table 3, Document No. 1 and 2 for documents which have to be
submitted as proof of address and proof of date of birth. Refer Column 2.15 in Section B for applicants who are eligible for Non-ECR
category. Additional documentation is required for specific cases such as adoption, name change, any particular difference in documents,
tatkaal cases etc.
For re-issue of passport, an applicant is required to submit old Passport in original with self-attested photocopy of its first two and last two
pages, including ECR/Non-ECR page (previously ECNR) and the page of observation (if any), made by Passport Issuing Authority and validity
extension page, if any, in respect of short validity passport. Proof of address has to be submitted only if it is different from the old passport.
This Section has been divided into two sub-sections for documents which have to be submitted in different applicant cases:
<D.1> List of Categories of Applicants and Documents (document nos. is given here) to be submitted by them
<D.2> Overall List of Documents
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Table 2: List of Applicant Categories and Documents to be submitted
3 Citizen of India by Registration/ Naturalization 1, 2, 3 (if the applicant is eligible for Non ECR), 7
(Granted citizenship by MHA)
Cannot apply under Tatkaal Scheme
4 Applicants repatriated from abroad at 1, 2, 3 (if the applicant is eligible for Non ECR),
Government cost 5 (if available), 8, 9
5 Applicants deported to India/ Emergency 1, 2, 3 (if the applicant is eligible for Non ECR),
Certificate cases 5 (if available), 8 (if any), 9
6 Government/ Public Sector/ Statutory body (i) 1, 2 (i) 1, 2
employees (ii) 45 (if No Police Verification is required) or (ii) 45 (if No Police Verification is required) or
22 (if Post Police Verification is required) 22 (if Post Police Verification is required)
58 (if Pre Police Verification is required) 58 (if Pre Police Verification is required)
7 Dependent family members of Government/ (i) 1, 2, 3 (if the applicant is eligible for Non ECR) (i) 1, 2, 3 (if the applicant is eligible for Non ECR), 52
Public Sector/ Statutory body employees (For (ii) 45 (of dependent) and 52 if No Police Verification is (ii) 45 (of dependent) or 49 or 54
J&K children in age group 10-15 years are required
covered. For rest of India children in age group
18-21 are covered)
8 Retired government officials 1, 2, 10 (if Post Police Verification is required) (i) 1, 2, 52
(ii) 10 or 49 or 54
9 Applicants having Diplomatic/ Official Passport (i) 1, 2 , 11 (12 if surrender certificate is not available) (i) 1, 2, 11 (12 if surrender certificate is not available), 52
and applying for ordinary Passport while in (ii) 45 or 22 or 58 if applicant is Government/Public (ii) 45 or 22 or 58 if applicant is a Government/Public
service Sector/Statutory body employee Sector/Statutory body employee
Note: In case the applicant submits "12", "2" is not required (iii) 49 or 54 if applicant is not a Government/Public
Sector/Statutory body employee
Note: In case the applicant submits "12", "2" is not
required
10 Dependent family members of Diplomatic/ Official 1, 2, 3 (if the applicant is eligible for Non ECR), 57 (i) 1, 2, 3 (if the applicant is eligible for Non ECR), 57, 52
Passport holders who are not government (ii) 49 or 54
servants (For J&K Children in age group 10-15
years are covered)
11 Owner, partners and directors of Companies (i) 1, 2 (i) 1, 2, 52
which are members of CII, FICCI & ASSOCHAM. (ii) 52 and 53 if Post PV is required (ii) 53 or 54
12 Minor change in name 1 (in new name), 2 (in old name), 3 (if the applicant is eligible (i) 1 (in new name), 2 (in old name), 3 (if the applicant is
for Non ECR - Documents in old name are allowed ), 48 eligible for Non ECR - Documents in old name are
allowed ), 48, 52
(ii) 49 or 54
13 Major change in name 1 (in new name), 2 (in old name), 3 (if the applicant is eligible
for Non ECR - Documents in old name are allowed ), 13, 48 Cannot apply under Tatkaal Scheme
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14 Change/ Addition in surname due to marriage (i) 1, 2, 3 (if the applicant is eligible for Non ECR) (i) 1, 2, 3 (if the applicant is eligible for Non ECR), 52
(ii) 14 or 47 (ii) 14 or 47
(iii) 49 or 54
CASE NO. PASSPORT SERVICES DOCUMENTS TO BE SUBMITTED
(I) Fresh Passport Document No. – Normal Application Document No. - Tatkaal Application
15 Change in name in case of Government/ Public 1, 2, 15, 16, 48 (i) 1, 2, 15, 16, 48, 52
Sector/ Statutory body employees (ii) 49 or 54
16 Nagaland Residents 1, 2, 3 (if the applicant is eligible for Non ECR) Cannot apply under Tatkaal Scheme
Note: Additional PV required from Guwahati through MHA.
