Private Consultancy Service ProviderPassport Application Form1. Service RequiredApplying for*If you already have a Passport, then please apply in the Reissue Passport category; Do not apply in New Passport. यदि आपके पास पहले से ही पासपोर्ट है, तो कृपया रीसपोर्ट पासपोर्ट श्रेणी में आवेदन करें; न्यू पासपोर्ट में आवेदन न करें।आवेदन के लिए New PassportReissue PassportType of Application*आवेदन का प्रकार *NormalTatkalType of Passport Booklet*पासपोर्ट पुस्तिका का प्रकार *36 Pages60 PagesNote : In case of TatKaal application, Additional fees of Rs.2000 will required to pay at Passport Office in Cash. For Tatkal you need at list 2 Id Proof and 3 Address Proof and If you are Divorced, Separated or Widow You are not eligible for Tatkal Serviceनोट: TatKaal एप्लिकेशन के मामले में, नकद में पासपोर्ट कार्यालय में भुगतान करने के लिए 2000 रुपये की अतिरिक्त फीस की आवश्यकता होगी। टाटकल के लिए आपको 2 आईडी प्रूफ और 3 एड्रेस प्रूफ की सूची चाहिए और यदि आप तलाकशुदा, अलग या विधवा हैं तो आप तत्काल सेवा के लिए पात्र नहीं हैं।Specify reason(s) *कारण निर्दिष्ट करें Validity Expired within 3 years/Due to Expire Lost Passport Validity Expired more than 3 years ago Damaged Passport Exhaustion of PagesChange in Existing Personal Particulars / deletion of ECRDate*Changes to make in Passport Particulars *पासपोर्ट में परिवर्तन करने के लिए AppearanceDate of BirthSignatureGiven NameSurnameSpouse NameAddressDelete ECROthersIf Other, Specify Reason*Has your Passport Expired? *क्या आपका पासपोर्ट समाप्त हो गया है? *Please selectYesNo2. Applicant DetailsApplicant's First Name*आवेदक का नाम (As Per Aadhar Card)Middle Nameमध्य नाम(As Per Aadhar Card)Surnameउपनाम(As Per Aadhar Card)Gender*लिंगPlease selectMaleFemaleTransgenderDate of Birth*जन्म तिथिIs your Place of Birth out of India?*क्या आपका जन्म स्थान भारत से बाहर है?Please selectYesNoBirth Village or Town or City* जन्म गाँव या शहर Marital Status*वैवाहिक स्थितिPlease selectSingleMarriedDivorcedWidow/ WidowerSeparatedAadhaar Noआधार NumberCountry*देशPlease selectAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua And BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia And HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, The Democratic Republic Of TheCook IslandsCosta RicaCote D'IvoireCroatia (Local Name: Hrvatska)CubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard And Mc Donald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic Of)IraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic OfKorea, Republic OfKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedonia, Former Yugoslav Republic OfMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States OfMoldova, Republic OfMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts And NevisSaint LuciaSaint Vincent And The GrenadinesSamoaSan MarinoSao Tome And PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakia (Slovak Republic)SloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia, South Sandwich IslandsSpainSri LankaSt. HelenaSt. Pierre And MiquelonSudanSurinameSvalbard And Jan Mayen IslandsSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic OfThailandTogoTokelauTongaTrinidad And TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis And Futuna IslandsWestern SaharaYemenYugoslaviaZambiaZimbabweCountry*देशIndiaNative/Birth State*जन्म का / जन्म राज्यNative/Birth State*जन्म का / जन्म राज्यPlease selectNative/Birth District*जन्म का / जन्म जिला Native/Birth District*जन्म का / जन्म जिला Please selectCitizenship of India by*भारत की नागरिकता कैसेPlease selectBirthDescentRegistration/ NaturalizationPAN (If available)पैन Card Number (यदि