Lost Passport Application | Damaged Passport Application

Passport Type **

Please read the passport application carefully before filling the passport application form. Furnishing of incorrect information/suppression of information would lead to rejection of application and would attract penalty provisions as prescribed under the Passports Act, 1967. Please produce your original documents at the time of submission of the passport application form.

Type of Application :

Normal Tatkaal

Type of Passport Booklet :

36 Pages 60 Pages

Applying for :

Re-issue | Correction Passport Lost | Damage Passport

Phone Number :

Whatsapp Number :

Email Address :

( Note: While applying under Fresh Passport category - please make sure you never held a Passport of the applied category (i.e. Ordinary Passport, Diplomatic Passport or Official Passport) in the past. )

Application Details **

Given Name :

( First + Middle Name)

Surname :

Gender :

Male Female Transgender

Date of Birth (DD/MM/YYYY) :

Place of Birth (Village/Town/City) :

District :

State :

Marital Status :

Employment Type :

Is either of your parent (in case of minor)/spouse, a government servant? :

Yes No

Educational qualification :

Visible distinguishing mark :

Aadhaar Number :

(if available)

Family Details **

Please enter proper Father, Mother or Legal Guardian Names in an application form.

Father's Given Name :

(First + Middle Name )

Father's Surname :

Mother's Given Name :

(First + Middle Name)

Mother's Surname :

Present and Permanent Address **

House No. and Street Name :

Village/Town/City :

Police Station :

PIN Code :

E-mail Id :

District :

Mobile Number :

State :

Telephone Number :

Is your Permanent Address same as Present Address ? :

Yes

No

Emergency Contact Details **

Name :

Address

Mobile Number :

E-mail Id :

Previous Passport Details **

Passport Number :

Date of Issue :

Date of Expiry :

Place of Issue (Village/Town/City) :

File Number :

Self Declaration **

I D Proof :

Address Proof :

Date of Birth :

Education Proof :

Please read the declaration carefully

Passport	Online Passport Application	Passport Documents
Passport fees	Lost Passport	Affidavits & Annexures
Indian Passport Office	Passport Seva Kendra	Ecnr & Non Ecr
Passport Holiday	Passport NOC Form	Customer Care Number
Police Verification	Passport Cover	Indian Passport Website

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Contact Us : 9432815988 ( Tax Consultant )