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5/4/2017

View/PrintDiplomaticForm

HowtoApplyforDiplomatic/OfficialPassport

NormallyapplicationsforDiplomaticandOfficialpassportsareentertainedonlyattheConsular,PassportandVisa(CPV)Division,

PatialaHouse,NewDelhi.However,applicantscanalsovisittherespectivePassportOffice(PO)linkedtotheirpresentresidential

address.ApplicantsofDelhiandNCRwouldcontinuetovisittheCPVDivision,PatialaHouse,NewDelhi.

PleasereadthefollowinginstructionscarefullybeforeapplyingforDiplomatic/Officialpassport:

Where to Apply: Applicants are required to fill the application form online through the Passport Seva website Applicants are required to fill the application form online through the Passport Seva website http://www.passportindia.gov.in, and then visit the CPV division, or the PO attached to their present residential address.Applicantswillneedtocarrytwophotographsandrequireddocuments(mentionedbelow)alongwithaprinted copyoftheonlinefilledapplicationform.

Photograph: All applicants need to carry two coloured photographs (size 4.5 x 3.5 cm) with white All applicants need to carry two coloured photographs (size 4.5 x 3.5 cm) with white background. Applicantsshouldaffixphotographsontheprintedcopyoftheonlinefilledapplicationform.

Firstphotographneedstobeaffixedonthefirstpageoftheapplicationformwithoutanysignature/stamp. Secondphotographneeds tobeaffixedonthethirdpageof theapplicationform, andthenstampedacross with officestampandsignatureoftheHeadofOffice.

with officestampandsignatureoftheHeadofOffice. DocumentsRequired:

DocumentsRequired:Pleasesubmitonecopyofthefollowingdocuments:

Applicant'sOfficialIdentity(ID)Card(orthatoftheHeadofOffice)

CertificateissuedbytheHeadofOfficeintheformatenclosedbelow.

OfficialRequestLetterfromForwardingOfficerintheformatenclosedbelow.

Political/PMOClearanceCertificate,ifapplicable

ForExistingPassport(ifany):

Diplomatic/OfficialPassport(i.e.inRe­Issueapplications):OriginalDiplomatic/OfficialPassportforcancellation.

If the same is kept in the safe custody of the Ministry of

If the same is kept in the safe custody of the Ministry of External Affairs (MEA), bring the original Surrender/SafeCustodyCertificate. IfthesamehasbeencancelledbyMEA,bringtheOriginalCancellationCertificate.

OrdinaryPassport:CertificateofSafeCustody(inapplicant'sdepartment).

passport(s)isanoffenceunderPassportsAct,1967)

Officialretiringinlessthansixmonthsfromthedateofapplication,isrequiredtogiveanundertakingfromhis/

(Non­disclosureofalreadyheld

herofficethathe/shewillsurrenderdip./off.passporttohis/herofficeimmediatelyafterreturn.

Thedocumentsshouldbeplacedinthefollowingorder:

1.Printedcopyofonlinefilledapplicationform

2.Political/PMOClearance

3.CopyofIdentity(ID)Card

4.CertificatefromHeadofOffice

5.RequestfromForwardingOfficer

6.OtherRelevantDocuments

Incaseonlinefilledupprintedapplicationformsaresubmittedinbulk(GroupApplications)atCPV/PO­itisadvisedto

submitapplicationformsinseparatebatches(ofmaximum20applications).

5/4/2017

5/4/2017 View/PrintDiplomaticForm FileNumber(ForOfficeUseOnly) GOVERNMENTOFINDIA,MINISTRYOFEXTERNALAFFAIRS

View/PrintDiplomaticForm

FileNumber(ForOfficeUseOnly)

View/PrintDiplomaticForm FileNumber(ForOfficeUseOnly) GOVERNMENTOFINDIA,MINISTRYOFEXTERNALAFFAIRS

GOVERNMENTOFINDIA,MINISTRYOFEXTERNALAFFAIRS

PASSPORTAPPLICATIONFORM(DIPLOMATIC/OFFICIAL)

Please fill this form in CAPITAL LETTERS using blue/black ink ball point pen only, wherever required. Furnishing of incorrect information/ suppression of informationwouldleadtorejectionoftheapplicationand would attract penal provisions as prescribed under the

PassportsAct,1967.

penal provisions as prescribed under the PassportsAct,1967. Signature/LeftHandThumb ImpressionofIlliterateApplicantand

Signature/LeftHandThumb

ImpressionofIlliterateApplicantand

Minorswhocannotsign.

ServiceRequired

Minorswhocannotsign. ServiceRequired ApplicationReferenceNumber 17­0006409724 ApplyingFor

ApplicationReferenceNumber

17­0006409724

ApplyingFor

FRESH

TypeofApplication

OFFICIAL

ApplicantDetails

Applicant'sName

ASHISH

Surname

ARORA

DateofBirth(DD/MM/YYYY)

02/07/1989

PlaceofBirth(Village/Town/City)

DELHI

District

NORTHDELHI

State/UT

DELHI

Country

INDIA

Gender

MALE

EmploymentType

OTHERS

Organisationname

KANCHANMETALPVT.LTD.

