REGISTERED NO. D. (D.N.) 127 The Gazette of India EXTRAORDINARY
PART II—Section 3—Sub-section (i) PUBLISHED BY AUTHORITY No. 86] NEW DELHI, MONDAY, MARCH 4,1991/PHALGUNA 13,1912 Separate Paging is given to this Part in order that it may be filed as a separate compilation
(1)585GI/91 2 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] J 4 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(1)] 5 6 THE GAZETTE Oi1 INDIA .EXTRAORDINARY [PART II—SEC. 3(i)] 7 8 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(01 9 585GI/91—2 10 THE GAZETTE OF INDJA : EXTRAORDINARY [PART II—SEC. 3(i)| 11 12 THE GAZETTE OF INDIA .EXTRAORDINARY [PART II—SEC. 3(i)] 13 14 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC 3(i)] 15 16 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)J 17 585 01/91-3 18 THE GAZETTE OF INDIA : EXTRAORDINARY [PART TI—SEC. 3(i)] 19 20 THE GAZETTE OF INDIA EXTRAORDINARY [PART IT—SEC. 3(i,] 21 J^ T H E GAZETTE OF INDIA .EXTRAORDINARY [PART 1I-5EC. 3(i)] MINISTRY OF EXTERNAL AFFAIRS NOTIFICATION New Delhi, the 4th March, 1991 G.S.R 100(E).—In exercise of the powers conferred by section 24 of the Passports Act, 1967, (IS of 1967) the Central Government hereby makes the following rules further to amend the Passport Rules, 1980 namely:— 1 (1) Thest rules may be called the Passports (Amendment) Rules, 1991. i~>) They shall come into force on the date of their publication in the Official Gazette.
2. In the Passport Rules, 1980 :—
(a) rule 5 shall be re-numbered as sub-rule (1) thereof, and;
(i) in sub-rule (1) as so re-numbcred, for the words "provided that" the following shall bs substituted, mnuly; "provided that every application for any of the aforesaid purposes shall be made only in the form printed and supplied b y - te) the Central Government; or
(b) a travel agent, subject to the conditions that,
(i) it is recognised by the Central Government in the Ministry of External Affairs; and
(ii) it also complies with such other conditions as that Government may specifly in this behalf; or
(c) Any other person whom the Central Government may by notification specify, subject to the condition that such person complies with the conditions specified by that Government in this behalf. 23
Provided further that:— (H) after sub-rule (1) as so re-numbered, the following sub-rule shall bo inserted, namely:— "(2) the price of the new application forms referred (o in sub-rule (I) shall be as specified in column 3 or 4 as the case may be, of schedule JII-A for that particular category:
Provided however that such application of forms shall bo supplied free of cost to their customers or others, if such forms arc printed and supplied by a travel agent referred to in clause (b) or a person referred to in clause (c) of the first proviso to sub-rule (I). GOVERNMENT OF INDIA REGIONAL PASSPORT OFFICE ACKNOWLEDGEMENT** Received your application form alongwith fee and other documents mentioned below. Your reference is No.* Dated Please bring this card or quote this reference for enquiries, which should bo made only after 40 years. Signature for Regional Passport Office Details of documents received:
1. Postal Orders/Bank Draft/Special Passport Stamp Amount Number Date I——'
2. No. of photographs ( ) i , 1 i
3. Old Passport, If issued. * For official use. •• Only for applications received by post or through TAs. O.I.G.S. To, Sh/Smt/Kum Mouse No & Street V.P.O j Town & State ! PIN Code
(b) in Schedule III in part I,—
(1) for "FORM EA(P)-1" the following forms shall be substituted, namely :— "FORM EA(P>1 FOR INDIA INDEX CARD To bo filled by applicant in BLOCK LETTERS