17 Naga origins residing outside Nagaland 1, 2, 3 (if the applicant is eligible for Non ECR)
Note: Additional PV required from centralized MHA office
18 Jammu and Kashmir Residents 1, 2, 3 (if the applicant is eligible for Non ECR) Cannot apply under Tatkaal Scheme
Note: Mandatory Pre Police Verification required
19 Jammu and Kashmir Residents staying outside 1, 2, 3 (if the applicant is eligible for Non ECR) (i) 1, 2, 3 (if the applicant is eligible for Non ECR), 52
J&K for more than five years (ii) 49 or 54
(iii) Proof of registration / Migration certificate
20 Students staying away from their parent's current 1, 2, 3 (if the applicant is eligible for Non ECR), 17, 18 (i) 1, 2, 3 (if the applicant is eligible for Non ECR), 17, 18,
residence 52
(ii) 49 or 54
21 Senior Citizens (For J&K: Men - 65+ years, 1, 2, 3 (if the applicant is eligible for Non ECR), 19 (if Post (i) 1, 2, 3 (if the applicant is eligible for Non ECR), 52
Women - 60+ years; For rest of India 65+ years) Police Verification is required) (ii) 19 or 49 or 54
B Minor
1 Either/ Both parent(s) hold a valid Passport with (i) 1 (of parents), 2, 27 (with spouse name endorsed) (i) 1 (of parents), 2, 27 (with spouse name endorsed)
spouse name endorsed (ii) 51 (signed by both parents) or 50 (one parent not given (ii) 51 (signed by both parents) or 50 (one parent not
consent) given consent)
2 Neither of the parent holds a valid Passport (i) 1 (of parents), 2 (i) 1 (of parents), 2, 52
(ii) 51 (signed by both parents) or 50 (one parent not given (ii) 51 (signed by both parents) or 50 (one parent not
consent) given consent)
(iii) 49 or 54
3 Either/ Both parent(s) resident abroad (i) 1 (of parents or Legal Guardian if both parents are resident (i) 1 (of parents or Legal Guardian if both parents are
abroad), 2, 20, 27 (with spouse name endorsed) resident abroad), 2, 20, 27 (with spouse name endorsed)
(ii) 51 ( signed by the parent or the legal guardian) or 50 (one (ii) 51 ( signed by the parent or the legal guardian) or 50
parent not given consent) (one parent not given consent)
4 Minors who are between 15 and 18 years of age 1 (of parents), 2, 27 (if any - with spouse name endorsed) (i) 1 (of parents), 2, 27 (if any - with spouse name
wishes to obtain a full validity Passport for 10 endorsed), 52
years (ii) 49 or 54
5 Children of Government/ Public Sector/ Statutory (i) 1 (of parents), 2 (i) 1 (of parents), 2, 27 (if any - with spouse name
body employees (ii) 51 (signed by both parents) or 50 (one parent not given endorsed), 52
consent) (ii) 51 (signed by both parents) or 50 (one parent not
(iii) 27 (if any - with spouse name endorsed) , 45 (of given consent)
dependent) and 52 in case No Police Verification is required (iii) 45 (of dependent) or 49 or 54
6 Children adopted by Indian parents (i) 1 (of Adopter parents), 2, 21, 27 (if any - with spouse name Cannot apply under Tatkaal Scheme
endorsed)
(ii) 51 (signed by both adoptive parents) or 50 (one parent not
given consent)
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8 Parents are divorced (i) 1 (of the parent who has the custody of the child), 2, 25, 27
(if any)
(ii) 51 (signed by both parents - If other parent has visiting
rights) or 50 (one parent not given consent)
9 Parents are separated but not divorced 1 (of the parent with whom the child is residing), 2, 27 (if any-
with spouse name endorsed), 46
10 Single parent of the child born out of wedlock 1 (of parent), 2, 27 (if any), 46
CASE NO. PASSPORT SERVICES DOCUMENTS TO BE SUBMITTED
(I) Fresh Passport Document No. – Normal Application Document No. - Tatkaal Application
11 Applied by one parent/ guardian when consent of 1 (of parent), 2, 27 (if any- with spouse name endorsed ), 50 (i) 1 (of parent), 2, 27 (if any- with spouse name
one or both parents not possible endorsed ), 50, 52
(ii) 49 or 54
12 Applied by Legal Guardian 1 (of parents), 2, 27 (if any- with spouse name endorsed), 34, (i) 1 (of parents), 2, 27 (if any- with spouse name
51 (signed by legal guardian) endorsed), 34, 51 (signed by legal guardian), 52
(ii) 49 or 54
13 Minors with single parent (One parent deceased) 1 (of parent), 2, 27 (if any), 28 (of deceased parent), 51 Cannot apply under Tatkaal Scheme
14 Minors from Nagaland (below 18 years) (i) 1 (of parents), 2, 27 (if any - with spouse name endorsed) Cannot apply under Tatkaal Scheme
(ii) 51 (signed by both parents) or 50 (one parent not given
consent)
Note: Additional PV required from Guwahati through MHA
15 Minors from Jammu and Kashmir (below 10 (i) 1 (of parents), 2, 27 (if any - with spouse name endorsed) (i) 1 (of parents), 2, 27 (if any - with spouse name
years for Tatkaal Application) (ii) 51 (signed by both parents) or 50 (one parent not given endorsed),52
consent) (ii) 51 (signed by both parents) or 50 (one parent not
given consent)
(iii) 49 or 54
16 Minor students staying away from parents (i) 1 (of parents), 2, 17, 18, 27 (if any - with spouse name (i) 1 (of parents), 2, 17, 18, 27 (if any - with spouse name
endorsed) endorsed), 52
(ii) 51 (signed by both parents) or 50 (one parent not given (ii) 51 (signed by both parents) or 50 (one parent not
consent) given consent)
(iii) 49 or 54
(II) Re-issue of Passport Document No. – Normal Application Document No. - Tatkaal Application
A Additional Booklet (Exhaustion of Visa pages) 1 (if address is different from old Passport), 5 1 ( if address is different from old Passport ), 5
B Expiry of old passport
1 Within the time period of one year before expiry 1 ( if address is different from old Passport ), 5 1 ( if address is different from old Passport ), 5
and three year after expiry of old Passport
2 After three years of expiry of old passport 1 ( if address is different from old Passport ), 5 (i) 1, 5, 52
(ii) 49 or 54