उपलब्ध हो)Voter ID (If available)मतदाता पहचान पत्र Number (यदि उपलब्ध हो)Educational Qualification*शैक्षिक योग्यता Please select7th pass or lessBetween 8th and 9th standard10th pass and aboveGraduate and aboveEmployment Type*रोजगार प्रकारPlease selectGovernmentHomemakerNot employedOthersPrivateRetired Government ServantRETIRED PRIVATE SERVANTSelf EmployedStatutory BodyStudentPSUOwners Partners & Directors Of Companies Which Are Members Of Cii Ficci & AssochamOrganisation Name*संगठन का नामIs your parent/ spouse, a govt servant? * क्या आपके माता-पिता / जीवनसाथी, कोई सरकारी कर्मचारी है? Please selectYesNoAre you eligible for Non-ECR category?*Select Yes, if you fall in the following Category: ?1. All persons having educational qualifications of 10th and above. 2. All holders of Diplomatic/Official Passports. 3. All GAZETTED Government servants. 4. All Income-Tax payers (including Agricultural Income-Tax Payees) in their individual capacity. 5. Spouses and dependent children of the category of persons listed from (2) to (4). 6. Seamen who are in possession of CDC or Sea Cadets, Deck Cadets; 7. Persons holding Permanent Immigration Visa, such as the visas of UK, USA and Australia. 8. Nurses possessing qualifications recognized under the Indian Nursing Council Act. 1947. 9.All persons above the age of 50 years. 10. All persons who have been staying abroad for more than three years and their spouses. 11. All children up to the age of 18 years of age. Select No, if you do not fall in any of the above category. यदि आप निम्न श्रेणी में आते हैं, तो हाँ का चयन करें:? 1. 10 वीं और उससे ऊपर की शैक्षिक योग्यता वाले सभी व्यक्ति। 2. सभी राजनयिक / आधिकारिक पासपोर्ट धारक। 3. सभी GAZETTED सरकारी कर्मचारी। 4. सभी आयकर दाता (कृषि आयकर दाताओं सहित) अपनी व्यक्तिगत क्षमता में। 5. पति / पत्नी और आश्रित बच्चे। (2) से (4) में सूचीबद्ध व्यक्तियों की श्रेणी। 6. सीमेन जो सीडीसी या सी कैडेट्स, डेक कैडेट्स के कब्जे में हैं; 7. स्थायी आव्रजन वीजा रखने वाले व्यक्तियों, जैसे कि यूके, यूएसए और ऑस्ट्रेलिया के वीजा। 8. भारतीय नर्सिंग परिषद अधिनियम के तहत मान्यता प्राप्त योग्यता रखने वाली नर्स। 1947. 9. सभी व्यक्ति जिनकी आयु 50 वर्ष से अधिक है। 10. सभी व्यक्ति जो तीन साल से अधिक समय से विदेश में रह रहे हैं और उनके जीवनसाथी हैं। 11. 18 वर्ष की आयु तक के सभी बच्चे। यदि आप उपरोक्त किसी भी श्रेणी में नहीं आते हैं, तो चयन करें। क्या आप non-ईसीआर श्रेणी के योग्य हैं? Please selectYesNoVisible Distinguishing Mark (If any?)Visible Distinguishing mark means any birthmark, mole, scar, etc. on your body that is easily seen and could be used to confirm identity.दर्शनीय भेद चिह्न का अर्थ है आपके शरीर पर कोई भी जन्मचिह्न, तिल, निशान आदि, जो आसानी से दिखते हैं और पहचान की पुष्टि करने के लिए उपयोग किए जा सकते हैं।दर्शनीय भेद मार्क (यदि कोई हो?)Are you known by any other names?*क्या आप किसी अन्य नामों से जाने जाते हैं?Please selectYesNoAlias Name1, alises First nameAlias Name2, alises First nameMiddle nameMiddle nameSurnameSurnameHave you ever changed your name ?* क्या आपने कभी अपना नाम बदला है ? Please selectYesNoPrevious Alias Name1, alises First namePrevious Alias Name2, alises First nameMiddle nameMiddle nameSurnameSurname3. Family Details (Father/Mother/Legal Guardian details; at least one is mandatory.)Father's First Name*पिता का नाम Middle Nameमध्य नामSurnameउपनाम Mother's First Name*माता का नामMiddle Nameमध्य नामSurnameउपनाम Legal Guardian's First Nameकानूनी अभिभावक का नामMiddle Nameमध्य नामSurnameउपनाम Spouse's First Name*पति / पत्नी का पहला नामMiddle Nameमध्य नामSurnameउपनाम 4. Present Residential Address Details (where applicant presently resides)Is your present address out of India?