‡gwkb wi‡Wej cvm‡cvU© AbjvBb

wb‡`©wkKv'2016

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†gwkb wi‡Wej cvm‡cvU© (MRP) AbjvBb Gwcø‡Kk‡b Avcbv‡K ¯^vMZg| AbyMªn K‡i AbjvBb dig cyiY Kivi c~‡e© wb¤œwjwLZ
wbqgvejx fv‡jvfv‡e coyb|

MRP wK?
MRP n‡”Q Ggb GKwU cvm‡cvU© hv‡Z Av‡e`bKvixi e¨w³MZ Z_¨ Ggbfv‡e Qvcv‡bv nq hv Lvwj †Pv‡L cov hvq Ges GKB
mv‡_ G‡Z i‡q‡Q GKwU Ò†gwkb wi‡Wej †RvbÓ hv cvm‡cvU© enbKvixi e¨w³MZ mKj Z_¨weeiYx aviY K‡i| kyagy vÎ wbw`©ó
Kw¤úDUv‡ii gva¨‡g AvšÍR©vwZK mxgvbvmg~‡n GB Z_¨vejx cov hvq| cvm‡cvU©avixi Z_¨¸‡jv Ggb fv‡e wcª›U Kiv _v‡K †hb
Zv Lvwj †Pv‡LI cov hvq, Avevi GKB mv‡_ †gwkb wi‡Wej †Rv‡b Ggb fv‡e Qvcv _v‡K, GKwU we‡kl hš¿B ïay Zvi cv‡Vv×vi
Ki‡Z cv‡i| Av‡e`bKvixi ¯^-kix‡i cvm‡cvU© Awd‡m nvwRi n‡Z nq|
MRP Av‡Mi †P‡q wfbœ †Kb?
• Av‡e`bKvixi Qwe, AvOy‡ji Qvc Ges ¯^v¶i wWwRUvj di‡g‡U msMÖn Kiv nq
• Aby‡gv`b cØwZ B‡jKUªwbK
• †K›`ªxq cvi‡mvbvjB‡Rkb
• Zr¶bvr gwbUwis e¨e¯’v
• AvcUz‡WU wi‡cvwU©s e¨e¯’v
• AbjvBb A¨vwcø‡Kk‡bi e¨e¯’v

www.passport.gov.bd I‡qe mvB‡Ui GB wVKvbv G‡Wªm ev‡i UvBc Kivi ci cÖ_g †h c„ôv Avm‡e †mwUB GB I‡q‡ei †nvg
†cR| j¶¨Kiyb GB c„ôvi Dc‡ii w`‡K Home, MRP Online Application, Download MRP Form Ges Contact
GB 4wU †gby i‡q‡Q| GLv‡b MRP Online Application-G wK¬K Ki‡j GKwU WvqvjM e· Avm‡e hv‡Z †jLv i‡q‡Q

Please confirm that you have read the relevant information and guidelines before you can start your
application A_©vr GB c„ôvq evsjvq Ges Bs‡iRx‡Z †h bxwZgvjv †jLv Av‡Q †m¸‡jv fvjfv‡e c‡o c„ôvi me‡k‡l bx‡Pi
w`‡K GKwU †PK e· i‡q‡Q, †mwU †PK K‡i Continue to Online Enrolment evU‡b wK¬K Ki‡Z n‡e|

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 PASSPORT APPLICATION STAGE-1

Continue to Online Enrolment evU‡b wK¬K Kivi ci 2q †h c„ôvwU cª`w©kZ n‡e †mLv‡b PASSPORT
APPLICATION STAGE-1 GB †jLvwU †nwWs-G i‡q‡Q| Gi A_© n‡jv GLb Avcwb Online Application From
c~i‡Y cª_g avc-G Av‡Qb| GLv‡b evgw`‡Ki †h †jLv ¸‡jv‡Z ZviKv wPý (*) i‡q‡Q †mB ¯’vb ¸‡jv Acwinvh© fv‡e c~iY Ki‡Z
n‡e Ges evwK ¸‡jv Hw”QK wnmv‡e cyib Ki‡Z n‡e| cÖkœ‡evaK (?) wPý ¸‡jv wK¬K Ki‡j Gi DËi mieivn Kiv n‡e| wb‡æ cªwZ
†mKkb wK fv‡e cyib Ki‡Z n‡e Zv h_vh_fv‡e eY©bv Kiv n‡jvt