3 Renewal of Short Validity Passport (SVP) 1 ( if address is different from old Passport ), 5, 29 Cannot apply under Tatkaal Scheme
4 Government/ Public Sector/ Statutory body 1 ( if address is different from old Passport ), 5, 22, 58 1 ( if address is different from old Passport ), 5, 22, 58
employees (Still serving)
5 Retired government official 1 ( if address is different from old Passport ), 5, 10 1 ( if address is different from old Passport ), 5, 10
6 Students going for higher studies abroad upto 2 1 ( if address is different from old Passport ), 5, 30 (i) 1 ( if address is different from old Passport ), 5, 30
years from expiry of Passport
C Damaged Passport (Passport number is 1 ( if address is different from old Passport ), 2, 5, 31 1 ( if address is different from old Passport ), 2, 5,31
readable, name is legible and Photo is intact)
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D Lost/ Damaged beyond recognition/ Stolen 1, 2, 31, 32, 33 (if available)
Passport Note: Other documents which have to be submitted are as Cannot apply under Tatkaal Scheme
per the case, as in the case of fresh Passport.
E Change in Particulars
1 A woman applying for change of name/ surname (i) 5, 35 (if he has Passport) (i) 5, 35 (if he has Passport)
in existing Passport due to marriage (ii) 14 or 26 or 47 (ii) 14 or 26 or 47
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<D.2 OVERALL LIST OF DOCUMENTS>
In the following table, the complete list of documents and their document numbers have been given. “Document No.” is the reference given to
the document, which the applicant has to submit. Please refer Table 2: “List of Applicant Categories and Document to be submitted” and Table
3: “Overall List of Documents” for the documents which have to be submitted.
c. Affidavit sworn before a Magistrate/Notary stating date/place of birth as per the specimen in Annexure "A" by illiterate
or semi-illiterate applicants (Less than 5th class).
3. Documentary proof for any one of the Non-ECR (previously ECNR) categories, Refer Column 2.15 under Section-B
of passport instruction booklet
4. Birth Registration Certificate issued by Embassy/ High Commission/ Consulate of India
5. Old Passport in original with self-attested photocopy of its first two and last two pages, including ECR/Non-ECR page
(previously ECNR) and the page of observation (if any), made by Passport Issuing Authority and validity extension
page, if any, in respect of short validity passport
6. Passport of parents in original with self-attested photocopy of its first two and last two pages, including ECR/Non-ECR
page (previously ECNR) and the page of observation (if any), made by Passport Issuing Authority and validity
extension page, if any, in respect of short validity passport
7. Citizenship Certificate issued by Ministry of Home Affairs
8. Proof of refund of repatriation /deportation cost (if any) to Ministry of External Affairs
9. Original Emergency Certificate/Seizure Memo issued by Airport Immigration Authorities on applicant’s arrival in India
10. Pension Payment Order
11. Proof of surrender or cancellation of Diplomatic/official Passport
12. Cancelled Passport (if surrender certificate is not available), with a letter explaining why surrender certificate is not
available
13. Paper clipping of two leading daily newspapers in original (one daily newspaper should be of the area of Applicant’s
Permanent Address and the other at Current Address or nearby area)
Page 11 of 20
14. An attested copy of marriage certificate issued by Registrar of Marriage
Document No. List of Documents
15. Gazette Notification changing name in applicant’s department
16. Fresh ID Certificate in changed name
17. Student Identity Card issued by Government Recognized Educational Institutions, in respect of full time courses
18. Bonafide Letter from authorized signatory of college (On official letter head of UGC recognized College)
19. Copy of child’s (Age>18) Passport , who is staying abroad (with page having parent’s name)
20. A sworn affidavit by the parent(s) resident abroad attested by the Indian Mission along with affidavit from parent
residing in India as well (as per Annexure ‘H’)
21. Valid adoption deed with photo of the child duly attested by the Court (in the case of Christians, Muslims and Parsis, a
court decree/ order granting adoption/ guardianship and allowing the child to be taken out of the Country)
Page 12 of 20
NOTE 2:
For three documents to be submitted from the sixteen documents listed below , one of the three documents should be a
photo identity document and at least one of the three must be amongst the documents indicated at (a) to (i) below
Name in all the three documents should be same
Document No. List of Documents
a. Electors Photo Identity Card (EPIC);
b. Service Photo Identity Card issued by State/Central Government, Public Sector Undertakings, local bodies or Public
Limited Companies;
c. SC/ST/ OBC Certificates;
d. Freedom Fighter Identity Cards;
e. Arms Licenses;
f. Property Documents such as Pattas, Registered Deeds etc.;
g. Pension Documents such as ex-servicemen’s Pension Book/Pension Payment order, ex-servicemen’s
Widow/Dependent Certificates, Old Age Pension Order, Widow Pension Order
h. Railway Identity Cards;
i. Income Tax Identity (PAN) Cards;
j. Bank/ Kisan/ Post Office Passbooks;
k. Student Photo Identity Cards issued by Government Recognized Educational Institutions in respect of full time
courses;
l. Driving Licenses (valid and within the jurisdiction of State of submission of application);
m. Birth Certificates issued under the RBD Act
n. Gas Connection Bill
o. Aadhaar Letter/Card
p. Registered Rent Agreement
NOTE 3: All above documents are required to be produced in original along with self-attested copies.
