Professional Documents
Culture Documents
Passport
Passport
Example:
Surname: Pillai
Given name: Karur Vaikunta Subramaniyan Ramanathan
Since the length of the given name is more than 30 characters, it should be entered in the
following way:
Surname:
P I L L A I R AM A N A T H AN
Given name:
K A R U R V A I K U N T A S U B R A M A N I Y A N
º ÉÚSÉE {ÉjÉ / INDEX CARD
+É́ÉänE uÉ® É ¤ Écä +IÉ® Éå¨Éå¦É® É VÉÉB / To be filled by applicant in BLOCK LETTERS
1. {ÉÚ®É xÉÉ̈É (¸ÉÒ/¸ÉÒ̈ÉÊiÉ/EÖ̈ÉÉ® Ò) Full Name (Mr./Mrs./Miss):-
i. +É́ÉänE/ Applicant .............................................................................................
ii. Ê{ÉiÉÉ / Father ...................................................................................................
iii. ¨ÉÉiÉÉ / Mother ..................................................................................................
iv. {ÉÊiÉ/{ÉixÉÒ / Spouse ....................................................................... (+É́ÉänE BE ¡ Éä]Éä) (35 ×
45 Ê̈É0 Ê̈É0) ª ɽÉÆ ÊSÉ{ÉEÉBÆ +Éè®
2. º lÉɪ ÉÒ{ÉiÉÉ / Permanent Address ............................................................ +É́ÉänE Eä +ÉvÉä ½º iÉÉIÉ® ¡ Éä]Éä
.................................................................................................. {É® +Éè® +ÉvÉä +É́ÉänxÉ {ÉjÉ {É®
.................................................................................................. ½ÉäxÉä SÉÉʽB*
.......................................................................................... Applicant must paste
(35 × 45 mm) one pho-
3. {ɽSÉÉxÉ EÉÊSÉx½ /Visible distinguishing marks .............................................. tograph here with half
the signature on the
4. VÉx¨É º lÉÉxÉ /Place of birth ....................................................................... photograph and half on
the card.
3. EèÊ¡ ª ÉiÉ/Ê]{{ÉhÉÒ
Observation Remarks.................................
Ê{ÉxÉ EÉäc
PIN Code .............................................................................................................................
ÊxÉ:¶ ÉÖ± E
Serial No. PPT/99 ¦ÉÉ® iÉ º É® EÉ® FREE OF CHARGE
GOVERNMENT OF INDIA FORM NO. 1
Ê´Énä¶ É ¨ÉÆjÉɱ ɪ É
(+É́ÉänE BE ¡ Éä]Éä) (35 × 45
MINISTRY OF EXTERNAL AFFAIRS Ê̈É0 Ê̈É0) ª ɽÉÆÊSÉ{ÉEÉBÆ +Éè® +É́ÉänE
{Éɺ É{ÉÉä]Ç+É́ÉänxÉ {ÉjÉ Eä+ÉvÉ佺 iÉÉIÉ® ¡ Éä]Éä{É® +Éè® +ÉvÉä
+É́ÉänxÉ{ÉjÉ{É® ½ÉäxÉäSÉÉʽB*
PASSPORT APPLICATION FORM Applicant must paste (35
× 45 mm) one photograph
(¡ É̈ÉǦɮ xÉäº Éä{ɽ±Éä ÊxÉnæ¶ Éº ÉÉ́ÉvÉÉxÉÒ{ÉÚ́ÉEÇ {Égå) here with half the signa-
ture on the photograph and
(Read Instructions Carefully Before filling the Form) half on the application.
10. (i) +É́ÉänE ¦ÉÉ® iÉ EÉ xÉÉMÉÊ® E ½è/ Applicant is a citizen of India by:
11. Cª ÉÉ +É́ÉänE xÉä {ɽ± Éä E¦ÉÒ +{ÉxÉÉ xÉÉ̈É ¤ Én± ÉÉ ½è, iÉÉä =º ÉEÉ ẾÉ́É® hÉ nå(ÊxÉnæ¶ É EÉ {Éè®É 7 näJÉå) / If the applicant ever changed his/her
name, give details : (See para 7 for instructions)
....................................................................................................................................................................