*क्या आपका वर्तमान पता भारत के बहार का है?Please selectYesNoHouse No. and Street Name*घर का नंबर और सड़क का नाम Village or Town or City*गाँव या शहर नामCountryदेशPlease selectAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua And BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia And HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, The Democratic Republic Of TheCook IslandsCosta RicaCote D'IvoireCroatia (Local Name: Hrvatska)CubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard And Mc Donald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic Of)IraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic OfKorea, Republic OfKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedonia, Former Yugoslav Republic OfMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States OfMoldova, Republic OfMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts And NevisSaint LuciaSaint Vincent And The GrenadinesSamoaSan MarinoSao Tome And PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakia (Slovak Republic)SloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia, South Sandwich IslandsSpainSri LankaSt. HelenaSt. Pierre And MiquelonSudanSurinameSvalbard And Jan Mayen IslandsSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic OfThailandTogoTokelauTongaTrinidad And TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis And Futuna IslandsWestern SaharaYemenYugoslaviaZambiaZimbabweState / Province*राज्य / प्रांत State / Province*राज्य / प्रांतPlease selectDistrict*जिलाDistrict*जिलाPlease selectZip Code*ज़िप कोडPolice Station*पुलिस स्टेशन का नामPlease selectPolice Station*पुलिस स्टेशन का नामMobile No*मोबाइल NumberE-mail ID*ई-मेल आईडीDo you have a Permanent Address?*क्या आपके पास स्थायी पता है?Please selectYesNoIs permanent address same as present address?*क्या स्थायी पता वर्तमान पते के समान है? Please selectYesNoHouse No. and Street Name*घर का नंबर और सड़क का नामVillage or Town or City*गाँव या शहर का नामCountryदेशPlease selectAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua And BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia And HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, The Democratic Republic Of TheCook IslandsCosta RicaCote D'IvoireCroatia (Local Name: Hrvatska)CubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard And Mc Donald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic Of)IraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic OfKorea, Republic OfKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedonia, Former Yugoslav Republic OfMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States OfMoldova, Republic OfMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts And NevisSaint LuciaSaint Vincent And The GrenadinesSamoaSan MarinoSao Tome And PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakia (Slovak Republic)SloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia, South Sandwich IslandsSpainSri LankaSt. HelenaSt. Pierre And MiquelonSudanSurinameSvalbard And Jan Mayen IslandsSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic OfThailandTogoTokelauTongaTrinidad And TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis And Futuna IslandsWestern SaharaYemenYugoslaviaZambiaZimbabweState / Province (If In India)*राज्य / प्रांतPlease selectState / Province*राज्य / प्रांतDistrict (If In India)*जिलाPlease selectDistrict*जिलाPin*पिन Code NumberPolice Station*पुलिस स्टेशन का नामPolice Station*पुलिस स्टेशन का नामPlease selectMobile Noमोबाइल NumberTelephone Numberटेलीफोन नंबर5. Emergency Contact DetailsName and Address*Enter name and address of the person who can be contacted in the event of an emergency.