Passport Application Information

Applying in:
GwU GKwU Acwinvh© Z_¨ wnmv‡e Avcbv‡K c~ib Ki‡Z n‡e| Avcwb †Kvb †`k †_‡K `iLv¯Í Ki‡Z hv‡”Qb Zvi bvg Wvb cv‡ki
K‡¤^ve· †_‡K wbe©vPb Ki‡Z n‡e| GLv‡b wWdë wnmv‡e BANGLADESH wbe©vPb Kiv n‡q‡Q |
Application Type:
GLv‡b Application Type wnmv‡e cªv_vwgK fv‡e NEW APPLICATION K_vwU †jLv i‡q‡Q| Avcwb PvB‡j cieZx©
c„ôvq GB UvBc cwieZ©b K‡i wb‡Z cv‡ib|
Passport Type :
GLv‡b Wvbcv‡ki K‡¤^ve‡· ORDINARY, DIPLOMATIC, OFFICIAL GB 3wU Ackb Av‡Q| cÖvàZ¨v Abymv‡i
Passport type select Ki‡Z n‡e Ges cÖ‡hvR¨ †ÿ‡Î Supporting document mieivn Ki‡Z n‡e|
Official wbe©vPb Ki‡j bx‡Pi Supporting Document Gi Wvb cv‡k ïaygvÎ GO A_ev PDS Ackb Avm‡e| GO A_ev
PDS wm‡j± Ki‡j bx‡P Supporting Doc No-Gi Wvbcv‡ki †UKªUe·-G ‡idv‡iÝ ev †g‡gv b¤^i w`‡Z n‡e| D‡j- L¨
cvm‡cvU© UvBc DIPLOMATIC n‡j Supporting Document Ackb _vK‡ebv|
Delivery Typet
GLv‡b cvm‡cvU© wbqwgZ mg‡q †c‡Z n‡j Regular wbe©vPb Kiyb Avi Riyix n‡j Express wbe©vPb Kiyb | j¶¨ I Kiyb
Supporting Document-G †Kvb Ackb wbe©vwPZ _vK‡j wWdë wnmv‡e Express Ackb †`Lv‡e hv AcwieZ©bxq _vK‡e|
Personal Information :
GB †mKk‡b cªv_xi e¨w³MZ Z_¨ †hgb bvg, Rb¥ ZvwiL, D”PZv BZ¨vw` Z_¨ mievin Ki‡Z n‡e|

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Name of applicant t
GLv‡b Avcwb wb‡R cªv_x n‡j Avcbvi cy‡iv bvg mwVK evbv‡b wjLyb | GLv‡b A¶i Ges nvB‡db (-) Qvov Ab¨ †Kvb we‡kl wPý
e¨envi Kiv hv‡e bv|
First Part (Given Name).
GLv‡b Avcbvi cy‡iv bv‡gi cª_g Ask wjL‡eb| hw` cÖ_g Ask G‡Ki AwaK nq Zvn‡jI cy‡iv bv‡gi †kl Ask ev` w`‡q evKx
Ask¸‡jv cÖ_g Ask wnmv‡e Mb¨ n‡e| †hgb ABU NASSER MD BADRUDDUZA GLv‡b ABU NASSER MD
GB ch©šÍ cª_g Ask hv Given Name wnmv‡e Mb¨ n‡e|
Second Part (Surname):
GLv‡b Avcbvi cy‡iv bv‡gi †kl AskwU wjL‡Z n‡e| †hgb ABU NASSER MD BADRUDDUZA bv‡gi †kl Ask
BADRUDDUZA hv wØZxq Ask ev esk/‡MvÎ bvg Zv Surname wnmv‡e cwiMwbZ n‡e|

Guardian:
AvBbMZ †Kvb AwffveK _vK‡j †KejgvÎ †m †ÿ‡Î Guardian Acm‡b wUK (√) w`‡Z n‡e | j¶¨ Kiæb Guardian
†PKe· wbe©vPb Ki‡j bx‡Pi Father’s Name, Father’s Nationality, Father’s Profession cwieZ©xZ n‡q
Guardian’s Name, Guardian’s Nationality, Guardian’s Profession n‡e Ges Mother’s Name Gi Wvb
cv‡ki †PKe· NA (Not Applicable) iæcvšÍwiZ n‡q AbyR¡j n‡e hv‡Z cwieZ©b Kiv bv hvq| †mB mv‡_ Mother’s
Nationality –Gi wWdë wnmv‡e †`qv BANGLADESHI †jLvwU A`„k¨ n‡q hv‡e|
Father’s Name:
G As‡k wcZvi cy‡iv bvg w`‡Z n‡e|
Father’s Nationality: GLv‡b Avcbvi wcZvi RvZxqZv wbe©vPb Ki‡Z n‡e| wWdë wn‡m‡e BANGLADESHI wbe©vPb
Kiv _vK‡e|
Father Profession:
GLv‡b Avcbvi wcZvi †ckv wbe©vPb Ki‡Z n‡e| hw` wj‡ó wbe©vwPZ †ckv bv _v‡K Z‡e OTHER’S wbe©vwPZ Ki‡Z n‡e| j¶¨
Kiyb OTHER’S wbe©vwPZ _vK‡j bx‡P GKwU †U·U e· ms‡hvwhZ n‡e †lLv‡b Avcbvi wcZvi †ckv UvBc Ki‡Z n‡e|
Mother’s Name:
GLv‡b Avcbvi gvZvi cy‡iv bvg wjL‡Z n‡e|
Mothers Nationality :
GLv‡b Avcbvi gvZvi RvZxqZv wbe©vPb Ki‡Z n‡e| wWdë wnmv‡e BANGLADESHI wbe©vwPZ n‡q _vK‡e|