1. Full Name (Mr/Mrs/Miss)
2. Father's name in full :
3. Mother's name in full :
4. Spouse's (husband/wife) name in full :
5. Permanent Address:
6. Visible distinguicing marks ;
7. Place of birth:
8. Date of birth:
9. Profession :
10. Previous passport No. :
11. Date of Issue :
12. Specimen signature: For Official Use Only Ref/File No. — — — — — • • •
1. Passport "No 2. Date of issue ;
3. Place of issue
4. Observations/Remarks - ——— P.A.C. - — T.O.R. F.T.S.
5. Subsequent servioes: 24 THE GAZETTE OF JND1A EXTRAORDINARY [PART II—SEC. 3(i)] • • - - - EA(?)-t GOVERNMENT OF INDIA MINISTRY OF FXTERNAL AFFAIRS PASSPORT APPLICATION FORM (FOR USE IN INDIA) (For the issue of an ordinary/international Passport Fresh/After 10 ycars(final), India Srilanka Passport/India Bangladesh Passport and/for duplicate in lieu of lost/damaged passport) (Please delete inapplicable) Name and designation of Attesting Officer Tele N o . — — — Serial No. Payment of fee (to be filed by applicant) Amount Paid Rs by (Mode of payment) Please state the mode of submission of application (A) and Delivery (D).
(i) Personally Ci) By P o s t (>") Through Rec. Travel Agent (iv) Through auth rep. ~ ( A ) ~ ~ ~ (D) tA) (D) (A) (D) (A*T <T» Please tick mode (i) & (ii) only if previous Passport containing valid visas for U.K., U.S.A. etc. submitted with application. (For delivery tick marked by post Rs. 10/- extra to be paid as postal charges for each passport enclosing self addressed envelope of size 16cm x 10cm.)
1. Full Name (Expanded initials) 2 g e x Male/Female 3 Martial Status Married/Unmarried/Divorcee/Widow/Widower Maiden Name in case of woman who is Married/Widow/Divorcce 4 Has the applicant ever changed his/her name ? Yes/No. If yes, give previous name. (Please attach Deed Poll/ Affidavit and two Newspaper Clipping confirming change of name as per specimen ultnched) (Anncxure A).
5 . Date of Birth — ~ ~ - ~ h " - — —
6. place of birth - • • T o w n District S t a t e PIN Code
7. Address 1 Permanent address in Tndia 2. Present Address House name/No Housename/No Vill/Street Vill/Street Post Office P o s t Office District D i s t r i c t S t a t e PTN Code State PIN Code Telephone No Telephone No 25
8. If the applicant has not resided at the above address continuously for the last two years please givo tho other address and the duration where he/she have resided during the period. Applicant should ask for additional Personal Particular formi and fill up additional sets of P.P. forms for each additional place with photos, (indicating name of applicant on reverse of photographs). This is essentials to complete the police verification. Houso name/No House name/No Vill/Street Vill/Street Post Office Post Office District District State PIN Code State PIN Code Telephone No Telephone No
9. Mother's Name Spouse's (husband/wife) Name
10. 1. Is the applicant citizen of India by (1) Birth (2) Decent (3) Registration (4) Naturalisation 7 Attach certified copy of citizenship document in case of (3) or (4).
2. Did the applicant ever possess any other citizenship/or travel document of any other country? Yes/No.
3. Citizenship at the time of birth
4. What is your father's place of birth?
1. Particulars of children to be included at time of issue of parents,pflssport Name Place & Date of birth Sex 1 — 2 3, __ ____, , Note: In case of inclusion of name (s), please enclose (i) birth certificates/school c-rtifijite bearing i n u s o1" 'i) i I K J I I I a i l (ii) p m - ports, if any of both parents. Children below fifteen years of age can either apply to i l lus ion (<> i EW V2) f, >rm in their parent! (generally mother's) passport or apply for separate passports on EAP (1).
12. Profession/Occupation of Applicant
1. Public; Undertaken Service 5. Se]f-emploj,.J
2. Government Service 6. BUSUKSS
3. Statutory Body Service 7. Student
4. Private Service 8 Other I specify) In case of I,:,3 above please enclose "No Objection Certificate" in original from the employer (Anncxmv E) Sn^h applicant may fulfl annexure G also.
13. Physical Particulars 1, Height m cm.
(2) Colour of eyes (black/brown/blue/grecn/other (specify)
(3) Colour of Hair (black/brown/grey'white/other (specify)
(4) Visible distinguishing marl.s
14. (1) Did the applicant cvor apply for a passport /travel document before? YFS NO
(2) Please furnish details of past passport/travel document held, if any. Passport No Dato Month .Year Place of Issue Attach previous passport/travel document, please give reasons for not doing so
(3) (i) Docs it have HCR or ECNR (To be checked by office)
(ii) Whether it contains valid U.K., U.S. or other visas jf s0_ whether old passport is to be attached uncancelled to the new Passport or cancelled & returned to the holder. 5S5 CI/91—4 26 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)]
15. LOST/DAMAGED PASSPORTS (enclose damaged passport/earlier passport if any in lieu of which lost passport was Issued).
(1) Briefly state circumstances of loss/theft/damage of passport on a plain pap.r and attach copy of report lodged with local police in case of loss/theft.