55. Affidavit stating the reason for change in Date of Birth
56. Proof of Place of Birth
57. Photocopy of Diplomatic/ Official Passport
58. Prior Intimation Letter (PI) (as per Annexure ‘N’)
E. FEE LIST
Details of fee to be paid along with the application form for various services are listed in the table below.
Payment of Fee:
(A) At Passport Seva Kendra (PSK)/ Mini Passport Seva Kendra (Mini PSK): By Cash only
(B) At other collection centres:
District Passport Cell (DPC): By Demand Draft (DD) drawn in favor of “PAO-MEA” payable at the city where the RPO is located.
Speed Post Centre (SPC): By Cash or by Demand Draft (DD) drawn in favor of “PAO-MEA” payable at the city where the RPO is
located.
Citizen Service Centre (CSC): By Cash or Credit/ Debit card as applicable.
Note: (i) Applicant name, date of birth and date of submission of the application must be mentioned behind the DD, (ii) Only applications for
fresh passports will be entertained at the collection centres, (iii) Penalty is to be paid in cash only.
Table 4: Fee List
Sr. No. Service Required Application Fee Additional Tatkaal Fee
1. Fresh Passport/Re-issue of Passport including additional
booklet due to exhaustion of visa pages (36 pages) of 10 years
Rs.1,500/- Rs.2,000/-
validity (including minors between 15 to 18 years of age, who
wish to get a 10 years full validity passport)
2. Fresh Passport/Re-issue of Passport including additional
booklet due to exhaustion of visa pages (60 pages) of 10 years
Rs.2,000/- Rs.2,000/-
validity (including minors between 15 to 18 years of age, who
wish to get a 10 years full validity passport)
3. Fresh Passport/Re-issue of Passport for Minors (below 18 years
of Age), of 5 years validity or till the minor attains the age of 18 Rs.1,000/- Rs.2,000/-
whichever is earlier (36 pages)
4. Replacement of Passport (36 pages) in lieu of lost, damaged or
stolen passport Rs.3,000/- Rs.2,000/-
Page 13 of 20
8. Replacement of Passport (60 pages) for deletion of ECR /
Change in personal particulars (10 year validity) Rs.2,000/- * Rs.2,000/-
F. WHERE TO APPLY
You can submit the filled-in Passport Application Form at the following locations:
Any Passport Seva Kendra (PSK)/ Mini Passport Seva Kendra (Mini PSK) within the jurisdiction of your Passport Office
District Passport Cell (DPC) of your district
Select Speed Post Centre(s) (SPC) in your district
Citizen Service Centre (CSC) if any, in your area
Note:
1. While PSKs offer all kinds of passport services, only fresh passport applications are accepted at DPCs/ SPCs and CSCs.
2. In order to locate the application submission centre please visit our website www.passportindia.gov.in
ANNEXURE ‘A’
SPECIMEN AFFIDAVIT TO BE SUBMITTED BY ILLITERATE APPLICANTS AS PROOF OF DATE OF BIRTH IN CASE NO OTHER
DOCUMENT MENTIONED IN DOCUMENT NUMBER 2 OF TABLE 3 IN SECTION D IS AVAILABLE
(To be executed on non-judicial stamp paper of minimum value)
I …………………S/o W/o D/o ……………….. presently residing at ………………… hereby state the following:
I was born on ………………. at ……………… situated in the district ………….. in the State of ……….. I have no documentary proof in support
of my place and date of birth.
I do not possess any educational qualification and I am an illiterate person.
I take oath and solemnly declare/affirm that the particulars furnished by me above are correct and that I have not concealed or misrepresented
any facts.
Place …………
Date …………..
Verified on this …………………… day of …………….. of the year …………….. that the contents of my above affidavit are true and correct to
the best of my knowledge and belief, and nothing in material has been concealed there from.
The contents of the affidavit have been read out to me.
