Vaigai Wings :: Fresh Passport Form

Fresh Passport Form

QUESTIONNAIRE FOR PASSPORTSERVICES
PLEASE FILL UP ALL THE COLUMNS IN BLOCK LETTERS

1.	Are you a Citizen of India by Birth :*	Yes No
2.	Photo :
3.	Nature of Service :*	Eg: Fresh/Renewal/Minor/NameChange/FeatureChange
4.	Have you ever applied for a passport before, if yes furnish details :*	Yes No
5.	Your Old Passport Number :
6.	Expiry Date :
7.	Issue Date :
8.	Place of Issue :
9.	Surname (Initial Expansion) :*
10.	Given Name :*
11.	Father’s Name :*
12.	Mother’s Name :*
13.	Spouse’s Name :
14.	Place of Birth :*
15.	District & State :*
16.	Date of Birth :*
17.	Sex :*	Male Female
18.	Marital Status :*	Married Single
19.	Date of Marriage :
20.	Spouse’s / Father’s name :
21.	Identification Marks :*
	Present Address
22.	House No :*
23.	Street :*
24.	Post Office :
25.	Police Station :
26.	District :*
27.	Pin Code :*
28.	Phone/Mobile Number :*
29.	E-mail :*
30.	LIVING SINCE :*
	Permanent Address
31.	House No :
32.	Street :
33.	Post Office :
34.	Police Station :
35.	District :
36.	Pin Code :
37.	Phone/Mobile Number :
38.	E-mail :
39.	Two Reference Names *
40.	and Addresses :*


41.	Profession :*
42.	Educational Qualification :*
43	Height :*
44.	Are you a Government Employee :*	Yes No
45.	Have you ever been deported from any other country :*	Yes No
46.	I confirm that all the particulars furnished above, are correct and I am solely responsible :*	Yes No
47.	Place:
48.	Date:
49.	Applicant Name:*

REQUIREMENTS FOR APPLYING FRESH PASSPORT

Passport size 35X35 mm Photographs : 7 Nos. (Preferably Colour with Dark Red or Blue background)
Two Proof of Residence for the last one year
- Family Card and
- Election Commission of India Identity Card
- Bank Pass book with attested photo and
- Telephone Bill (Original and Xerox : 2 Nos. self attested)
Proof of Date of Birth : SSLC Book / 10th or 12th Mark Sheet / TC (Original and Xerox : 2 Nos. self attested)
If you are a Married Female, Please furnish the Marriage Certificate from Registrar of Marriages or Marriage
affidavit with joint photograph of your spouse.(Original and Xerox : 2 Nos. self attested)