नाम और पता Mobile No*Enter mobile number of the person who can be contacted in the event of an emergency.मोबाइल नं Telephone NumberEnter landline telephone number of the person who can be contacted in the event of an emergency.टेलीफोन नंबरE-mail IDEnter an email address at which messages can be sent in the event of an emergency.ई-मेल आईडी 6. Previous Passport/ Application DetailsHave you ever held/hold any Identity Certificate/Passport Number?*नोट: यदि आपके पास पहले से ही पासपोर्ट है, तो कृपया फिर से "Reissue Passport" में आवेदन करें; "New Passport" में आवेदन न करें।क्या आपने कभी कोई पहचान प्रमाण पत्र / पासपोर्ट नंबर धारण किया है?Please selectYesHave you ever held/hold any Identity Certificate/Passport Number?*क्या आपने कभी कोई पहचान प्रमाण पत्र / पासपोर्ट नंबर धारण किया है?Please selectYesNoNote: If you already have a Passport,then please apply in Reissue Passport category; Do not apply in New Passport.Identity Certificate/Passport Number*पहचान प्रमाण पत्र / पासपोर्ट नंबरDate of Issue*जारी करने की तारीख Date of Expiry*समाप्ति की तारीखPlace of Issue*जारी करने का स्थान File Number*फाइल नंबरDetail of Diplomatic/Official Passport*राजनयिक / आधिकारिक पासपोर्ट का विवरणPlease selectDetails Not Available/Never Held Diplomatic/Official PassportDetails AvailablePassport Number*पासपोर्ट NumberPlace of Issue*मुद्दे की जगहDate of Issue(MM-DD-YYYY)*जारी करने की तारीखDate of Expiry(MM-DD-YYYY)*समाप्ति की तारीखHave you ever applied for passport, but not issued?*क्या आपने कभी पासपोर्ट के लिए आवेदन किया है, लेकिन जारी नहीं किया गया?Please selectYesNoFile Number*फाइल NumberMonth and year Applying* महीना और सालName of passport office where applied*पासपोर्ट कार्यालय का नाम जहां आवेदन किया गया है7. Other Details1) Provide the following details if there are any criminal proceedings pending against the applicant.Are any proceedings in respect of an offence alleged to have been committed by you pending before a criminal court in India?*क्या भारत में एक आपराधिक अदालत के समक्ष आपके द्वारा लंबित अपराध के संबंध में कोई कार्यवाही की गई है?Please selectYesNoName of Court and Place*कोर्ट और स्थान का नामCase/FIR/Warrant Number*केस / एफआईआर / वारंट नंबरLaw and Section(s)*कानून और धाराHas any warrant or summons for your appearance been issued & pending before a court under any law for the time being in force?*क्या आपकी उपस्थिति के लिए कोई वारंट या समन जारी किया गया है और किसी भी कानून के तहत अदालत में समय से पहले लंबित है?Please selectYesNoName of Court and Place*कोर्ट और स्थान का नामCase/FIR/Warrant Number*केस / एफआईआर / वारंट नंबरLaw and Section(s)*कानून और धाराHas a warrant for your arrest been issued by a court under any law for the time being in force?*क्या आपकी गिरफ्तारी का वारंट किसी कानून के तहत किसी अदालत द्वारा समय-समय पर जारी किया गया है?Please selectYesNoName of Court and Place*कोर्ट और स्थान का नामCase/FIR/Warrant Number*केस / एफआईआर / वारंट नंबरLaw and Section(s)*कानून और धाराHas an order prohibiting your departure from India been made by any court?*क्या भारत से आपके जाने पर रोक लगाने का आदेश किसी अदालत ने दिया है?Please selectYesNoName of Court and Place*कोर्ट और स्थान का नामCase/FIR/Warrant Number*केस / एफआईआर / वारंट नंबरLaw and Section(s)*कानून और धारा2) Provide the following details if the applicant has been convicted by a court in India.Have you at, any time during the period of five years immediately preceding the date of this application been convicted by a court in India for offence involving moral turpitude and sentenced in respect thereof to imprisonment for not less than two years?