Deponent
Attested
Signature and official seal of attesting authority
Note: Affidavit to be attested by the Judicial Magistrate or Executive Magistrate/Notary Public (In case of notary, notarial stamp would be
required)
ANNEXURE ‘B’
ALL CENTRAL GOVERNMENT EMPLOYEES, STATE GOVERNMENT EMPLOYEES, EMPLOYEES OF STATUTORY BODIES AND
PUBLIC SECTOR UNDERTAKINGS, THEIR SPOUSE AND CHILDREN UPTO THE AGE OF 18 YEARS ARE REQUIRED TO PRODUCE
AN IDENTITY CERTIFICATE (STRIKE OUT OPTIONS THAT ARE NOT APPLICABLE)
(To be given in Duplicate on Original Stationery)
Certified that Shri/Smt/Miss …………. Son/Wife/Daughter of Shri …………………, who is an Indian national, is a temporary/permanent
employee of (office address) ……………. from (date) ……. and is at present holding the post of ……………….. Shri/Smt./Miss/Mst.
………………., who is also an Indian national, is/are a dependent family member(s) of Shri/Smt…………………………. and his/her identity is
certified. This Ministry/Department/Organization has no objection to his/her acquiring Indian Passport. I, the undersigned, am duly authorized
to sign this Identity Certificate. I have read the provisions of Section 6(2) of the Passports Act, 1967 and certify that these are not attracted in
case of this applicant. I recommend issue of an Indian Passport to him/her. It is certified that this organization is a Central/State
Government/Public Sector undertaking/Statutory body. The Identity Card Number of Shri/Smt/Miss
(employee)…………………………is…………………
Ref. No. & Date …………….. Name, Designation, address & Tel No.
Applicant’s
photo to
be
attested
Note: Refer Annexure ‘F’ for details of Section 6(2) of the Passports Act, 1967.
ANNEXURE ‘C’
SPECIMEN AFFIDAVIT TO BE SUBMITTED WITH THE APPLICATION OF A PASSPORT TO A MINOR CHILD BY A SINGLE PARENT OF
THE CHILD BORN OUT OF WED-LOCK
(To be executed on non-judicial stamp paper of minimum value)
I, …………….(name of single parent) resident of ………………..............……… ….............……….solemnly declare and affirm the following :-
1. That I am the mother/father of ………………(name of the child) who is minor and on whose behalf I have made an application for
his/her passport.
Page 14 of 20
2. That no legally valid marriage ever existed between me and father/mother of the minor child.
OR
3. The father/mother of …………………..(name of the child) has deserted me after conception/delivery.
That …………………(name of the child) is exclusively under my care and custody since birth.
Place:
Date:
DEPONENT
Aadhaar Card No…………………………………..; or
Voter ID Card No…………………………………; or
Passport No. ...............................................
VERIFICATION
Verified on …………… (date) at …………. (place) that the contents of the above mentioned affidavit are true and correct and nothing material
has been concealed.
DEPONENT
Attestation with stamp
Note: Affidavit to be sworn before/attested by Judicial Magistrate /Executive Magistrate /Oath Commissioner/Notary Public.
ANNEXURE ‘D’
SPECIMEN AFFIDAVIT TO BE SUBMITTED ALONG WITH APPLICATION FOR PASSPORT BY A WOMAN APPLICANT FOR CHANGE OF
NAME AFTER MARRIAGE (JOINT AFFIDAVIT TO BE SUBMITTED ALONG WITH HER HUSBAND)
(To be executed on non-judicial stamp paper of minimum value)
We, 1………………………………………………………………………………
(maiden name of wife)
2.……………………………………………………………………………….
(name of husband)
solemnly declare and affirm the following:
1. That we are married under ……………………….Marriage Act/Rights/Customs and are living together as married couple
since……………………………………………(date of marriage)
2. That ………………………………..(maiden name of wife) would henceforth be known as …………………………….(name of wife after
marriage) by virtue of our marriage.
3. That our joint photograph is affixed below.
2………………………
Note: 1. This affidavit may be sworn before a Judicial Magistrate or Executive Magistrate/Notary Public.
2. The joint photograph of the couple is to be pasted on the bottom left hand side of the affidavit paper and attested by the
Magistrate/Notary with his/her signature and rubber stamps (half on the photograph and half on the affidavit).
3. Declaration 2 above to be ignored by applicants who seek endorsement of name of spouse in respect of reissue of a previously
issued passport.
4. If a joint photograph cannot be affixed, then affidavit should indicate the reason why it cannot be affixed.
ANNEXURE ‘E’
SPECIMEN AFFIDAVIT FOR CHANGE IN NAME/DEED POLL/SWORN AFFIDAVIT
(On non-judicial stamp paper of minimum value)
By this deed I, the undersigned………………. (new name) previously called ………………. (old name), doing……………………(give
profession or vocation) and resident of …………………………(address) solemnly declare:
1. That for and on behalf of myself and my wife, children and remitter issue , I wholly renounce/relinquish and abandon the use of my former
name/surname of ……………………….and in place thereof, I do hereby assume from this date the name/surname ………………………,
so that I and my wife, children and remitter issue may hereafter be called, known and distinguished not by my former name/surname, but
assumed name/surname of ………………………
2. That for the purpose of evidencing such my determination declare that I shall at all times hereafter in all records, deeds and writings and
in all proceedings, dealings and transactions, private as well as upon all occasions whatsoever, use and sign the name of
………………… as my name/surname in place and in substitution of my former name/surname.
3. That I expressly authorize and request all persons in general and relatives and friends in particular, at all times hereafter to designate and
address me, my wife, my children, and remitter issue by such assumed name/surname of …………………...
