Online Passport Registration

Government of India Ministry of External Affairs Passport Application Form (No.1) (For New / Re-issue/ Replacement of Lost/Damaged Passport) (Please tick the required category) Ur Signature

Paste your unsigned recent colour photograph. Size: 3.5 X 3.5 cm

Signature or Thumb Impression Please read the Passport Information Booklet carefully before filling the form, in CAPITAL LETTERS in blue/ black ball point pen only: (CAUTION: Please furnish correct information. Furnishing of incorrect information would attract penal provisions as prescribed under the Passports Act, 1967). Please produce your original documents at the time of submission of the form. For official use only File Number ……………………………….. Police Verification required

Fee Amount Rs.

Cash /D.D

1000

CASH

Bank Code

(Yes/No)

D.D No.

ECR / ECNR

………………………………… Signature of Checking Official Date of Issue of D.D

1. Name of applicant as it should appear in the Passport (Initials not allowed) Surname Given Name (with documentary proof)

Father Name eg; Kandhasamy and not as K.Kandhasamy Ur name eg; Aruchsamy and not as K.Aruchsamy

2. In case of change of name/surname (after marriage or otherwise with documentary proof), please indicate the previous name/surname in full ( Put No If u are not In the case of this Box else put kandhasamy/Muna) If u are female ur intial change after marriage or Male/FemaleMom diversed ur father and marry other.

Male/female

3. Sex

4. Date of Birth: Eg;14-NOV-1987 ( Plz of birth proof not compulsary upto 1988 born members) (with documentary proof) In words. FOURTEEN NOVEMBER NINETEEN EIGHTY SEVEN __ 5. Place of Birth: Village / Town, District, State, Country (with Documentary Proof)

Eg; cumbum

Theni

6. Father/Legal Guardian's Full Name (including surname, if any): (Initials not allowed)

Father name 7. Mother’s Full Name (including surname, if any): (Initials not allowed)

Mother name 8. If married, Full Name of wife/husband (including surname, if any). (Initials not allowed). Put ur Wife name Eg Pen and not as I.Pen 8 (i) If divorced/widow/widower, Please indicate the category with documentary proof.

Put Yes or No if yes Attach Divorce or death certificate

9. Current Residential Address (where staying presently), Residing since (In case of students, please see Section III of Passport Information Booklet) (XX-XXX-XXXX)

If u are a student as hostaler put ur hostel vacation date above ; or if u are transfer To some place and staying there give that address . Telephone No /Email Address.

Mobile No.

00000/[email protected] XXXX 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 Eg 26-JAN-2008 To 29-DEC-2008

If your living in that address for less than 1 year

From Eg 30-DEC-2008 To 01-JUL-2009

If your living in that address for less than 1 yr

Write ur previous address or put “same” like Below

write ur Current address or put “same” like below

--------------SAME-----------------------

-----------------SAME-------------------

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

XXXX;XXXXX;XXXX

XXXX XXXX XXX (Make sure this Address should same as ur Voter ID and Dont worry about Ration card address Ration card just to verify u in that family) 11. Details of latest held/existing Ordinary / Diplomatic / Official passport(s):( Fill No for 11) (i) (ii) (iii) (iv)

Passport Office File No.………NO ………………/Passport(s) No......……………………........….. Date and Place of Issue: ………………………............................../Date of Expiry …………...…… In case passport was applied for and not issued, please give File No. & Date ………… // ………… Has your passport(s) ever been lost / damaged (if so attach FIR and give details)…… NO …….. …………………………………………………………………………………………… // …..

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:…………………………… ..………………………………--NO--……. ………………………………………………… ………………………………………………………………………………………………………. 12. Other Details: BE;MBBS;Bsc;Xii;Diploma a) Educational Qualifications………………………………………………………………………….. b) Visible Distinguishing Mark, if any…Eg; if u have big mole in face or acid scar on ur face etc c) Height ……XXX……………cms. d) Profession .........Eg.UNEMPLOYED..................................... 13. Are you working in Central Government/ State Govt/ PSU/ Statutory Bodies (Y)es/ (N)o X If ‘Yes’ attach Identity Certificate (As per Annexure “B” of Passport Information booklet). 14. Are you a citizen of India by: (B)irth/(D)escent/(R)egistration/(N)aturalisation; ……BIRTH………. If you have ever possessed any other citizenship, please indicate previous citizenship …INDIAN… 15. “Emigration Check Not Required” status? Yes/No …-YES-…… (Please note that all 10 and above qualified applicants are eligible for ECNR status.) If yes, mention the eligible category (see Section III of Passport Information Booklet) and enclose copy of relevant certificate/document____________-YES-_____________________________________

