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EmbassyofIndia 2MiscForm
EmbassyofIndia 2MiscForm
Form No. 2
APPLICATION FORM FOR MISCELLANEOUS SERVICES ON
INDIAN PASSPORT
For (a) Renewal (b) Change of Address (c) Police Clearance Certificate
(d) Child Deletion (e) Any other service (Specify)
Affix recent photograph
1. Full Name
2. Applicants car Driving License No.
3. Residential Address:
(i) In India (Permanent)
Tel.
4. Profession and business address
Specimen signature
Tel.
Tel:
Is applicant registered with the Indian Mission/ Post? If not is he a member of any Indian Organization?
Give details.
5. (i) Name of Father
(ii) Name of Mother
(iii) Name of Spouse & Nationality
6. Current Passport No.
Place of issue
Date of issue
Valid until
7. 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 a 5 year maximum validity passport only.
Page 2 of 3
DECLARATION
I owe allegiance to the sovereignty, unity & 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 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.
Signature/ Thumb Impression of the applicant
(Left Hand T.I. if male and Right Hand T.I. if female)
Date :
Place :
Two specimen signatures or thumb impressions required for service (c) within the space given below.
Passport No.
Civil ID No.
Telephone
(India)
Whom to
contact in case
of Emergency
Name
Tel
Sponsors Details
Name
Telephone
(Kuwait)
Civil ID No.
Address
Photograph
(35mmX45mm)
Copy of Civil ID
Fees: KD 7.100
If passport expired more than six months, duly filled
in sworn affidavit and the fee will be KD 3.250.
It is in addition to the applicable fee.
Fees: KD 7.100
Note: (i) If the current passport is computerized
then, a fresh 10 years passport will be issued to the
applicant with the new address with the fee
applicable.
(ii) Additional documents may be needed
depending upon the documents presented for
consular services.