4. In witness whereof I have hereunto subscribed my former and adopted name/surname of ………….. and ……… affix my signature and
seal, if any, this ………………….. day of ………
Page 15 of 20
Note: In case of change of name, applicant should insert advertisements in two reputed newspapers (one local newspaper of the area in
which he/she is residing and 2nd in newspaper of the area of permanent address) and submit original newspapers at the time of applying for
passport in his/her new name.
ANNEXURE ‘F’
SPECIMEN VERIFICATION CERTIFICATE (FOR PASSPORT UNDER TATKAAL ONLY) (On official letter head of verifying authority)
(To be given in Duplicate* along with Standard Affidavit as at Annexure “I”)
Reference Number Applicant’s Photo
Verification Certificate
This is to certify that Sh./Smt./Kum. ……………………….. son/wife/daughter of …………………. whose personal particulars are given
below, has good moral character and reputation and that after having read the provisions of Section 6(2) of the Passports Act, 1967, I certify
that these provisions are not attracted in case of this applicant and I, recommend issue of an Indian Passport to him/her. Applicant has been
staying at his/her address continuously for the last one year.
Date of Birth ………………………………..
Place of Birth ………………………………..
Educational Qualification ………………………………..
Profession (Govt./Private Service/Others) ………………………………..
Permanent Address ………………………………..
Present Address ………………………………..
Place
Office Address with location
Date: Signature …………………
Office
Seal
Full Name ………………
Designation ……………
I Card No. …………….
(Enclose a photocopy of I Card)
Telephone No. (O)……………. (R)…………..
Mobile No………………
Fax No…………………………………….
E-mail Id…………………………………..
Notes:
1. The applicant’s passport size photograph is also required to be affixed on the Verification Certificate and attested by the officer issuing
the Verification Certificate with his/her signature and rubber stamp put in such a way that half the signature and stamp appear on the
photograph and half on the certificate.
2. If the applicant has resided at more than one place during the last one year, then all previous addresses with the relevant dates should
be mentioned.
3. This Verification Certificate may be got signed by any of the following:
(i) An Under Secretary/Deputy Secretary/Director/Joint Secretary/Add. Secretary/Special Secretary/Secretary/Cabinet Secretary to
Government of India
(ii) A Director/Joint Secretary/Additional Secretary/Special Secretary/Chief Secretary to a State Govt.
(iii) A Sub-Divisional Magistrate/First class Judicial Magistrate/Additional DM/District Magistrate of the district of residence of applicant.
(iv) A District Superintendent of Police, DIG/IG/DGP of the district of residence of applicant.
(v) A Major and above in the army, Lt. Commander and above in the Navy and Sq. Leader and above in the Air Force
(vi) The General Manager and above of a Public Sector Undertaking
(vii) All members of any All India Service or Central Service who are equivalent to or above the rank of an Under Secretary to the
Government, i.e. with Grade pay of Rs.6,600/- and above.
(viii) Resident Commissioners/Additional Resident Commissioners of all State Governments based in Delhi.
(ix) Concerned Tehsildars or concerned SHOs for an applicant staying in the area under his/her jurisdiction.
(x) The Chairmen of the Apex Business Organizations, i.e. FICCI, CII and ASSOCHAM in respect of owners, partners or directors of
the companies that are members of the concerned Chamber in prescribed performa as at Annexure “J”. (The certificate should
specify applicant is a owner/ partner/ director of the company)
4. Anyone who issues incorrect verification certificate may be prosecuted under section 12(2) of the Passports Act, 1967.
5. SECTION 6(2) (C) OF THE PASSPORTS ACT, 1967 -
“Subject to the other provisions of this Act, the passport authority shall refuse to issue a passport or travel document for visiting any
foreign country under clause ( C ) sub-section 5 of any one or more of the following grounds, and on no other ground, namely:
(a) that the applicant is not a citizen of India.
(b) that the applicant may, or is likely to, engage outside India in activities prejudicial to the sovereignty and integrity of India.
(c) that the departure of the applicant from India may, or is likely to, be detrimental to the security of India.
(d) that the presence of the applicant outside India may, or is likely to, prejudice the friendly relations of India with any foreign country.
(e) that the applicant has, at any time during the period of five years immediately preceding the date of his application, been convicted
by a court of India for any offence involving moral turpitude and sentenced in respect thereof imprisonment for not less than two
years.
(f) that criminal proceedings in respect of an offence alleged to have been committed by the applicant are pending before a court in
India.
(g) that a warrant or summons for the appearance, or a warrant for the arrest of the applicant has been issued by a court under any law
for the time being in force or that an order prohibiting the departure from India of the applicant has been made by any such court.
(h) that the applicant has been repatriated and has not reimbursed the expenditure incurred in connection with such repatriation.
ANNEXURE ‘G’
SPECIMEN AFFIDAVIT/DECLARATION BY APPLICANT’S PARENT OR GUARDIAN FOR ISSUE OF PASSPORT TO MINOR WHEN ONE
PARENT HAS NOT GIVEN CONSENT
(To be executed on non-judicial stamp paper of minimum value)
Page 16 of 20
I/We ……………………………………….. (name of the parent / guardian applying for passport) resident of
……………………………………………….. solemnly declare and affirm as under :-
(i) That I/we am/are the mother/father/parents/guardians of ………………….(name of the minor child) who is minor and on whose
behalf I/we have made an application for his/her passport.