16. In case of minors (applicant below the age of 18), if EITHER of the parents hold a Valid Indian Passport or has applied for it give the following details. Please see and fill up attached Annexure-H. Passport/ File No. Date & Place of Issue/ Application Mother ___XXX____________ ________XXX___________________ _________XXX Father _______XXXX 17. (a) Have you at any time during the period of Five years immediately preceding the date of this application been convicted by a court in India for any criminal offence & sentenced to imprisonment for two years or more? If so, give name of the court, case number and relevant sections of Law. (Attach copy of judgement) ……If ur arrested and put into jail more than 2 years put Yes else put No.................................... (b) Are any criminal proceedings pending against you before a court in India? If so, give name of court, case number and relevant sections of Law. …………………… any criminal case in court not consider civil case……………….. (c) If answer at (b) is (Y)es, please furnish No Objection Certificate from competent court for grant of Passport. …………………IF…17 B : Yes ; Get no objection certificate from court Else put No ……………………………………………………………………………………………….... (d) Have you been ever refused/denied passport? If yes, give details: if u previously applied passport and denied during police verification...or u refused accept ....the passport rule Else put NO (e) Has your passport ever been impounded / revoked? If yes, give details: ……………………………………………………………………………………………………….. ………………………………NO………………………………………………………………….. (f) Have you ever applied/granted political asylum by any foreign country? If yes, give details. ……………………………………………………………………………………………………….. ………………………………NO……………………………………………………………….. 18. Particulars of person to be intimated in the event of death or accident: Name Kandhasamy(Father)……………………………………………….... Address XXXX/XXXX/XXXX …………………….................................................. Mobile / Tel. No. / email ID xxxxxxxxx/[email protected]…............... 19. Self Declaration: I owe allegiance to the sovereignty, unity & integrity of India, and have not voluntarily acquired citizenship or travel documents of any other country. I have not lost, surrendered or been deprived of citizenship of India. The information given by me in this form and enclosures is true and I am solely responsible for its accuracy. I am aware that it is an offence under the Passports Act, 1967 to furnish any false information or to suppress any material information with a view to obtaining a passport or any other travel document. I further declare that I have no other passport/ travel document.

Date …………. Place …………

(Signature/Thumb Impression of Applicant) (Left Hand Thumb Impression if male and Right Hand Thumb Impression if female)

20. Enclosures: 1 Proof of date of birth .…X or XII mark sheet....2 Proof of Residence …RationCard…........... 3 Educational Qualifications ……XXX…........4 ……..……VOTER ID XEROX………….. 5............................................................................. 6 ……TC………………………....................

(For Official Use Only)

Checked by Name

Signature/date

Granted by Name

Signature/date

Scanned by Name

Signature/date

Dispatched by Name

Signature/date

PASTE 2 Photograph Here For general 3 proof required; Tatkal 5 proof required

Paste your write here Ur nearer Place were the police station located

PERSONAL PARTICULARS FORM (In Duplicate)

cross signed recent colour photograph. Size: 3.5 X 3.5 cm

1. Full name (Initials not allowed) … Auto filled during online REG ….................................... 2. Sex: Male / Female / Others Auto filled during online REG. (a) Has the applicant ever changed name? (b) If yes, previous name: ……As mentioned previously………………………………………. 4. Date of Birth Auto filled during online REG 5. Place of Birth Auto filled during online REG 6. Profession ……… Auto filled during online REG …………………….. 7. a) Father Auto filled during online REG ……………………………………

(Surname)

(Name)

b) Mother Auto filled during online REG .

(Surname)

(Name) c) Husband / wife …… Auto filled during online REG …… (Surname) (Name) 8 a) Permanent Address & Tel. No. 8(b) Present Residential Address & Tel. No, along with along with Police Station Police Station and residing since Auto filled during online REG,

……………………………………………….

Auto filled during online REG

……………………………………………………

……………………………………………….

……………………………………………………

……………………………………………….

