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File Number (For Office Use Only)
Ministry of External Affairs, Government of India
PASSPORT APPLICATION FORM
Please read the Passport Instruction Booklet carefully before filling the form. Fill this form in CAPITAL LETTERS using
blue/black ink ball point pen only. Furnishing of incorrect information/ suppression of information would lead to
rejection of the application and would attract penal provisions as prescribed under the Passports Act, 1967. Please
produce your original documents at the time of submission of the form.
Service Required
Application Reference - 26-0073758534 Please paste your
Number unsigned recent
Applying For - FRESH color photograph
of size 4.5cm *
Type of Application - NORMAL 3.5cm.
Type of Passport - NORMAL
Booklet
Applicant Details
Applicant's Name - MAHAVEER SINGH SAJWAN
Date of Birth - 24/03/2005
(DD/MM/YYYY) Signature/Left Hand Thumb
Validity Required - NA Impression of Illiterate Applicant and
Minors who cannot sign.
Place Of Birth - DOIWALA
(Village/Town/City)
District - DEHRADUN
State/UT - UTTARAKHAND
Region/Country - INDIA
Gender - MALE
Marital Status - SINGLE
Citizenship of India by - BIRTH
PAN - MIJPS7066M
Voter ID - ZSJ1516111
Employment Type - NOT EMPLOYED
Is either of your parent - Y
(in case of
minor)/spouse, a
government servant?
Educational - GRADUATE AND ABOVE
Qualification
Are you eligible for - Y
Non-ECR category
Visible Distinguishing - MOLES IN MOUSTACHE
Mark
Aadhaar Number - 532860722956
Family Details
Father Name - RAJENDRA SINGH SAJWAN
Mother Name - LATA SAJWAN
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Present Residential Address Details:
Address - [Link]-147, BULLAWALA,DOIWALA, DEHRADUN, UTTARAKHAND
Pin - 248140
Police Station - DOIWALA
Mobile/Tel No - 8218957296 / 9456755853
Email - SAJWANM99@[Link]
Permanent Residential Address Details
Address - [Link]-147, BULLAWALA,DOIWALA, DEHRADUN, UTTARAKHAND
Pin - 248140
Police Station - DOIWALA
Mobile/Tel No - 8218957296 / 9456755853
EmergencyContactDetails:
Name and Address - RAJENDRA SINGH SAJWAN
Mobile/Tel No. - 9456755853
E-mail - SAJWANR99@[Link]
Previous Passport
Other Details
Fee Details (Not to be filled by applicants submitting the application at Passport Seva
Kendra/Passport Office)
Fee amount in (Rs) -
If paid by Demand Draft(DD), provide the following details
DD Issue Date (dd/mm/yyyy) -
DD Expiry Date (dd/mm/yyyy) -
Bank Name -
Branch -
Enclosures:
1. Income Tax Identity (PAN) Cards2. Driving licence issued by the Transport Department of the concerned State
Government, having the date of birth of the applicant3. Birth Certificate issued by Municipal Authority or any office
authorized to issue Birth Certificate by Registrar of Births and Deaths
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. I have not
contravened any of the conditions relating to the possession and use of an Indian passport.
I affirm that the information and particulars given by me in this form are true and correct. I further state that I am not
suppressing any material information in this regard. I further affirm that the enclosures and documentary proof
submitted in support of my application for an Indian passport are authentic and solely pertain to me and I am fully
responsible for the accuracy of the same. I am liable to be penalized or prosecuted if found otherwise. I am aware that
under the Passports 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.
I have read and understood the contents of the above and by submitting this form certify that all the information
submitted by me in the form is bonafide.
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Place - DOIWALA
Signature/Left Hand Thumb Impression
of Applicant (If applicant is minor,
Date - 25/07/2026
either parent to sign)
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