(ii) Details of restriction, if any, put on applicant's damaged/lost passport to be given,
(iii) Did applicant avail transfer of residence, foreign travel scheme facility on lost/damaged passport. If so, details please
16. Particulars of person to be intimated in the event of death or accident. Name Address: House name/No Vill/Street Post Office District State PIN Code
17. Han tho applicant submitted any verification certificate as given at annexurc G YES NO
18. (1) Educational Qualifications (attach attested copies of degrees)
(2) Is the applicant entitled for Emigration Chock Not Required (ECNR), YfiS/NO If so, e r i m ; vrapi-tin j dr>;jTmt (Plan; read item 8 of information booklet)
19. Information required under Section 6 of the Passport Act 1967:
(1) Has the applicant at any time during the period of five yi'Hrs immediately preceding tha dite of th'n applicitioi bien convicted by a Court in India for any criminal offence and sentenced to imprisonment ? (21 Are any proceedings pending against the applicant before a criminal court in India ?
(3) Has a warrant or summons for appearance or warrant for arrest or an ordar prohibiting tho applicant's departure from India been issued by a court ? If the answer to any of the above questions is yes, dstails in asapirat: she:tduly signed to be furnished.
20. References : Name and addresses of two responsible persons in locality who can vouch for tho apolicant. i 2 : House name/No House name/No Village/Street Vill/Street Post Office Post Office Police Station Police Station , - District District State PIN State PIN Telephone No Telephone No.
21. Please indicate Whether
(1) A passport/travel document was refused/impounded at any time: or restored conditionally.
(2) Was the applicant repatriated on Govt. cost, if BO, documents to show that expenditure incurred by tho Govt. on his/her repatriation has been fully refunded to the Govt. of India, Ministry of External Affairs may be enclosed.
22. Declaration of applicant:
(1) Iowe allegiance to the sovereignty.unity &integrityoflndiaandhavenotvoluntari1y acquired the citizenship or travel document of another country;
(2) I have not lost surrendered or been deprived of citizenship of India.
(3) The information given by me in this form is true and am solely responsible for its accuracy. I am aware that it is an offence under the Passport Act 1967 to furnish any false information or to suppress any material information with a view to obtaining passport or any other travel document. j j a te Place Signature of applicant 27
23. Declarations of Parent or Guardian in case passport is for minor : I affirm that the particulars given above are in respect of son/daughter of of whom I am the parent/Guardian. I undertake to be ontircly responsible for his/her expenses, I solemnly declare that h.-'slic h is not lost sui-r^ndere J or hj_-i deprived of his/her citizenship of India and that the information given in respect of him/her in this application is true. Place Date Name & Signaturc/T.l. of parent/Guardian (Left Irvid T.[. if male and right hand T.I. if female)
24. Please give two specimen signature or TJ. within the space givon below. I OR. OFFICE USE PERSONAL PARTICULAR FORM (In Duplicate) Affix Photograph
1. Full Name (Enpandod initials)
2. Sex Male/Female
3. Has the applicant ever changed his/her name? Yes/No, if yes, give previous name.
4. Dale of Birth j j 1 Date Month year
5. Place of Birth Town Distt State PTN Code
6. Father's name Mother's name , Spouse's (husband/wife) Name
7. Places where applicant has resided continuously for the last two years including present address may be given. Applicant should ask for additional Personal Particulars forms and fill up additional sets of PP forms for each additional placo with photos (indicating n,vno on the reverse). This is essential to complete ihe police verification. 1 2 Vill/Street Village/Street P is OiHce Post (XBce -. . . .. Police Station Police Station District • District State PIN Stale PIN Telephone No Telephone No 585 GI/91- -5 28 THE GAZETTE OF INDIA :EXTRAORDINARY [PART II—SEC. .3(i)J
8. Ph ysical Particulars
(1) Height m cm.
