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Form No. 1
APPLICATION FORM FOR INDIAN PASSPORT AT AN INDIAN
MISSION/POST
Please paste one
35mm x 45mm
photograph here
and enclose one
more photograph

For the issue of fresh Passport with 10 years


validity (after expiry of the term of the old
passport)

Applicant must paste one


photograph above with
half the signature on the
photograph and half on the
application

(Please delete whatever is inapplicable)

1.

Full name
Aliases, if any
Has applicant ever changed his/her name? Is so, give previous
name in full
Maiden name, if applicant is a married woman
2. Date of birth
Place of birth
Country
Height
cms Color of eyes
Visible distinguishing marks, if any
3. Permanent address
In India

(Surname)

Color of Hair

In country of domicile
4.

5.
`
7.
8.

(i)
Name of Father
(ii)
Name of Mother
(iii) Nationality of father at the time of applicants birth
(iv) Nationality of mother at the time of applicants birth
Married /Unmarried
Name & Nationality of Spouse
Name of applicants eldest son or daughter ( first child)
Name of applicants eldest brother or sister
Present Passport/national identity card, if any No.

9.
Local car driving License No.
Educational qualification

Date &place
of issue
Date & place of issue

When did applicant first leave India


12.

Country of his birth


Country of her birth

How long has applicant continuously resided abroad?

When was he/she in


India last

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13.

Present Emigration Status (ECR or ECNR)


(With documentary evidence )
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14.

Profession and
business address

15.
16.

Please mention, if citizen of India by birth/descent/naturalization/registration.


Did applicant ever possess any other nationality or travel document of any other country. If so, please
give details.
Was applicant ever refused an Indian Passport?
(Yes /No)
Was applicants passport ever impounded/revoked? If so, details please.
(Yes /No)
Name and address of two relatives/friends

17.
18.
19.

20.
21.

22.

23.

Telephone

Is the applicant in Govt. Service/Public Undertaking Service/Statutory Bodies Service of India?


If so, please give details and enclose No Objection Certificate from your employer in original
(i) Are any criminal proceedings pending against applicant in any court in India? If so, please
give details
(ii) Has applicant ever been repatriated from abroad to India at the expenses of the Govt. of India?
If so, details please
No. of lost/damaged passport
Place of issue
Date of issue
Valid until
(i) Briefly state circumstances of loss/theft/damage of passport on a plain paper and attach copy
of report lodged with local police in case of loss/theft.
(ii) Give details of restriction, if any, put on applicants damaged/lost passport.
(iii) Did applicant avail transfer of residence, foreign travel scheme facility on lost/damaged passport?
If so, details please.
Is applicant registered with Indian Mission/Post? If not, is he a member of any Indian Organization?

DECLARATION
I owe allegiance to the sovereignty and integrity of India, and information given
above in respect of myself, my son/daughter/ward is correct and nothing has been concealed
and I am aware that it is an offence under the Passport Act 1967 to knowingly furnish false
information or suppress material information, which attract penal and other punishments
under the acts and, I undertake to be entirely responsible for expenses of my
son/daughter/ward.

Signature or thumb impression of applicant


(Left hand T.I. of male and right hand T.I.
for female)
Place: Kuwait
Date:

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Signature or Thumb Impression of the applicant within the space given below:

Passport size photograph

35mm X 45mm

This section to be filled up by those having Domestic Sector visa


(Visa-20)
Applicants Details
Name
Date of Birth
Telephone
(Kuwait)
Profession

Passport No.
Civil ID No.
Telephone
(India)
Whom to
contact in case
of Emergency

Sponsors Details
Name
Telephone
(Kuwait)

Civil ID No.
Address

Kindly attach a photocopy of:

Your CIVIL ID
Sponsors CIVIL ID

Name
Tel

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