*क्या आपने पांच साल की अवधि के दौरान, इस आवेदन की तारीख से पहले भारत की एक अदालत द्वारा नैतिक क्रूरता से जुड़े अपराध के लिए दोषी ठहराया है और उसके संबंध में दो साल से कम कारावास की सजा सुनाई है?Please selectYesNoName of Court and Place*कोर्ट और स्थान का नामCase/FIR/Warrant Number*केस / एफआईआर / वारंट नंबरDate of conviction*सजा की तारीख3) Provide the following details if the applicant has been refused/denied passport.Have you ever been refused/denied passport?*क्या आपको कभी पासपोर्ट से वंचित / मना किया गया है?Please selectYesNoProvide reason*कारण बताइएHas your passport ever been impounded?*क्या आपका पासपोर्ट कभी जब्त किया गया है?Please selectYesNoPassport Number*पासपोर्ट नंबरProvide reason*कारण बताइएHas your passport ever been revoked?*अपने पासपोर्ट कभी रद्द कर दिया गया?Please selectYesNoPassport Number*पासपोर्ट नंबरProvide reason*कारण बताइए4) Provide the following details if applicant has applied for or been granted foreign citizenship.Have you ever been granted citizenship by any other country?*क्या आपको कभी किसी अन्य देश द्वारा नागरिकता दी गई है?Please selectYesNoEnter the name of the country (foreign country)*देश का नाम दर्ज करें (विदेशी देश)Please selectAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua And BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia And HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, The Democratic Republic Of TheCook IslandsCosta RicaCote D'IvoireCroatia (Local Name: Hrvatska)CubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard And Mc Donald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndonesiaIran (Islamic Republic Of)IraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic OfKorea, Republic OfKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedonia, Former Yugoslav Republic OfMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States OfMoldova, Republic OfMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts And NevisSaint LuciaSaint Vincent And The GrenadinesSamoaSan MarinoSao Tome And PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakia (Slovak Republic)SloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia, South Sandwich IslandsSpainSri LankaSt. HelenaSt. Pierre And MiquelonSudanSurinameSvalbard And Jan Mayen IslandsSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic OfThailandTogoTokelauTongaTrinidad And TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis And Futuna IslandsWestern SaharaYemenYugoslaviaZambiaZimbabweHave you ever held the passport of any other country at any time?*क्या आपने कभी किसी अन्य देश के पासपोर्ट का आयोजन किया है?Please selectYesNoEnter the name of the country (foreign country)*देश का नाम दर्ज करें (विदेशी देश)Please selectAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua And BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia And HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, The Democratic Republic Of TheCook IslandsCosta RicaCote D'IvoireCroatia (Local Name: Hrvatska)CubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard And Mc Donald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndonesiaIran (Islamic Republic Of)IraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic OfKorea, Republic OfKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedonia, Former Yugoslav Republic OfMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States OfMoldova, Republic OfMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts And NevisSaint LuciaSaint Vincent And The GrenadinesSamoaSan MarinoSao Tome And PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakia (Slovak Republic)SloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia, South Sandwich IslandsSpainSri LankaSt. HelenaSt. Pierre And MiquelonSudanSurinameSvalbard And Jan Mayen IslandsSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic OfThailandTogoTokelauTongaTrinidad And TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis And Futuna IslandsWestern SaharaYemenYugoslaviaZambiaZimbabweHave you ever surrendered your Indian passport?