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Mother’s Profession t GLv‡b Avcbvi gvZvi †ckv wbe©vPb Ki‡Z n‡e| hw` wj‡ó wbe©vwPZ †ckv bv _v‡K Z‡e
OTHER’S wbe©vwPZ Ki‡Z n‡e| j¶¨ Kiyb OTHER’S wbe©vwPZ _vK‡j bx‡P GKwU †U·U e· ms‡hvwhZ n‡e †lLv‡b
Avcbvi gvZvi †ckv UvBc Ki‡Z n‡e|
Spouse’s Name:
GLv‡b Avcwb hw` weevwnZ n‡q _v‡Kb Zvn‡j Avcbvi ¯¿x ev ¯^vgxi cy‡iv bvg wjL‡Z n‡e|
Spouse’s Nationality:
GLv‡b Avcwb hw` weevwnZ n‡q _v‡Kb Zvn‡j Avcbvi ¯¿x ev ¯^vgxi RvZxqZv wbe©vPb Ki‡Z n‡e|
Spouse’s Profession:
Avcwb hw` weevwnZ n‡q _v‡Kb Zvn‡j Avcbvi ¯¿x ev ¯^vgxi ‡ckv wbe©vPb Ki‡Z n‡e| hw` wj‡÷ wba©vwiZ †ckv bv _v‡K Zvn‡j
OTHER’S wbe©vPb Ki‡Z n‡e| j¶¨ Kiyb OTHER’S wbe©vwPZ _vK‡j bx‡P GKwU †U·U e· ms‡hvwhZ n‡e †hLv‡b Avcbvi
¯¿xi †ckv UvBc Ki‡Z n‡e|
Marital Status:
GLv‡b Avcbvi weevwnZ Ae¯’v wbe©vPb Ki‡Z n‡e| Avcwb hw` KL‡bv weevn bv K‡i _v‡Kb Zvn‡j SINGLE, eZ©gv‡b
weevwnZ _vK‡j MARRIED, ZvjvKcÖvß ev ZvjvK w`‡j DIVORCED Ges weaev ev wecwZœK n‡j WIDOWED
wbe©vPb Kiyb |
Profession:
GLv‡b Avcbvi †ckv wbe©vPb Ki‡Z n‡e| hw` wj‡ó wbe©vwPZ †ckv bv _v‡K Z‡e OTHER’S wbe©vwPZ _vK‡j bx‡P GKwU †U·U
e· ms‡hvwhZ n‡e †lLv‡b Avcbvi †ckv UvBc Ki‡Z n‡e|
Country of Birth:
GLv‡b Avcbvi Rb¥¯’vb wnmv‡e †`‡ki bvg wbe©vPb Ki‡Z n‡e| wWdë wn‡m‡e BANGLADESH Gi bvg wbe©vwPZ Av‡Q|

