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n Form <6 th co BM, CTS ahs wer EATS Ge CMT HIN ATT BE ‘This form will be used only to change shown information/rectify printing errors ofthe valid passport. ‘roo ema Ref (CAPITAL LETTERS) oH He RCE ATA ICH eB eT PRT | Instruction : Please fill up the form, in ENGLISH (CAPITAL LETTERS) and attach relevant papers in favour of your application. sree ret ftryfieaera aT Name of Regional Passport Office/Mission res Freee ere ‘ype of delivers [cas Se bos bea Regular LLexpress ‘Scere ae (eer) = ] fe eons oeaRTe aT Name of Applicant (In Bangla) | Payment of Fees ame (Reatooe) «fx fens (¥/USD) Name of Applicant (in English) eer ean} ae mone ou Sa Received Passport’s Details aoe ese sont sae 8 Passport No. ore s ofee Branch Place & Date of Issue © form ae, tae Sete wee Date of Expi Recs t = tier Date ‘vife >A Required Correction PED Sarena wey teehee PRs way Information presently shown in the passport Changed/Corrected nformation Date Siceerta/afeereced (Sicarre® Sense

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