(ii) Signature/consent of Shri/Smt………………………. (name of the father/mother) who is father/mother/parents of the child has not
been obtained by me for the following reasons:……………………… ………………………………………………………….
(iii) That I/we only am/are taking care of ……………………….(name of the minor child) and he/she is exclusively in my/our physical
custody.
(iv) I/we also affirm that in the case of a court case arising due to issue of a passport to the minor child ……………..(name of the minor
child), I/we would be solely responsible for defending the case and not the Passport Issuing Authority.
Place:
Date:
Name(s):.......................................................
Aadhar Card No………………………………; or
Voter ID Card No……………..............……; or
Passport No. ...............................................
Attestation with stamp
Note: Affidavit to be sworn before/attested by Judicial Magistrate or Executive Magistrate.
ANNEXURE ‘H’
SPECIMEN AFFIDAVIT/DECLARATION BY APPLICANT’S PARENT(S) OR GUARDIAN FOR ISSUE OF PASSPORT TO MINOR
4. I/we solemnly declare that he /she has not lost, surrendered or been deprived of his/her citizenship of India and that the information given
in respect of him/her in this application is true.
5. It is also certified that I/we am/are holding /not holding valid India passport(s).
Place:
Date
ANNEXURE ‘I’
AFFIDAVIT (To be executed on appropriate non-judicial stamp paper of minimum value and attested by Executive Magistrate or Notary
Public)
(One original and one self-attested photocopy to be submitted)
I, ……………………… (name), son/ daughter/ wife of Shri ……………………… residing at ……………………… Date of Birth
……………………… being an applicant for issue of passport, do hereby solemnly affirm and state the following:
1. That the names of my parents and spouse are as follows:
Page 17 of 20
(i) Father :
(ii) Mother :
(iii) Wife/Husband :
2. That I am a continuous resident at the above mentioned address from……………………….
3. That I am a citizen of India by birth/descent/registration/naturalization and that I have neither acquired the citizenship of another country nor
have surrendered or been terminated/ deprived of my citizenship of India.
4. That I have not, at any time during the period of five years immediately preceding the date of this affidavit, been convicted by any court in
India for any offence involving moral turpitude and sentenced in respect thereof to imprisonment for not less than two years.
5. That no proceedings in respect of any criminal offence alleged to have been committed by me are pending before any criminal court in
India.
6. That no warrant or summons for my appearance, and no warrant for my arrest, has been issued by a court under any law for the time being
in force, and that my departure from India has not been prohibited by order of any such court.
7. That I have never been repatriated from abroad back to India at the expense of Government of India/I was repatriated from abroad back to
India at the expense of Government of India, but reimbursed expenditure incurred in connection with such repatriation.
8. That I will not engage in activities prejudicial to the sovereignty and integrity of India.
9. That my departure from India will not be detrimental to the security of India.
10. That my presence outside India will not prejudice the friendly relations of India with any foreign country.
Place: Date:
DEPONENT
VERIFICATION
Verified on …………… (date) at …………. (place) that the contents of the above mentioned affidavit are true and correct and nothing material
has been concealed.
DEPONENT
ANNEXURE ‘J’
SPECIMEN VERIFICATION CERTIFICATE (To be given {in Duplicate* along with Standard Affidavit as at Annexure “I"} by Chairmen of Apex
Business Organizations to the Owners, Partners or Directors of the companies having membership of the concerned chambers) (Official letter
head of verifying authority)
Reference Number
(Verification Certificate issuing officer should attest the photograph of the applicant with his/her Applicant’s signature and
rubber stamp in such a way that half the signature and stamp appear on the photograph and half on the Photo certificate.)
Verification Certificate
This is to certify that Sh./Smt./Kum. ……………………….. son/wife/daughter of …………………. whose personal
particulars are given below has good moral character and reputation and that after having read the provisions of Section 6(2) of the Passports
Act, 1967, I certify that these provisions are not attracted in case of this applicant and I recommend issue of an Indian Passport to him/her.
Applicant has been staying at his/her address continuously for the last one year.
Date of Birth ……………………………….
Place of Birth ……………………………….
Educational Qualification ……………………………….
Profession ……………………………….
Permanent Address ………………………………..
Present Address ………………………………..
Place
Office Address with location
Date: Office Signature …………………….
Seal
Full Name ………………….
Designation ………………….
Name of the Chamber ………………
Telephone No. (O)…………..(R)………
Mobile No………………………………
Fax No…………………………………….
E-mail Id…………………………………..
Notes:
1. The applicant’s passport size photograph is also required to be affixed on the Verification Certificate and attested by the officer issuing
the Verification Certificate with his/her signature and rubber stamp put in such a way that half the signature and stamp appear on the
photograph and half on the certificate.
2. If the applicant has resided at more than one place during the last one year then all previous addresses with the relevant dates should be
mentioned.
3. Anyone who issues incorrect verification certificate may be prosecuted under section 12(2) of the Passports Act, 1967.