Birth District:
GLv‡b Avcbvi Rb¥¯’vb wn‡m‡e ‡Rjvi bvg D‡jøL Ki‡Z n‡e| hw` Country Birth wn‡m‡e Bangladesh Gi bvg wbe©vPb
K‡ib Zvn‡j GLvb †_‡K †Rjv ¸‡jvi bvg Avm‡e| Avi BANGLADESH e¨wZZ Ab¨ †`‡ki bvg wbe©vPb Ki‡j †Rjv ev
we‡kl ¯’vb UvBc Ki‡Z n‡e|
Date of Birth
GLv‡b Avcbvi Rb¥ZvwiL GmGmwm mb`cÎ ev Rb¥ mb`cÎ ev bvMwiK mb`cÎ ev RvZxq cwiPqcÎ Abyhvqx
DD/MM/YYYY di‡g‡U-G UvBc Ki‡Z n‡e|
Gender:
GLv‡b Avcbvi wj½ wbe©vPb Ki‡Z n‡e|
Birth ID Number:
GLv‡b Avcbvi hw` Birth Identification b¤^i _v‡K Zvn‡j Zv UvBc Ki‡Z n‡e|
National ID Number:
GLv‡b Avcbvi hw` RvZxq cwiPqcÎ _v‡K Zvn‡j Zv UvBc Ki‡Z n‡e|
TIN ID Number:
GLv‡b Avcbvi hw` TIN _v‡K Zvn‡j Tax Identification Number UvBc Ki‡Z n‡e|
Height:
GLv‡b Avcbvi D”PZv †mw›UwgUvi ev Bw wnmv‡e †h‡Kvb GKwU‡Z UvBc Ki‡Z n‡e| Zvn‡j ¯^qswµqfv‡e Ab¨ †U·Ue· Zv †mt
wgt ev Bw Abymv‡i iæcvšÍwiZ n‡q hv‡e|
Religion:
GLv‡b Avcbvi wbR¯^ ag© wbe©vPb Ki‡Z n‡e| hw` wj÷ e‡· wba©vwiZ a©g bv _v‡K Zvn‡j OTHER’S wbe©vPb Ki‡Z n‡e|
j¶¨ Kiyb OTHER’S wbe©vwPZ _vK‡j bx‡P GKwU †U·U e· ms‡hvwhZ n‡e †lLv‡b Avcbvi ag© UvBc Ki‡Z n‡e|
E Mail :
GLv‡b Avcbvi GKwU B‡gj wVKvbv D‡jøL Ki‡Z n‡e|
Citizenship Information :
GB †mKk‡b Avcbvi bvMwiKZ¡ m¤ú‡K© Z_¨ w`‡Z n‡e|
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Nationality :
GLv‡b Avcbvi RvZxqZv wbe©vPb Ki‡Z n‡e| wWdë wn‡m‡e BANGLADESHI wbe©vwPZ _v‡K|
Citizenship Status :
GLv‡b Avcbvi bvMwiKZ¡ Ae¯’v m¤ú‡K© Z_¨ w`‡Z n‡e| Avcwb hw` Rb¥m~‡Î bvMwiKZ¡ †c‡q _v‡Kb Zvn‡j Birth wbe©vPb
Ki‡Z n‡e| Avcwb hw` wcZ…Z¡ ev gvZ…Z¡ m~‡Î bvMwiK n‡q _v‡Kb Zvn‡j PARENTAGE, gvB‡MÖkb ev ¯’vbvšÍi n‡q _vK‡j
MIGRATION, bvMwiKZ¡ Av‡e`b K‡i †c‡q _vK‡j NATURALIZATION A_ev Ab¨ †Kvb Dcv‡q bvMwiKZ¡ †c‡q
_vK‡j OTHER,S wbe©vPb Kiyb | j¶¨ Kiyb OTHER’S wbe©vwPZ _vK‡j bx‡P GKwU †U·U e· ms‡hvwhZ n‡e †lLv‡b
Avcbvi Citizenship Status UvBc Ki‡Z n‡e|
Dual Citizenship:
Avcwb hw` ˆØZ bvMwiKZ¡ myweav †c‡q _v‡Kb Zvn‡j Yes †iwWI evU‡b wK¬K Kiyb bZyev No †Z wK¬K Kiyb | j¶¨ Kiyb Yes
wK¬K Ki‡j Passport No bv‡g GKwU ‡U·U e· mshy³ n‡e Ges Issuing Country bv‡g GKwU K‡¤v^e· mshy³ n‡e|
Passport No ‡UK&ªUe‡K&ª Avcbvi cvm‡cvU© b¤^ iwU wjLyb Ges Issuing Country K‡¤v^e‡· Avcwb †h ‡`‡ki bvMwiKZ¡
myweav AR©b K‡i‡Qb Zvi bvg wbe©vPb Kiyb |
Present Address:
GLv‡b Avcbvi eZ©gvb wVKvbv m¤ú‡K© Z_¨ mievin Ki‡Z n‡e|
Village/ House:
Avcbvi Mªv‡gi bvg ev evoxi b¤^i ev bvg D‡jøL Ki‡Z n‡e|
Road/Block/Sector:
GLv‡b Avcbvi evoxi ev Mªv‡gi iv¯Ív, e- K ev †m±i b¤^i D‡jøL Ki‡Z n‡e|
District:
GLv‡b Avcwb eZ©gv‡b †h †Rjvi evwm›`v †m †Rjvi bvg wbe©vPb Ki‡Z n‡e|
Police Station:
GLv‡b Avcbvi eZ©gvb †Rjvi cywjk †ókb ev _vbv wbe©vPb Ki‡Z n‡e|
Permanent Address:
GB †mKk‡b Avcbvi Present Address Gi b¨vq ¯’vqx wVKvbvi Z_¨ mievin Ki‡Z n‡e| Avcbvi ¯’vqx wVKvbv hw` eZ©gvb
wVKvbvi Abyiyc n‡q _v‡K Zvn‡j ¯’vqx wVKvbvi Z_¨ ¸‡jv ¯^qswµqfv‡e wbe©vwPZ n‡e| Avcbv‡K Avi UvBc Ki‡Z n‡e bv| Avi
hw` ¯’vqx wVKvbv eZ©gvb wVKvbvi Abyiæc bv n‡q _v‡K Zvn‡j c~‡e©i b¨vq Permanent Address UvBc Kiyb |
SAVE NOW & CONTINUE IN THE FUTURE :
Avcwb hw` D‡jøwLZ Z_¨ GLb msi¶b K‡i cieZ©x evKx Ask STAG-2 c~ib Ki‡Z Pvb Zvn‡j GB evUbwU‡Z wK¬K Kiyb |
Zvn‡j D‡jøwLZ B‡gj wVKvbvq Avcbvi Gwcø‡Kkb AvBwW Ges cvmIqvW© mievin Kiv n‡e hv‡Z cieZx©‡Z evKx Ask STAG-
2 mivmwi cyib Ki‡Z cv‡ib|