12. Cª ÉÉ +É́ÉänE xÉä {ɽ± Éä E¦ÉÒ {Éɺ É{ÉÉä]Ç/ª ÉÉjÉÉ nº iÉÉ́ÉäVÉ Ê± ɪ ÉÉ ª ÉÉ =º ÉEä ʱ ÉB +É́ÉänxÉ ÊEª ÉÉ lÉÉ? iÉÉä EÞ{ɪ ÉÉ =º ÉEÉ ¤ ª ÉÉè®É nå* / The details of
passport/travel document held/applied for, if any:
(i) {Éɺ É{ÉÉä]ÇEɪ ÉÉDZɪ É ¡ É<Ç±É xÉÆ0 / Passport Office File Number: ..............................................................................
(ii) {Éɺ É{ÉÉä]Ç/ª ÉÉjÉÉ nº iÉÉ́ÉäVÉ º ÉÆJª ÉÉ / Passport/Travel Document Number ................................................................
13. Cª ÉÉ +É´ Éän E '=i|É´ Éɺ ÉxÉ VÉÉÆS É +É´ ɶ ª ÉE xÉ½Ó ½è' EÉ {ÉÉjÉ ½è? +MÉ® ½ÉÆ iÉÉä nº iÉÉ´ ÉäV É EÒ |ɨ ÉÉÊhÉiÉ |ÉÊiÉʱ ÉÊ{É
± ÉMÉÉ<ª Éä (ÊxÉnæ ¶ É EÉ {Éè® É 4 näJ Éå) ½ÉÄ Yes
Is applicant entitled for "Emigration Check Not Required (ECNR)?" If Yes, attach attested xÉ½Ó No
copy of the document (see para 4 of instructions)
¨ÉéxÉä VÉÉä VÉÉxÉEÉ® Ò nÒ ½è ´É½ º É½Ò ½è +Éè® =º ÉEÒ º Éiª ÉiÉÉ Eä ʱ ɪ Éä ¨Éå{ÉÚ®Ò iÉ® ½ º Éä ÊVÉ̈¨ÉänÉ® ½ÚÄ* ¨ÉÖZÉä <º É ¤ ÉÉiÉ EÒ VÉÉxÉEÉ® Ò ½è ÊE {Éɺ É{ÉÉä]Ç/nº iÉÉ́ÉäVÉ
Eä ¤ ÉÉ® ä ¨ÉåZÉÖ`Ò VÉÉxÉEÉ® Ò näxÉÉ/UÖ{ÉÉxÉÉ +{É® ÉvÉ ½è*
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 Passports Act 1967 to furnish any false information or to suppress any material information with a view to
obtaining passport or any other travel document.
....................................................................
+É́ÉänE Eä ½º iÉÉIÉ® /+ÆMÉÚ̀ä EÉ Êxɶ ÉÉxÉ
Signature/Thumb Impression of applicant
iÉÉ® ÒJÉ/ Date .......................... º lÉÉxÉ/ Place ........................
18. xÉɤ ÉÉʱ ÉMÉ EÒ Êº lÉÊiÉ ¨Éå¨ÉÉiÉÉ/Ê{ÉiÉÉ {Éɺ É{ÉÉä]ÇEä ¤ ÉÉ® ä ¨ÉåÊxÉ̈xÉʱ ÉÊJÉiÉ VÉÉxÉEÉ® Ò nå
In case of minors, following passport particulars of both parents must be given:
¨ÉÉiÉÉ / Mother Ê{ÉiÉÉ / Father
(a) {Éɺ É{ÉÉä]ÇxÉÆ0 / Passport No: .................................. ..............................
(b) VÉÉ® Ò ½ÉäxÉä EÒ iÉÉ® ÒJÉ / Date of Issue: .................................. ..............................
(c) VÉÉ® Ò ½ÉäxÉä EÉ º lÉÉxÉ / Place of Issue: .................................. ..............................