*क्या आपने कभी अपना भारतीय पासपोर्ट सरेंडर किया है?Please selectYesNoEnter the surrendered Indian passport Number(if available)*आत्मसमर्पित भारतीय पासपोर्ट नंबर (यदि उपलब्ध हो) दर्ज करेंHave you ever applied for renunciation of Indian citizenship?*क्या आपने कभी भारतीय नागरिकता के त्याग के लिए आवेदन किया है?Please selectYesNoApplication Details*दरख्वास्त विस्तारName of place where application submitted*उस स्थान का नाम जहां आवेदन प्रस्तुत किया गया है5) Provide the following details if applicant has returned to India on Emergency Certificate.Have you ever returned to India on Emergency Certificate (EC)?*क्या आप कभी इमरजेंसी सर्टिफिकेट (ईसी) पर भारत लौटे हैं?Please selectYesNoEC No.*EC नंबर।Date of Issue*जारी करने की तारिखDate of return to India*भारत लौटने की तिथिCountry from where travelled on EC/deported/repatriatedवह देश जहाँ से EC / deported / प्रत्यावर्तित किया गया थाPlease selectAFGHANISTAN - HERATAFGHANISTAN - JALALABADAFGHANISTAN - KABULAFGHANISTAN - KANDAHARAFGHANISTAN - MAZAR-E-SHARIFALGERIA - ALGIERSANGOLA - LUANDAARGENTINA - BUENOS AIRESARMENIA - YEREVANAUSTRALIA - CANBERRAAUSTRALIA - MELBOURNEAUSTRALIA - PERTHAUSTRALIA - SYDNEYAUSTRIA - VIENNAAZERBAIJAN - BAKUBAHRAIN - MANAMABANGLADESH - CHITTAGONGBANGLADESH - DHAKABANGLADESH - RAJSHAHIBELARUS - MINSKBELGIUM - BRUSSELSBHUTAN - PHUENTSHOLINGBHUTAN - THIMPHUBOTSWANA - GABORONEBRAZIL - BRASILIABRAZIL - SAO PAULOBRUNEI DARUSSALAM - BANDAR SERI BEGAWANBULGARIA - SOFIACAMBODIA - PHNOM PENHCAMEROON - YAONDECANADA - OTTAWACANADA - TORONTOCANADA - VANCOUVERCHILE - SANTIAGOCHINA - BEIJINGCHINA - GUANGZHOUCHINA - HONG KONGCHINA - SHANGHAICOLOMBIA - BOGOTACOTE DIVOIRE - ABIDJANCROATIA - ZAGREBCUBA - HAVANACYPRUS - NICOSIACZECH REPUBLIC - PRAGUEDPR KOREA - PYONGYANGDEMOCRATIC REPUBLIC OF CONGO - KINSHASADENMARK - COPENHAGENDJIBOUTI - DJIBOUTIEGYPT - CAIROERITREA-ASMARAETHIOPIA - ADDIS ABABAFIJI - SUVAFINLAND - HELSINKIFRANCE - PARISFRANCE - SAINT DENISGERMANY - BERLINGERMANY - FRANKFURTGERMANY - HAMBURGGERMANY - MUNICHGHANA - ACCRAGREECE - ATHENSGUATEMALA - GUATEMALA CITYGUYANA - GEORGETOWNHUNGARY - BUDAPESTICELAND - REYKJAVIKINDONESIA - BALIINDONESIA - JAKARTAINDONESIA - MEDANIRAN - BANDAR ABBASIRAN - TEHRANIRAN - ZAHIDANIRAQ - BAGHDADIRELAND - DUBLINISRAEL - TEL AVIVITALY - MILANITALY - ROMEJAMAICA - KINGSTONJAPAN - OSAKA-KOBEJAPAN - TOKYOJORDAN - AMMANKAZAKHSTAN - ALMATYKAZAKHSTAN - ASTANAKENYA - MOMBASAKENYA - NAIROBIKUWAIT - KUWAIT CITYKYRGYZSTAN - BISHKEKLAO PDR - VIENTIANELEBANON - BEIRUTLIBYA - TRIPOLIMADAGASCAR - ANTANANARIVOMALAWI - LILONGWEMALAYSIA - KUALA LUMPURMALDIVES - MALEMALI - BAMAKOMALTA - VALLETTAMAURITIUS - PORT LOUISMEXICO - MEXICO CITYMONGOLIA - ULAANBAATARMOROCCO - RABATMOZAMBIQUE - MAPUTOMYANMAR - MANDALAYMYANMAR - SITTWEMYANMAR - YANGONNAMIBIA - WINDHOEKNEPAL - BIRATNAGARNEPAL - BIRGUNJNEPAL - KATHMANDUNETHERLANDS - THE HAGUENEW ZEALAND - WELLINGTONNIGER - NIAMEYNIGERIA - ABUJANIGERIA - LAGOSNORWAY - OSLOOMAN - MUSCATPAKISTAN - ISLAMABADPALESTINE - RAMALLAH CITYPANAMA - PANAMAPAPUA NEW GUINEA - PORT MORESBYPERU - LIMAPHILIPPINES - MANILAPOLAND - WARSAWPORTUGAL - LISBONQATAR - DOHAREPUBLIC OF KOREA - SEOULROMANIA - BUCHARESTRUSSIAN FEDERATION - MOSCOWRUSSIAN