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j¶¨ Kiyb GKwU ‡g‡mR e‡· ÒYour application has been saved. Please check your email for your
application ID and passwordÓ ‡jLv Dcw¯’Z n‡q‡Q|
Gevi Ok evU‡b wK¬K Kiyb Ges †ei n‡q hvb A_ev GLywb evKx Ask STAG-2 cyib Ki‡Z PvB‡j SAVE & NEXT
evU‡b wK¬K Kiyb | Avcbvi B-†gBj †_‡K Gwc- ‡Kkb AvBwW Ges cvmIqvW© †R‡b wb‡q Application ID †U·U e‡·
Gwc- ‡Kkb AvBwW Ges Password ‡UK&ªUe‡K&ª cvmIqvW© UvBc K‡i Login Kiyb |
j¶ Kiyb bZzb †h †cBR Avm‡e †mLv‡b Application Status, Complete Application Ges Change Password GB
wZbwU Ackb mshy³ n‡q‡Q Ges Zvi bx‡P Avcbvi bvgmn Logout Ackb hy³ n‡q‡Q| Dc‡ii evg cv‡k mshy³ n‡q‡Q
Avcbvi Gwcø‡Kkb AvBwW| USER APPLICATION STATUS ‡mKk‡b ÒYour Online Application is not yet
completed” evZ©vwU †`Lv‡”Q| A_©vr Avcbvi Gwcø‡KkbwU GLbI m¤ú~b© c~iY nqwb| Avcwb PvB‡j Complete Now-G
†jLvwU‡Z wK¬K K‡i PASSPORT APPLICATION STAGE-1 DcwbZ n‡Z cv‡ib Ges cÖ‡qvRbxq ms‡kvab bv _vK‡j
STAGE-2 evU‡b wK¬K K‡i mimwi STAGE-2 †Z †h‡Z cv‡ib|

Application Status
USER APPLICATION STATUS-G ÒYour online application is not yet completedÓ evZ©vwU hw` †`Lvq
Zvn‡j eyS‡Z n‡e Avcbvi Gwcø‡Kkb wU GLbI m¤ú~b© c~iY nqwb| Avcwb PvB‡j Complete Now G †jLvwU‡Z wK¬K K‡i
PASSPORT APPLICATION STAGE-1 G DcwbZ n‡Z cv‡ib Ges cÖ‡qvRbxq ms‡kvab bv _vK‡j SAVE &
NEXT evU‡b wK¬K K‡i STAGE-2 †Z †h‡Z cv‡ib| Avi hw` USER APPLICATION STATUS-G Ò You are
advised to visit [...]Branch/Foreigh mission on for your bio-enrolment. Please remember to take your
bio-enrolment or your application will expire after 15 days from the day you submitted your online
application […]Ó Zvn‡j 15 w`‡bi g‡a¨ Avcbv‡K Avcbvi Dwj- wLZ cvm‡cvU© Awd‡mi kvLvq wM‡q ev‡qv-Gb‡ivj‡g›U
Ki‡Z n‡e| hw` bv K‡i _v‡Kb Zvn‡j Avcbvi Gwcø‡Kkb AbjvB‡b `vwLj Kivi 15 w`b c‡i ¯^qswµq fv‡e gy‡Q hv‡e|

