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    Paste Your Unsigned Recent Color Photograph Size:2"X2": (Application Form For Indian Passport at Indian Mission/Posts)

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    Prince Kumar
    Raj Kumar, a 61-year-old Indian national, has applied for an Indian passport while residing in the Philippines. He provides personal details including his birthplace in India, permanent address, family information, and confirms his allegiance to India. As his spouse is Filipino, he must obtain a passport as an Emigration Check Required (ECR) applicant due to his emigration status.

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    Paste Your Unsigned Recent Color Photograph Size:2"X2": (Application Form For Indian Passport at Indian Mission/Posts)

    Uploaded by

    Prince Kumar
    66 views3 pages
    Raj Kumar, a 61-year-old Indian national, has applied for an Indian passport while residing in the Philippines. He provides personal details including his birthplace in India, permanent address, family information, and confirms his allegiance to India. As his spouse is Filipino, he must obtain a passport as an Emigration Check Required (ECR) applicant due to his emigration status.

    Original Title

    PHLMP00FA915

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    Raj Kumar, a 61-year-old Indian national, has applied for an Indian passport while residing in the Philippines. He provides personal details including his birthplace in India, permanent address, family information, and confirms his allegiance to India. As his spouse is Filipino, he must obtain a passport as an Emigration Check Required (ECR) applicant due to his emigration status.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    66 views3 pages

    Paste Your Unsigned Recent Color Photograph Size:2"X2": (Application Form For Indian Passport at Indian Mission/Posts)

    Uploaded by

    Prince Kumar
    Raj Kumar, a 61-year-old Indian national, has applied for an Indian passport while residing in the Philippines. He provides personal details including his birthplace in India, permanent address, family information, and confirms his allegiance to India. As his spouse is Filipino, he must obtain a passport as an Emigration Check Required (ECR) applicant due to his emigration status.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Paste your

    unsigned
    recent Color
    photograph
    Size:2"X2"

    (APPLICATION FORM FOR INDIAN


    PASSPORT AT INDIAN MISSION/POSTS)

    WEBFILE NO:-

    PHLMP00FA915

    Specimen Signature

    Payment of Fee(to be filled by Applicant)


    Amount paid $/E ............................................. by .......................................................... Mode of payment
    For delivery by mail $/E ..........extra to be paid as postal charges for each passport
    1. (a) Full Name (expanded initials)

    (d) Email id
    2. Date of birth
    Place of birth

    RAJ KUMAR

    Phone NO

    MobileNo

    06-NOV-1961

    Sex

    MUGGOWAL HOSHIARPUR

    District/Country of Birth

    Height

    162

    (cms)

    Visible distinguishing marks, if any


    3. Permanent Address :
    (a) To be printed on passport
    (b) Other Adress:-

    4. (i) Name of Father


    Country of his birth
    (ii) Name of Mother
    Country of her birth
    iii) Nationality of Father at the time of applicants birth
    (iv) Nationality of Mother at the time of applicants birth
    5.Marital Status
    6. Name of Spouse

    MALE

    Color of eyes

    INDIA

    BROWN

    Color of Hair

    BLACK

    LEFT LEG

    #20 AREA 1 DAAN TUBO


    LOYOLA HEIGHTS QUEZON CITY
    VPO MUGGOWAL TEH.
    GARSHANKAR DISTT.
    HOSHIARPUR, PUNJAB, INDIA
    AVTAR CHAND
    INDIA
    BHAJNO
    INDIA
    INDIAN
    INDIAN
    MARRIED
    DE LEON BARBARA P

    and Nationality
    FILIPINO
    7. Particulars of person to be intimated in the event of death or accident:
    Name ...
    Address

    E5658599
    MANILA
    8. Present Passport/ nationality, identity card, if any No.
    Date and Place of issue
    9. Local car driving Licence No. . Date and Place of issue ..
    HIGH SCHOOL
    10. Educational qualification
    (In order to determine emigration status).
    11. When did applicant first leave India?

    09164479125

    PHLMP00FA915

    Surname ,
    Given name
    (b) Aliases, if any (Surname)
    (c) Applicant ever changed his/her name
    Is so, give previous name in full

    When was he/she in India last?

    30-JUN-2006

    12. How long has applicant continuously resided abroad?


    13. Present Emigration Status (ECR or ECNR) ECR
    ECNR
    (With documentary evidence)
    14. Profession and business address
    Telephone
    15. Please mention, if citizen of India by birth/descent/Naturalization/Registration.
    16. Did applicant ever possess any other nationality or travel document of any other country? If so please give details
    17. Was applicant ever refused an Indian Passport?
    (Yes/No)
    18. Was applicants passport ever impounded/revoked? If so, details please.
    (Yes/No)
    19. Name and address of two relatives/friends
    (1)
    (2)

    20.Is 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

    21. (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
    .
    22. No. of lost/damaged passport .................
    place of issue .................
    Date of issue ...............
    Valid until .................
    23. (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
    ...................................................................................
    24. Is applicant registered with Indian Mission/Post ? If not, is he/she a member of any Indian Organisation ?
    25. Particulars of children, if any, to be deleted
    Name
    Place & Date of birth
    (M/F)

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

    Date/Place
    27. In case of minors, following passport particulars of both parents must be given:
    Mother

    Father

    (a) Passport No. :


    (b) Date of Issue :
    (c) Place of Issue:

    ..

    (d) If parents have applied for a passport, please give File No & date
    ..
    .

    PHLMP00FA915

    Signature/Thumb Impression of applicant


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

    28 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 / Guardian.
    We undertake the entire responsibility for his/her expenses.We solemnly declare that he/she has not lost,surrendered 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.
    ..ANDOR.

    Mother

    Father

    Guardian

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

    29. Specimen signature or T.I.within the Space given below :

    FOR OFFICE USE ONLY

    PHLMP00FA915

    Place.Date

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