Service Required
Applicant Details
(Given Name means First Name followed by middle Name (if any))
Place Of Birth
I, the holder of above mentioned Aadhaar Number , hereby give my consent to Passport Seva to obtain my Aadhaar Number, Name and Fingerprint/Iris for authentication with UIDAI. I have no objection using my identity and biometric information for validation with Aadhaar (CIDR) database only for the purpose of authentication.
Family Details
(Father/Mother/Legal Guardian details; at least one is mandatory.)
(Given Name means First Name followed by Middle Name (If any))
(Given Name means First Name followed by Middle Name (If any))
(Given Name means First Name followed by Middle Name (If any))
Present Residential Address Details
(where applicant presently resides)
Emergency Contact Details
Previous Passport / Application Details
Emergency Contact Details
Self Declaration
I owe allegiance to the sovereignty , unity & integrity of India, and have not voluntarily acquired citizenship or travel document of any other country. I have not lost, surrendered or been deprived of the citizenship of India and I affirm that the information given by me in this form and the enclosures is true and I am solely responsible for its accuracy, and I am liable to be penalized or prosecuted if found otherwise. I am aware that under the Passport Act, 1967 it is a criminal offence to furnish any false information or to suppress any material information with a view to obtaining passport or travel document.
Applicants are required to submit the proof of address of the present address only, irrespective of the date from which he/she has been residing at the given address. However, he/she is required to mention all the places of stay during previous one year (from the date of application filling) in the Passport application form.