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Print Application Form :
GB evUbwU‡Z wK¬K K‡i Avcbvi c~iYK…Z Gwcø‡Kkb dig wcÖ›U K‡i wb‡Z cv‡ib|
Complete Application:
GB †gby‡Z wK¬K K‡iI Avcwb Av‡Mi Ae¯’vq PASSPORT APPLICATION STAG-1 †h‡Z cv‡ib Ges cÖ‡qvRbxq
ms‡kvab bv _vK‡j SAVE & NOW evU‡b wK¬K K‡i mivmwi STAGE-2 †Z †h‡Z cv‡ib|
Change Password :
Avcwb Avcbvi cvmIqvW© cwieZ©b PvB‡j GB evU‡b wK¬K Kiyb | GLv‡b cyi‡bv cvmIqvW© UvBc K‡i bZyb cvmIqvW© `yB evi
UvBc K‡i †mf Kiyb | Zvn‡j cvmIqvW© cwiewZ©Z n‡e|
Forgot Password :
Avcwb cvmIqvW© fy‡j †M‡j Online Application ID Rvbv _vK‡j Zv UvBc K‡i SUBMIT evUbwU‡Z wK¬K Kiyb | Avcbvi
bZyb cvmIqvW©wU Avcbvi Gb‡ivj‡g‡›Ui mg‡q †h B‡gj wVKvbv mievin K‡i‡Qb †m B‡gj wVKvbvq cvwV‡q †`qv n‡e| ÒYour
application has been saved. Please check your e-mail for your application ID & passwordÓ GiKg GKwU
†g‡mR Avm‡j ok evU‡b wK¬K Kiyb |
Download MRP From :
Avcbvi cvm‡cvU© dig wcª›U K‡i †c‡Z PvB‡j GLv‡b wK¬K Kiyb | GB AcyibK„Z digwU Avcwb PvB‡j nv‡Z wj‡L ev UvBc K‡i
g¨vbyqvj c×wZ‡Z Av‡e`b dig Avcbvi GjvKvi cvm‡cvU© Awd‡m Rgv w`‡Z cv‡ib|
Contact:
Avcbvi †h‡Kvb cªKvi Bb‡Kvqvwi ev Rvbvi _vK‡j A_ev †Kvb †g‡mR, mv‡Rkb ev Awf‡hvM _vK‡j GLv‡b wK¬K Kiyb | GLv‡b
cª‡qvRbxq †dvb b¤^i, wVKvbv †`Iqv Av‡Q | †Kvb †g‡mR ivL‡Z PvB‡j Avcbvi bvg, B‡gj Ges K›Uv± b¤^i Ges Avcbvi
†g‡mR UvBc K‡i SUBMIT evU‡b wK¬K Kiyb |
SAVE & NEXT:
GB evUbwU wK¬K K‡i Avcwb Zr¶bvr Passport Application STAGE-2 -‡Z †h‡Z cv‡ib|

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 PASSPORT APPLICATION STAGE-2

Application Contact Information:

GB †mKk‡b Avcbvi †hvMv‡hv‡Mi Rb¨ Awdm ‡dvb b¤^i, evoxi †dvb b¤^i, PjwZ †gvevBj b¤^i mievin Ki‡Z n‡e|
Emergency Contact Person’s Details:
Avcbvi e¨vcv‡i Riæix wfwˇZ †hvMv‡hv‡Mi Rb¨ Avcbvi wbKU AvZ¥xq ev cwiwPZ R‡bi bvg I †hvMv‡hv‡Mi Rb¨ GKwU †dvb ev
†gvevBj b¤^i, wVKvbv BZ¨vw` mievin Ki‡Z n‡e|
Name:
GLv‡b Avcbvi wbKU AvZ¥xq ev cwiwPZ R‡bi cy‡iv bvg wjL‡Z n‡e|
Country :
GLv‡b Avcbvi wbKU AvZ¥xq ev cwiwPZ Rb †Kvb †`‡ki Awaevmx †m †`‡ki bvg wbe©v Pb Ki‡Z n‡e| wWdë wnmv‡e
BANGLADESH wbe©vPb Kiv Av‡Q|

Same as permanent address/Same as present address :