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´ÉèªÉÊCiÉE Ê´É́É® hÉ - {ÉjÉ
19. ª ÉÊn {Éɺ É{ÉÉä]Ç+´Éª ɺ E ´ª ÉÊCiÉ Eä ʱ ɪ Éä ½è iÉÉä ¨ÉÉiÉÉ Ê{ÉiÉÉ +lÉ́ÉÉ +ʦɦÉÉ́ÉE EÒ PÉÉä¹ÉhÉÉ (¨ÉÉiÉÉ B´ÉÆ Ê{ÉiÉÉ +lÉ́ÉÉ +ʦɦÉÉ́ÉE ½º iÉÉIÉ® E® å)
Declaration of Parents or Guardians if Passport is for minor : (To be signed by both Parents or Guardians)
½¨É {ÉÖʹ] E® iÉä ½é ÊE ={ɪ ÉÇÖCiÉ ¤ ª ÉÉè®É EÉ (xÉÉ̈É) ............................................... {ÉÖjÉ/{ÉÖjÉÒ ¸ÉÒ̈ÉÊiÉ
.............................................. ¸ÉÒ ............................................... ÊVɺ ÉEä ½¨ É ¨ÉÉiÉÉ Ê{ÉiÉÉ/+ʦɦÉÉ´ ÉE ½è Eä º ÉƤ ÉÆvÉ ¨Éå ½è*
=º ÉEÉ {ÉÖ® É JÉSÉÇ=`ÉxÉä EÒ ÊVÉ̈¨ÉänÉ® Ò EÉ ½¨É ´ÉSÉxÉ ± ÉäiÉä ½é* ½¨É Êxɹ`É{ÉÚ́ÉÇE PÉÉä¹ÉhÉÉ E® iÉä ½é ÊE =º ÉxÉä E¦ÉÒ +{ÉxÉÒ xÉÉMÉÊ® EiÉÉ xÉ½Ó JÉÉä<ǽè, =º ÉEÉ
{ÉÊ® iª ÉÉMÉ xÉ½Ó ÊEª ÉÉ ½è +Éè® xÉ ½Ò =º Éä <º ɺ Éä E¦ÉÒ ´ÉÆÊSÉiÉ ÊEª ÉÉ Mɪ ÉÉ ½è +Éè® <º É +É́ÉänxÉ {ÉjÉ ¨Éå=º ÉEä º ÉƤ ÉÆvÉ ¨ÉånÒ MÉ<ÇVÉÉxÉEÉ® Ò º É½Ò ½è*
We affirm that the particulars given above are in respect of (Name) ........................................................................ son/
daughter of Smt. ............................................................................. Sh. ...................................................................... of whom we
are the Parents/Guardians. We undertake the entire responsibility for his/her expenses. We solemnly declare that he/she
has not lost, surrendered or been deprived of his/her citizenship of India and that the information given in respect of him/
her in this application is true. It is also certified that the name of the child mentioned is not included in Passport of either
parent.
21. +É́ÉänE xÉÒSÉä JÉɱ ÉÒ º lÉÉxÉÉå¨Éå+Éè® Êº ]E® Éå{É® EÞ{ɪ ÉÉ ½º iÉÉIÉ® +lÉ́ÉÉ +ÆMÉÚ̀ä Eä Êxɶ ÉÉxÉ Eä nÉä-nÉä xÉ̈ÉÚxÉånå*
Specimen signatures or Thumb Impressions of applicant in the boxes given below AND on two stickers.
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22. Specimen signature (using Ball Point Pen) or Thumb Impression of applicant in the
boxes given below and on the two stickers. Two clear photographs (without
signature) may also be pasted below:
9. º ÉÆn¦ÉÇ:- +{ÉxÉä IÉäjÉ Eä nÉä ÊVÉ̈¨ÉänÉ® ´ª ÉÊCiɪ ÉÉåEä xÉÉ̈É +Éè® {ÉiÉä nåVÉÉä +É{ÉEÒ VÉ̈ÉÉxÉiÉ ± Éä º ÉEiÉä ½Éå*
References:- Names and Addresses of two responsible persons in the applicant's locality who can vouch for the
applicant.
xÉÉ̈É / Name .......................................... 2. xÉÉ̈É /Name ...............................................................
{ÉiÉÉ / Address ....................................... {ÉiÉÉ /Address ............................................................
........................................................... ...............................................................................
........................................................... ...............................................................................
]ä± ÉÒ¡ ÉäxÉ xÉÆ0 / Telephone No. .................... ]ä± ÉÒ¡ ÉäxÉ xÉÆ0 /Telephone No. ..............................................
10. ¶ ÉÉ® ÒÊ® E ẾÉ0 / Physical Particulars:
(E/a) ± É̈¤ ÉÉ<Ç/ Height ....................... ¨ÉÒ]® /m ................. º Éä0 ¨ÉÒ0 /cm.
