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full name | : | |
other name, if any | : | |
sex | : | male / female |
marital status | : | married / unmarried / divorcee / divorced / widow / widower |
name before marriage | : | |
Applicant's date of birth | : | |
place of birth, dist., state | : | |
father's full name | : | |
mother's full name | : | |
husband's / wife's name | : | |
educational qualification | : | |
profession of applicant | : | ( govt. / pvt) |
discription | : | vissible mask |
permanent address | : | |
residing since | : | |
D..... M..... Y..... | : | Pin code phone No. |
present address | : | |
residing since | : | |
D..... M..... Y..... | : | Pin code phone No. |
Address during the last | : | |
one year if different | : | |
Residing since | : | |
D..... M..... Y..... | : | Pin code phone No. |
previous passport ( if any) | : | No.......D.O.I..... |
place of issue | : | valid upto |
email Id | : | |
Mobile No. | : | tel. ( O ) fax |
Particulars of a relative to be inlimated in the event of death or accident. | : | name |
: | Relation | |
: | address | |
: | pin code | |
name & address of two witness | : | |
: |
( Please note that all documents are required in original and two set of Xeros Copies of each for submission of passport application.)