GLv‡b Avcbvi wbKU AvZ¥xq ev cwiwPZ R‡bi wVKvbv hw` Avcbvi ¯’vqx ev A¯’vqx wVKvbvi Abyiæc n‡q _v‡K Zvn‡j Same as
permanent address ev Same as present address †PKe‡· wUK wPýw`b| Zvn‡j Zv ¯^qswµqfv‡e Village/House,
Road/Block/Sector, District, Police Station, Post office BZ¨vw` cyiY n‡q hv‡e| Avi hw` Abyiæc bv n‡q _v‡K
Zvn‡j UvBc ev wbe©vPb K‡i w`‡Z n‡e|
Contact Number.
GLv‡b Avcbvi wbKU AvZ¥xq ev cwiwPZ R‡bi eZ©gvb †dvb ev †gvevBj b¤^i UvBc Ki‡Z n‡e|
E Mail:
GLv‡b Avcbvi wbKU AvZ¥xq ev cwiwPZ R‡bi hw` B‡gj wVKvbv _v‡K Zvn‡j Zv mievin Ki‡Z n‡e|
Relationship :
GLv‡b Avcbvi wbKU AvZ¥xq ev cwiwPZ R‡bi ms‡M Avcbvi wK m¤úK© Zv wbe©vPb Ki‡Z n‡e| hw` wj‡ó wbe©vwPZ m¤úK© bv _v‡K
Zvn‡j OTHER’S wbe©vPb Ki‡Z n‡e| j¶¨ Kiyb OTHER’S wbe©vwPZ _vK‡j bx‡P GKwU †U·U e· ms‡hvwhZ n‡e †lLv‡b
Avcbvi Relationship UvBc Ki‡Z n‡e|

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Old Passport Information:
GB †mKk‡b Avcbvi hw` c~‡e©i cvm‡cvU© ‡_‡K _v‡K Zvn‡j ‡m m¤úwK©Z Z_¨ mievin Ki‡Z n‡e| hw` c~‡e©i cvm‡cvU© G‡Ki
AwaK n‡q _v‡K Zvn‡j ‡kl cvm‡cvU©wUi Z_¨ mievin Ki‡Z n‡e|
Pssport No :
GLv‡b Avcbvi hw` c~‡e©i cvm‡cvU© †_‡K _v‡K Zvi b¤^i UvBc Ki‡Z n‡e|
Place of Issue :
GLv‡b c~‡e©i cvm‡cvU© †Kv_v ‡_‡K Bmy¨ Kiv n‡q‡Q ‡m ¯’v‡bi bvg w`‡Z n‡e †hgb DIP/Dhaka
Date of Reissue:
‡h Zvwi‡L c~‡e©i cvm‡cvU©wU Bmy¨ Kiv n‡q‡Q Zvi ZvwiL w`‡Z n‡e|
Reissue Reason :
†Kb bZyb cvm‡cvU© Ki‡Z Pvb Zvi KviY wbe©vPb Ki‡Z n‡e| hw` cyivZb cvm‡cvU©wU nv‡Z †jLv n‡q _v‡K Zvn‡j
CONVERSION wbe©vPb Kiyb | hw` Avcbvi c~‡e©i cvm‡cvU©wUi †gqv` †kl n‡q hvq Zvn‡j EXPIRED wbe©vPb Kiyb |
hw` Avcbvi cvm‡cvUwU© nvwi‡q hvq Zvn‡j LOST wbe©vPb Kiyb | j¶¨ Kiyb LOST wbe©vPb Ki‡j Reported Date, GD-
No bv‡g `ywU †UK&ªU eK&ª Ges POLICE STATION bv‡g GKwU K‡¤^veK&ª hy³ n‡q‡Q| GLv‡b †h Zvwi‡L Avcwb nvwi‡q hvIqv
cvm‡cv‡U©i wRwW K‡i‡Qb Zvi ZvwiL, wRwW bs Ges †hLv‡b wRwW K‡i‡Qb †m _vbvi bvg wbe©vPb Kiyb | hw` bZyb cvm‡cvU©wU
e¨env‡ii A‡hvM¨ ‡hgb cvZvwQu‡o hvIqv, Av¸‡b cy‡o hvIqv, MRP Ask cv‡VvÏvi bv Kiv hvq Zvn‡j UNUSABLE wbe©v Pb
Kiyb |
Payment Information :
GL‡b Avcbvi †c‡g›U m¤úwKZ Z_¨ cª`vb Ki‡Z n‡e|
Skip Payment :
Avcwb hw` GLywb †c‡g›U m¤úK©„Z Z_¨ bv w`‡Z Pvb Zvn‡j Skip Payment †PKe·wU wK¬K Kiyb Ges PREVIOUS PAGE
ev SAVE & NEXT evU‡b wK¬K Kiyb |
Amount:
evsjv‡`kx UvKvq gy`ªvi cwigvb D‡jøL Kiyb |
Date of Payment :
†c‡g‡›Ui ZvwiL wjLyb|
Receipt No :
e¨vs‡Ki wiwmÞ b¤^i wjLyb|
Name of Bank :