……………………………………………………

………………………………………………. …………………………………………………… 9. If you have not been resident at the address given at COLUMN 8(b) continuously for the last one year, please furnish other address(es) with duration(s) resided (Please furnish an additional set of P P Forms for each address with Police station. From……………..To…………………. From…………………To………………. ________________________________ _________________________________ ________________________________ _________________________________ As mention before As mention before ________________________________ _________________________________ 10. References: Names and Addresses of two responsible persons in the applicant’s locality who can vouch for the applicant. (1) Name, Address & Tel. No. (2) Name, Address & Tel. No. …….xxxxx ………xxxxxxxx …………… .... …………xxx ……………… ... ... ………xxxxx ………........ ………………xxxxx………………………. …………xxxxx……………………………… Descent Registration Naturalization 11. Citizenship of India by: Birth 12. Furnish details of previous passport / travel document, if any: (i) Passport/Travel document No: ……………………... (ii) Date & Place of issue ……………………. For Police Use Only

Recommended Passport: YES/NO

Signature or Thumb Impression of the applicant (Left Hand T.I. if male and Right Hand T.I. if female)

(write here Ur nearer Place were the police station located)

PERSONAL PARTICULARS FORM (In Duplicate)

Paste your cross signed recent colour photograph. Size: 3.5 X 3.5 cm

1. Full name (Initials not allowed) … Auto filled during online REG................................ 2. Sex: Male / Female / Others Auto filled during online REG (a) Has the applicant ever changed name? (c) If yes, previous name: ……… Auto filled during online REG ……………………………….. 4. Date of Birth:. Auto filled during online REG 5. Place of Birth Auto filled during online REG 7. Profession Auto filled during online REG ……………………………….. 8.

a) Father ……… Auto filled during online REG ……………………………..

(Surname)

b) Mother.... Auto filled during online REG

(Name)

(Surname) (Name) … Auto filled during online REG ………… (Surname) (Name) 8 a) Permanent Address & Tel. No. 8(b) Present Residential Address & Tel. No, along with along with Police Station Police Station and residing since Auto filled during Online REG Auto filled during Online REG c) Husband / wife

……………………………………………….

……………………………………………….

……………………………………………….

……………………………………………………

……………………………………………….

……………………………………………………

………………………………………………. …………………………………………………… 9. If you have not been resident at the address given at COLUMN 8(b) continuously for the last one year, please furnish other address(es) with duration(s) resided (Please furnish an additional set of P P Forms for each address with Police station. From……………..To…………………. From…………………To………………. ________________________________ _________________________________ ________________________________ _________________________________ AS Mention before ______________ As Mention Before ________________________________ _________________________________ 10. References: Names and Addresses of two responsible persons in the applicant’s locality who can vouch for the applicant. (1) Name, Address & Tel. No. (2) Name, Address & Tel. No. …XXXXXXX ……….. ……XXXXXX……………... ... ... …………XXXXXX…………... ... ... ... .. ……XXXXXX…………............. ………………………………………………. …………………………………………………… 11. Citizenship of India by: Birth Descent Registration Naturalization 12. Furnish details of previous passport / travel document, if any: (i) Passport/Travel document No: ……………………... (ii) Date & Place of issue ……………………. For Police Use Only

Recommended Passport: YES/NO

Signature or Thumb Impression of the applicant (Left Hand T.I. if male and Right Hand T.I. if female)

Procedure To Apply online: for Freshers

• 1.Fill Half of the Form in Online and get the appointment Date and Time .Try to go Very early As the Office open So to avoid sanding in Que • 2.Take 2 set of Proof Xerox • 3.pin 1st set between 1st and 2nd page • 4pin 2nd set between 5th and 6th page • 5.keep the orginals of the Xerox and show when they ask • 6 Almost 3 set of que • 1st putting seal with number for general and Tatkal in ur form and check wether u pin all Xerox correctly • 2nd u are waited in AC room Called as per seal Number and verify ur Xerox proof and Orginals and Seal ur form wit ECR or ECNR • 3rd After getting the seal u are allowed to pay cash in Cash counter.Keep the bill safely • 7.after a 2 weeks Police verification to be done so the police will Call u to the Station for enquiry after verification(u must give them a 2 photograph and Place of Living certificate fromVAO) over within a month u will recive a passport • U can check ur passport status Online .