4. Refer Annexure ‘F’ for details of Section 6(2) of the Passports Act, 1967.
ANNEXURE ‘K’
AFFIDAVIT TO BE SWORN BEFORE THE FIRST CLASS JUDICIAL MAGISTRATE OR THE EXECUTIVE MAGISTRATE ON NON-
JUDICIAL STAMP PAPER FOR ISSUE OR RE-ISSUE OF PASSPORT BY THE MARRIED APPLICANTS WHO ARE UNABLE TO PROVIDE
THE PRESCRIBED MARRIAGE CERTIFICATE OR JOINT PHOTO AFFIDAVIT WITH SPOUSE DUE TO MARITAL DISCORD/SEPARATION
WITHOUT FORMAL DECREE OF DIVORCE ISSUED BY THE COURT OR DUE TO TOTAL DESERTION BY THE SPOUSE
I……………………………………………………………………….…….(name of the passport applicant) solemnly declare and affirm the following:
Page 18 of 20
2. That I am separated from my husband/my wife from…………….. (date) though we are not yet legally divorced by decree of a Court
of Law. That my passport be issued or re-issued (as the case may be) in my maiden name or in my married name as....
......................................................... (only for female applicants).
OR
That I am separated from my husband/my wife from…………….. (date) though we are not yet legally divorced by decree of a Court of Law.
I/My wife or husband have/has already filed a divorce petition which is pending for adjudication before …………………………….....(name of
the Court with place).
That my passport be issued or re-issued (as the case may be) with my spouse name as..................................................(name of spouse).
OR
That my passport be issued or reissued (as the case may be) without my spouse name. However, in the eventuality of a Court declining to
decree of divorce, I will get the passport re-issued with spouse name within three months thereof.
That I solemnly affirm that the information given above is correct to the best of my knowledge and in the case of litigation arising due to issue
or re-issue (as the case may be) of my passport in my maiden name/married name or with/without spouse name, I would be solely responsible
for defending the case and not the Passport Issuing Authority.
ANNEXURE ‘L’
SPECIMEN AFFIDAVIT FOR A PASSPORT IN LIEU OF LOST/ DAMAGED PASSPORT
(This affidavit is to be executed on non-judicial stamp paper of minimum value in the presence of First Class Magistrate/Notary Public on the
following points)
I…………………………. S/o, D/o, W/o Shri……………………… residing at …………………..solemnly affirm as follows:
1. State how and when the passport was lost/ damaged and when FIR was lodged at which Police Station and how many passports
were lost/ damaged earlier?
2. State whether you travelled on the lost/ damaged passport, if so state flight number and date and port of entry into India?
3. State whether you availed of any TR concessions/FTs allowance and if so details thereof?
4. State whether non-resident Indian and if resident abroad, the details of the residence as follows:
S.No. Name of the Country Length of residence Page Nos. of passport
From………….To bearing departure & arrival
stamps
1.
2.
3.
5. State whether the Passport had any objection by the PIA and if so the details thereof.
6. State whether you were deported at any time at the expense of the Government and if so was the expenditure incurred reimbursed to
Government of India.
I further affirm that I will take utmost care of my passport if issued and the Government will be at liberty to take any legal action under the
Passports Act, 1967, if the lapse is repeated.
Date: …………………..
Deponent
Affirm before First Class Judicial Magistrate or Executive Magistrate/ Notary Public
ANNEXURE ‘M’
MINISTRY/DEPARTMENT/OFFICE OF
No………….. dated……………….
Applicant’s
(No Objection Certificate issuing officer should attest the photograph of the applicant with his/her Photo signature and
rubber stamp in such a way that half the signature and stamp appear on the photograph and half on the certificate.)
NO OBJECTION CERTIFICATE
Shri/Smt/Miss……………………………s/o……………………………….,who is an Indian national, is employed in this office
as………………………….from……….......till date. This Ministry/Department/Office has no objection to his/ her obtaining a passport.
Signature
Controlling/Administrative authority
Telephone/Fax/email
Note:-
(a) The officer authorized to issue NOC should sign with name and stamp and must provide contact details for verification by Passport
Authority.
(b) NOC will be valid for six months from date of issue.
Annexure ‘N’
Prior Intimation (PI) from the Government/PSU/Statutory Body employee to his/her Administrative Office for submission of Passport
application for himself/herself (On Plain Paper)
Page 19 of 20
Place: ……….................
Date: .……….................
[To be addressed to the Controlling/Administrative Authority with full postal address]
......................................................................
......................................................................
...........................................PIN: ...................
Tel: ………….................................................
Fax: ..............................................................
Email: ...........................................................
Sir/Madam,
I hereby give prior intimation that I am applying for an ordinary Passport to Regional Passport Office, ………......................................................
Yours faithfully,
Signature: ………………………………………………………..
Name: …………………………………………………………….
Date of Birth: .……………………………………………………
Designation: ……………………………………………………..
Name of Office Where Working: …..…………………………..
……………………………………………………………………..
Name of Organisation: ………………………………………….
……………………………………………………………………..
Address of Present Office: ………………………………………
……………………………………………………………………..
……………………………………………………………………..
Residential Address: …………………...………………….........
……………………………………………………………………...
………………………………………………………………………
Page 20 of 20