FEDERATION - ST. PETERSBURGRUSSIAN FEDERATION - VLADIVOSTOKRWANDA - KIGALISAUDI ARABIA - JEDDAHSAUDI ARABIA - RIYADHSENEGAL - DAKARSERBIA - BELGRADESEYCHELLES - VICTORIA-MAHESINGAPORE - SINGAPORESLOVAKIA - BRATISLAVASLOVENIA - LJUBLJANASOUTH AFRICA - CAPE TOWNSOUTH AFRICA - DURBANSOUTH AFRICA - JOHANNESBURGSOUTH AFRICA - PRETORIASOUTH SUDAN - JUBASPAIN - MADRIDSRI LANKA - COLOMBOSRI LANKA - HAMBANTOTASRI LANKA - JAFFNASRI LANKA - KANDYSUDAN - KHARTOUMSURINAME - PARAMARIBOSWEDEN - STOCKHOLMSWITZERLAND - BERNESWITZERLAND - GENEVASYRIA - DAMASCUSTAIWAN - TAIPEITAJIKISTAN - DUSHANBETANZANIA - DAR ES SALAAMTANZANIA - ZANZIBARTHAILAND - BANGKOKTHAILAND - CHIANGMAITHE REPUBLIC OF CONGO - BRAZZAVILLETRINIDAD AND TOBAGO - PORT OF SPAINTUNISIA - TUNISTURKEY - ANKARATURKEY - ISTANBULTURKMENISTAN - ASHGABATUSA - ATLANTAUSA - CHICAGOUSA - HOUSTONUSA - NEW YORKUSA - SAN FRANCISCOUSA - WASHINGTON DCUGANDA - KAMPALAUKRAINE - KYIVUNITED ARAB EMIRATES - ABU DHABIUNITED ARAB EMIRATES - DUBAIUNITED KINGDOM - BIRMINGHAMUNITED KINGDOM - EDINBURGHUNITED KINGDOM - LONDONUZBEKISTAN - TASHKENTVENEZUELA - CARACASVIETNAM - HANOIVIETNAM - HO CHI MINH CITYYEMEN - SANAAZAMBIA - LUSAKAZIMBABWE - HARAREReason for issuing EC/deported/ repatriated*ईसी / निर्गत / प्रत्यावर्तित करने का कारणHave you ever been deported from any country?*क्या आपको कभी किसी देश से निर्वासित किया गया है?Please selectYesNoIf yes, was the cost borne by the Government of India and if so, has the same been refunded?*यदि हाँ, तो क्या भारत सरकार द्वारा लागत वहन की गई थी और यदि हां, तो क्या उसे वापस कर दिया गया है?Please selectYesNoHave you ever been repatriated from any country back to India?*क्या आपको कभी किसी देश से वापस भारत लाया गया है?Please selectYesNoIf yes, was the cost borne by the Government of India and if so, has the same been refunded?*यदि हाँ, तो क्या भारत सरकार द्वारा लागत वहन की गई थी और यदि हां, तो क्या उसे वापस कर दिया गया है?Please selectYesNo8. Documents Submitted as ProofProof of Birth*जन्म का प्रमाणPlease selectPan CardAadhar CardDriving LicenceVoter IDBirth CertificateTransfer/School Leaving CertificateMatriculation/10th/12th CertificateService Record/Pay Pension OrderPolicy BondOrphan DeclarationProof of Present Residential Address*वर्तमान आवासीय पते का प्रमाणPlease selectAadhar CardVoter IDElectricity BillTelephone BillWater BillSpause PassportParents PassportRent AgreementBank Account PassbookGas Connection BillIT Assessment OrderEmployer Certificate9. Book Appointment (Preferred Place & Date)Choice 1 - PSK/POPSK OfficePlease selectChoice 1 - Book Appointment DateChoice 2 - PSK/POPSK OfficePlease selectChoice 2 - Book Appointment DateChoice 3 - PSK/POPSK OfficePlease selectChoice 3 - Book Appointment DateNote: The appointment date you choose is tentative and subject to change in case of undeclared public holiday, non-availability of appointment slot or any other reason. We shall book the next available date in that case.Declaration: I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it. घोषणा: मैं इस बात की घोषणा करता हूं कि ऊपर प्रस्तुत विवरण मेरे ज्ञान और विश्वास के लिए सही और सही हैं और मैं आपको इसमें होने वाले किसी भी बदलाव के बारे में तुरंत सूचित करने का वचन देता हूं। यदि उपरोक्त कोई भी जानकारी गलत या असत्य या भ्रामक या गलत बयानी करने वाली पाई जाती है, तो मुझे पता है कि मुझे इसके लिए उत्तरदायी ठहराया जा सकता है।I agree with the Terms & Conditions, Privacy Policy and Refund Policy of the website(मैं वेबसाइट के नियम और शर्तों, गोपनीयता नीति और वापसी नीति से सहमत हूं)Proceed to CheckoutPayment CalculationEdit DetailsApply & Pay NowThis field should be left blank