PHOTOCOPY OF THIS FORM IS ACCEPTABLE
FORM NO. 2 EXTERNAL
FREE OF CHARGE
APPLICATION FORM FOR MISCELLANEOUS SERVICES ON INDIAN PASSPORT
(For use in Indian Mission/Post)(a)Renewal (b)Additional Booklet (c)Change of Address (d)PCC (e)Additional Endorsement (f) Child Deletion (g)Any Other Service (Specify)
(Please delete inapplicable)
Please staple one Photograph of size of 35mm x 45mm & enclose three for additional booket
Specimen Signature
 

Payment of Fee (to be filled by applicant)

Amount Paid $__________________by______________________(Mode of Payment)

(For Delivery by mail $___________ extra to be paid as postal charges for each passport.)

1. Full Name_____________________________________________

2. Applicant's Car Driving Licence No.______________ Date & Place of Issue______________

3. Residential address:

             (i) In India (Permanent)                                                   (ii) In country of domicile

_______________________________                           _______________________________

_______________________________                           _______________________________

_______________________________                           _______________________________

 

Tel:____________________________                           Tel:___________________________

4. Profesional and business adress: _______________________________________________ __________________________________________________________________________

Tel: _______________________________________________________________________

5. Is applicant registered with the Indian Mission/Post? If not is he a member of any Organisation? Give details.

 

 

6. (i) Name of Father
    (ii) Name of Mother
    (iii) Name of Spouse & Nationality

7. Current Passport No.____________________ Place of its issue______________________

Date of issue________________ Valid until__________

8. Particulars of children to be deleted:

                 Name                                      Place & Date of Birth                                  Sex (M/F)

________________________           ________________________           ________________________

________________________           ________________________           ________________________

________________________           ________________________           ________________________

Note: Separate passport will be issued to children of all ages. However, children below 15 years of age will be given a 5 year maximum validity passport only.

9. DECLARATION

I owe allegiance to the sovereignty, unity & integrity of India and have not voluntarily acquired the citizenship or travel document of another country. I have not lost, surrendered or been deprived of citizenship of India. The information given bye me is true and I am solely responsible for its accuracy. I am aware that it is an offence under the Passport Act, 1967 to furnish any false information or to suppress any material information with a view to obtaining passport or any other travel document.
 

__________________________________________ Signature / Thumb Impression of applicant

(Left Hand T.I. if male and Right Hand T.I. if female)

Date_____________ Place___________________
10. Two specimen signature or thumb impressions required for service (c) within the space given bellow
 
 

________________________________________________________________________________

FOR OFFICE USE

11. In case of minors, following passport particulars of boot parent must be given:

                                                         Mother                                      Father

(a) Passport No. ____________________________________________________

(b) Date of Issue ____________________________________________________

(c) Place of Issue ____________________________________________________

(d) If parent have applied for a passport, please give

File No. & Date ____________________________________________________

12. Declaration of Parents or Guardian if passport is for minor: (To be signed by both Parents or Guardian)

We affirm that the particulars given above are in respect of (Name)_____________________ son/daughter of Smt.___________________________Sh_____________________________ of whom we are the Parents/Guardians. We undertake the entire responsability for his/her expenses. We solemnly declare that he/she has not lost, surrenderd or been deprived of his/her citizenship of India and that the information given in respect of him/her in this application is true. It is also certified that the name of the child mentioned is not included in Passport of either parent.

___________________________ AND ___________________________ OR __________________________

Mother                                                 Father                                                 Guardian

Name & Signature/T.I. or both the Parents/Guardian
(Left hand T.I. if male and Right hand T.I. if female)

Place________________________________Date_______________________________