Lost Passport | Damaged Passport

Passport Type
Applicant Details
Family Details
Present Residential Address
Emergency Contact
Previous Passport
Self Declaration
Submit From

Company

Passport Type **

Please read the passport application carefully before filling 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

Whatsapp Number : *

Your Passport Office Name: *

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

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 **

Address Proof : *

Date of Birth : *

Education Proof : *

Terms & Conditions

Money-Back Guarantee up to 95% within 15 Days if Passport Application not Submit. Send Passport Appointment letter within 5 working days, as Appointment Date Issue by the Passport office.

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Our Helpline / Whatsapp No. 9432815988 | Taxdarpan@gmail.com

Lost or Damaged Passport Application