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e¨vs‡Ki bvg wbe©vPb Kiyb |
Name of Branch:
e¨vs‡Ki wbw`©ó kvLv mg~n †_‡K GKwU kvLv wbe©vPb Kiyb |
Avcwb †h wbw`©ó cvm‡cvU© Awd‡m Gwcø‡Kkb cª`vb Ki‡eb †m Awd‡mi AvIZvq †h kvLv mg~n †_‡K cvm‡cvU© wd cwi‡kva
K‡i‡Qb †m kvLvi bvg wbe©vPb Kiyb |

PREVIOUS PAGE :
hw` c~‡e©i c„ôvq ms‡kvab _v‡K Zvn‡j PREVIOUS PAGE wK¬K Kiyb |

SAVE & NEXT :

hw` ms‡kvab bv _v‡K Zvn‡j SAVE & NEXT evUb wK¬K Kiyb | Zvn‡j cieZ©x †kl avc Passport Application
Review Enrolment Summary Avm‡e|

PASSPORT APPLICATION REVIEW ENROLMENT SUMMARY

GLv‡b Avcbvi Bb‡ivj‡g›U ev ZvwjKvfyw³i ZvwiL cª`k©b Ki‡Q | Reminder before submitting application-G
Avcbv‡K ¯§ib K‡i †`qv n‡”Q †h GKevi Submit ev Save evU‡b wK¬K Kivi ci Avcbv‡K Avi ms‡kvab Kivi my‡hvM †`Iqv
n‡e bv|

15 Kvh©w`e‡mi g‡a¨ Avcbvi D‡jøwLZ kvLvq ev‡qv‡gwUªK K¨vcPv‡ii Rb¨ Dcw¯’Z n‡Z n‡e| (A_©vr Qwe †Zvjv, Av½y‡ji Qvc
†`Iqv BZ¨vw`)| Avcwb †hme Z_¨ mievin K‡i‡Qb Zvi mvims‡¶c GLv‡b †`Lv hv‡e| hw` †Kvb cwieZ©b Ki‡Z Pvb Zvn‡j
PREVIOUS PAGE evU‡b wK¬K K‡i ms‡kvab Ki‡Z cvi‡eb| mewKQy wVK _vK‡j SAVE evU‡b wK¬K Kiyb |

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j¶¨ Kiyb SAVE evUb cwiewZ©Z n‡q SUBMIT n‡q‡Q| Gevi SUBMIT evU‡b wK¬K Ki‡j GKwU †g‡mR e· Avm‡e
hv‡Z †jLv _vK‡e No modification in allowed after you submit your application. Your application
remain’s valid for next 15 days. A_©vr GLv‡b Avi †Kvb cwieZ©b ms‡kvab Kiv hv‡e bv| Avcbvi Gwcø‡Kkb cieZx© 15
Kg©w`em ch©š — WvUv‡e‡R msiw¶Z _vK‡e| GiRb¨ Avcbvi ev‡qv‡gwUªK K¨vcPvi m¤úbœ Ki‡Z n‡e| hw` D‡jøwLZ mgq mxgvi
g‡a¨ m¤úbœ bv n‡q _v‡K Zvn‡j WvUv‡eR †_‡K ¯^swµqfv‡e Avcbvi Z_¨ gy‡Q hv‡e|

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Avcwb hw` Pvb G¶ywb Av‡iKwU Gwcø‡Kkb c~iY Ki‡Z Zvn‡j Zv Avcbvi Rb¨ Dchy³ _vK‡e| OK evUb wK¬K Kivi ci
Avcbvi Gwcø‡Kkb PDF di‡g‡U dvBjwU WvDb‡jvW K‡i wcª›U K‡i D‡jøwLZ cvm‡cvU©© Awd‡m Rgv w`b|

j¶¨ Kiyb Avcbvi Gwcø‡Kkb digwU‡Z cª_g c„ôvq evsjvq Avcbvi bvg wcª›U ev nv‡Z wj‡L w`‡Z n‡e|

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Av‡e`b di‡gi µwgK b¤^i 24 G Av‡e`b c‡Îi mv‡_ mshy³ `wjjvw`‡Z Avcwb hv hv Rgv w`‡eb †mme N‡i Avcbv‡K wUK
wPý w`‡Z n‡e| Gici GKB c„ôvq Avcbvi ¯^v¶i ev Av‡e`Kvixi Acªv ß eq¯‹ n‡j Awffve‡Ki ¯^v¶i ev wUcmB w`‡Z n‡e|
PZy_© c„ôvq Avcbvi hw` cªZ¨vqb Kivi kZ© _v‡K Zvn‡j cªZ¨vqb K‡i wb‡Z n‡e|

MYcªRvZš¿x evsjv‡`k miKvi

ewnivMgb I cvm‡cvU Awa`ßi
B-7, AvMviMuvI, XvKv-1207|
www.dip.gov.bd

****************

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