AadhaarNumber

316902362869

FamilyDetails

Father'sName

PRATAPSINGH

Surname

ARORA

Mother'sName

SUDESH

Surname

ARORA

Spouse'sName

YAMINI

Surname

ARORA

PresentResidentialAddressDetails

 

C­243,GALIN.­5A,CBLOCK,SANTNAGARNORTHDELHI

Address

DELHIINDIA

PIN

110084

Mobile/TelNo.

9958114630

E­mail

ashishmtech2012@gmail.com

PermanentResidentialAddress

C­243,GALIN.­5A,CBLOCK,SANTNAGARNORTHDELHI

DELHIINDIA

Address

5/4/2017

PIN

View/PrintDiplomaticForm

110084

Detailsofcountriestobevisited/transited

Countrytobevisitedonofficialduty

Countrytobetransited

PurposeandDurationofvisit

PHILIPPINES

PHILIPPINES

EXHIBITION

Enclosures

1.

2.

3.

4.

5.

6.

7.

8.

9.

SelfDeclaration

Place Date Signature/LeftHandThumbImpression ofApplicant(Ifapplicantisminor,either parenttosign)

Place

Date

Place Date
Place Date
Place Date Signature/LeftHandThumbImpression ofApplicant(Ifapplicantisminor,either parenttosign)

Signature/LeftHandThumbImpression

ofApplicant(Ifapplicantisminor,either

parenttosign)

ofApplicant(Ifapplicantisminor,either parenttosign)
ofApplicant(Ifapplicantisminor,either parenttosign)

Ioweallegiancetothesovereignty,unityandintegrityofIndia,andhavenotvoluntarilyacquiredcitizenshiportraveldocument

ofanyothercountry.Ihavenotlost,surrenderedorbeendeprivedofthecitizenshipofIndiaandIaffirmthattheinformation

givenbymeinthisformandtheenclosuresistrueandIamsolelyresponsibleforitsaccuracy,andIamliabletobepenalized

orprosecutediffoundotherwise.IamawarethatunderthePassportsAct,1967itisacriminaloffencetofurnishanyfalse

informationortosuppressanymaterialinformationwithaviewtoobtainingpassportortraveldocument.

CERTIFICATE

(i)(a)IherebycertifythatShri/Smt./Kumari

isproceedingabroadonofficialdutyasindicatedinitem9above.

(b)Iherebycertifythat,Shri/Smt./Kumari

(b)Iherebycertifythat,Shri/Smt./Kumari isWife/Son/Daughter/Parent/DomesticHelpof

isWife/Son/Daughter/Parent/DomesticHelpof

whoisgoingabroadonofficialdutyasindicatedinitem9above.

(ii)Payscale&gradepayoftheofficerisRs.

(iii)Designation

(ii)Payscale&gradepayoftheofficerisRs. (iii)Designation [SignatureandOfficialSealofHeadofOffice]

[SignatureandOfficialSealofHeadofOffice]

5/4/2017

View/PrintDiplomaticForm

GOVERNMENTOFINDIA/STATEGOVERNMENT

ReferenceNo

MINISTRY/DEPARTMENTOF

Date

Subject:RequestforIssueofDiplomatic/OfficialPassport(s)andVisaNote

1.DetailsofApplicant(s):

NameofApplicant(s)

pleaseattachalist,ifrequired

Designation,PayScale

andGradePay

Present/Previous

Passport(s)Number

S.No

2.PassportApplicationForm(s)Filled­inandAttached:

S.No 2.PassportApplicationForm(s)Filled­inandAttached: Y e s N o 3.DetailsofVisit: CountriestobeVisitedon

Yes

2.PassportApplicationForm(s)Filled­inandAttached: Y e s N o 3.DetailsofVisit: CountriestobeVisitedon

No

3.DetailsofVisit:

CountriestobeVisitedon

CountriestobeTransited

PurposeandDuration

OfficialDuty

4.Political/PMOclearanceEnclosed:

OfficialDuty 4.Political/PMOclearanceEnclosed: Y e s N o

Yes

OfficialDuty 4.Political/PMOclearanceEnclosed: Y e s N o

No

5.Thisiscertifiedthatthevisithasbeenapprovedbythecompetentauthorities,andtheperiodofdeputationwillbetreated

asGovernmentofIndia/StateGovernmentdutyandhe/sheshalldrawpayandallowancesinIndia.

(ForOfficialUseOnly)

SignatureofForwardingOfficer

AlongwithName/Stamp/PhoneNumber

SafeCustody

IssueofPassport

DiplomaticPassportSafeCustody IssueofPassport

OfficialPassportSafeCustody IssueofPassport DiplomaticPassport ReleasefromS/C VisaNotefor   Cancellation

ReleasefromS/C

VisaNotefor

 

Cancellation

ExpectedDateofDelivery

 

Remarks