(JÉ) +ÉÄJÉÉåEÉ ® ÆMÉ (MÉ) ¤ Éɱ ÉÉåEÉ ® ÆMÉ
(b) Colour of eyes ..................................... (C) Colour of hair .........................
(PÉ) {ɽSÉÉxÉ EÉ |ÉE] ÊSÉx½
(d) Visible distiguishing mark .........................................................................................................
11. +É́ÉänE ¦ÉÉ® iÉ EÉ xÉÉMÉÊ® E ½è?
Applicant is a citizen of India by:
........................................................
¨ÉÉiÉÉ B´ÉÆ Ê{ÉiÉÉ/+ʦɦÉÉ́ÉE Eä ½º iÉÉIÉ® /+ÆMÉÚ̀ä Eä Êxɶ ÉÉxÉ
({ÉÖ¯¹É Eä ¤ ÉÉÆB +Éè® º jÉÒ Eä nÉBÆ ½ÉlÉ Eä +ÆMÉÚ̀ä EÉ Êxɶ ÉÉxÉ)
Signature or Thumb Impression of the
applicant (Left hand T.I. of male and
Right hand T.I. of female)
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(+É́ÉänE BE ¡ Éä]Éä) (35 ×
´ÉèªÉÊCiÉE Ê´É́É® hÉ-{ÉjÉ 45 Ê̈É0 Ê̈É0) ª ɽÉÆ ÊSÉ{ÉEÉBÆ
+Éè® +É́ÉänE Eä +ÉvÉä
PERSONAL PARTICULARS FORM ½º iÉÉIÉ® ¡ Éä]Éä {É® +Éè® +ÉvÉä
+É́ÉänxÉ {ÉjÉ {É® ½ÉäxÉä SÉÉʽB*
(nÉä |ÉÊiɪ ÉÉå¨Éå¦É® å) Applicant must paste (35
× 45 mm) one photograph
here with half the signa-
(IN DUPLICATE) ture on the photobgraph
and half on the applica-
tion.
9. º ÉÆn¦ÉÇ:- +{ÉxÉä IÉäjÉ Eä nÉä ÊVÉ̈¨ÉänÉ® ´ª ÉÊCiɪ ÉÉåEä xÉÉ̈É +Éè® {ÉiÉä nåVÉÉä +É{ÉEÒ VÉ̈ÉÉxÉiÉ ± Éä º ÉEiÉä ½Éå*
References:- Names and Addresses of two responsible persons in the applicant's locality who can vouch for the
applicant.
xÉÉ̈É / Name .......................................... 2. xÉÉ̈É /Name ...............................................................
{ÉiÉÉ / Address ....................................... {ÉiÉÉ /Address ............................................................
........................................................... ...............................................................................
........................................................... ...............................................................................
]ä± ÉÒ¡ ÉäxÉ xÉÆ0 / Telephone No. .................... ]ä± ÉÒ¡ ÉäxÉ xÉÆ0 /Telephone No. ..............................................
10. ¶ ÉÉ® ÒÊ® E ẾÉ0 / Physical Particulars:
(E/a) ± É̈¤ ÉÉ<Ç/ Height ....................... ¨ÉÒ]® /m ................. º Éä0 ¨ÉÒ0 /cm.
(JÉ) +ÉÄJÉÉåEÉ ® ÆMÉ (MÉ) ¤ Éɱ ÉÉåEÉ ® ÆMÉ
(b) Colour of eyes ..................................... (C) Colour of hair .........................
(PÉ) {ɽSÉÉxÉ EÉ |ÉE] ÊSÉx½
(d) Visible distiguishing mark .........................................................................................................
11. +É́ÉänE ¦ÉÉ® iÉ EÉ xÉÉMÉÊ® E ½è?
Applicant is a citizen of India by:
........................................................
¨ÉÉiÉÉ B´ÉÆ Ê{ÉiÉÉ/+ʦɦÉÉ́ÉE Eä ½º iÉÉIÉ® /+ÆMÉÚ̀ä Eä Êxɶ ÉÉxÉ
({ÉÖ¯¹É Eä ¤ ÉÉÆB +Éè® º jÉÒ Eä nÉBÆ ½ÉlÉ Eä +ÆMÉÚ̀ä EÉ Êxɶ ÉÉxÉ)
Signature or Thumb Impression of the
applicant (Left hand T.I. of male and
Right hand T.I. of female)
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