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Indian Passport Miscellaneous Services Form

This document is an application form for miscellaneous services on an Indian passport such as renewal, change of address, police clearance certificate, additional endorsements, child deletion, or other services. It requests information from the applicant such as name, identification details, address, profession, passport details, and a declaration of citizenship and accuracy of information provided. The applicant must sign the form and provide two specimen signatures or thumb impressions.

Uploaded by

Kim Joyce Miranda
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80 views2 pages

Indian Passport Miscellaneous Services Form

This document is an application form for miscellaneous services on an Indian passport such as renewal, change of address, police clearance certificate, additional endorsements, child deletion, or other services. It requests information from the applicant such as name, identification details, address, profession, passport details, and a declaration of citizenship and accuracy of information provided. The applicant must sign the form and provide two specimen signatures or thumb impressions.

Uploaded by

Kim Joyce Miranda
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

(PHOTOCOPY OF THIS FORM IS ACCEPTABLE)

E.A.(P)-2 EXTERNAL
Free of charge

APPLICATION FORM FOR MISCELLANEOUS SERVICES ON INDIAN PASSPORT

(For use in Indian/Mission/post) (a) Renewal (b) Change of Address (c) PCC (d) Additional
Endorsement (e) Child Deletion (f) Any other Service

(Specify) _________________________________

(Please delete inapplicable)

Please paste
one photo of
size of
2 in x 2in

Specimen signature

Payment of Fee (to be filled by applicant)

Amount Paid Php _________________ by ____________(Mode of payment) _______________


1. Full Name: _________________________________________________________________
2. Applicant’s Car Driving License No. _____________ Date & Place of Issue _____________
3. Residential address:

(i) In India (permanent) (ii) In county of domicile


________________________________ ______________________________
________________________________ ______________________________
________________________________ ______________________________
Tel _____________________________ Tel __________________________
4. Profession & Business Address ________________________________________________
_______________________________________________ Tel: _________________________

5. Is applicant registered with the Indian Mission/post? If not is he a member of any Indian
Organization? Give details.

6. (i) Name of Father _________________________________________________________


(ii) Name of Mother _________________________________________________________
(iii) Name of spouse & nationality ______________________________________________

7. Current Passport No. ______________________ Place of Issue ______________________


Date of issue ____________________________ Valid until _________________________

8. Particulars of children to be deleted:


Name Place & Date of Birth Sex (M/F)
_______________________ _____________________ _________________
_______________________ _____________________ _________________
Note: Separate passport will be issued to children of all ages. However, children below 15
years of age will be given 5 year maximum validity passport only.

9. Declaration:

I owe allegiance to the sovereignty, unity and integrity of India and have not voluntarily acquired the
citizenship or travel document of another country. I have not lost, surrendered or been deprived of
citizenship of India.

The information given by me is true and I am solely responsible for its accuracy. I am aware that it is an
offence under the Passport Act, 1967 to furnish any false information or to suppress any material
information with a view to obtaining passport or any other travel document.

Signature/Thumb Impression (T.I.) of applicant


(left hand T. I. if male and right hand T. I. if female)
Date: _____________ Place__________________

Two specimen signatures of T. I.s required for service(s) within the space given below.

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