(2) Colour of eyes (black/brown/blue/green/other (specify)
(3) Colour of Hair (black/brown/grey/white/other (specify)
(4) Visible distinguishing marks
9. 1. Is the applicant citizen of India by (1) Birth (2) Descent (3) Registration (4) Naturalisation ? Place Signature or T.I. of the applicant Date (.Left hand T.I. of male and right hand T.I. of female) ANNEXURE—'A' AFFIDAVIT FOR CHANGE IN NAME DEED POLL/SWORN AFFIDAVIT (on Non-judicial stamp paper) By this deed f, tho undersigned (new name) of etc. called (old name), doing (give profession or avocation) and resident of (address) solemnly declare :—
1. Thut for and on behalf of myself and my wife and children and remitter issue wholly renounce/relinquish and abandon the uso of my former name/surname of and in place thereof I do hereby assume from this date the name/surname and so that I and my wife and children and remitter issue may hereafter be called, known and distinguished not by my former name/surname, but assumed name/surname of
2. That for the purpose- of evidencing such my determination declare that 1 shall at all times hereafter in all records, deeds and writings and in all proceedings, dealings and transactions, private as well as inon all occasions whatsoever use and sign the name of as my name/surname in place and in substitution for my former name/surname.
3. That 1 expressly authorise and request all persons in general relative and friends in particulars at all times hereafter to designate and address me, my wife, my children, remitter issue by such assumed name/surnamo of accordingly.
4. In witness where of I have here unto subscribed my former and adopted namo/surname of and office my signature and seal, if any, this day of.. .*• Sign?'1, sailed and delivered by the above named formerly In the presence of : 1, Name Address
2. Name Address (This deed poll/affidavit may be signed and attested in pieser.ee of a magistrate, a notary or Consular Officer In an Indian Mission abroad). 29 ANNKXURE 'B' SPECIMEN OF AFFIDAVIT TO BE SUBMITTED WITH THE APPLICATION FOR A PASSPORT IN LIEU OF LOST/ DAMAGED PASSPORT (This affidavit is to be executed on non-judicial stamp paper of Rs. 5/- in the presence of Magistnue First Class or Notary Public, on the following points) 1, s/o, d/o, w/o residing ai solemnly affirm as follows :
(i) State how and when the passport wes lost/damaged.
(ii) State whether you travelled on the lost/damaged passport, if so, last date of t ntry inlo India,
(iii) State whether you availed of any TR concession/FTS ctlllowance and if so details thereof,
(iv) State whether non-resident Indian and if resident abroad, the details of the residence as follows : Sr.No Name of the country Length of Residence Page Nos. of passport bearing departure From To & arrival stamps (details if available) (in case of damaged only)
1.
2.
3.
4.
5. I further affirm that I will take utmost caro of my passport if issued and the government will be at liberty to take any legal action under the Passports Act, 1967, if the lapse is repeated. Deponent, Afflrmtd before Magistrate first class/Notary Public ANNEXURF. ' C SPECIMEN AFFIDAVIT TO BE DECLARED/AFFIRMED RY LEGAL GUARDIAN OF THE MTNOR I vv/o (name of guardian) solemnly declare and affirms as follows :—
1. That I am the legal guardian of (name of minor) who ii a minor and on whose behalf 1 have made an applicoi'on for a passport.
2. That (name of minor) has been living in India umlei my guardianship.
3. That I have no interest advertc to that said /name of minor)
4. That I have applied for a passport for (ivm" of minor) under the instructions of (name and addreis of minor'* pirt i t rnJ his full address abroad). Si3mture a>id address of: Deponent : Date : THIS AFFIDAVIT MAY BE SWORN IN THE PRESENCE OF OATH COMMISSIONER/NOTARY PUBLIC F,TC. ANNEXURE -D" SPECIMEN AFFIDAVIT TO B1-" DECLARED/AFFIRMED BY TWO RESPONSIBLE PERSONS WHO KNOW THE GUARDIAN AS WELL AS THE MINOR I (name of deponent) s 'a, d/o j o solemnly declare ar.d affirm as fol'ows :-• 1, That I know Shri/Smt (name of giiardiuii) v'o, d/o and (name of minor) s/o, d/o .and (P:MV.C of guardian; is thf bpal guardian of (nyme of minor).
2. That (iwiv.e of guardian) has apH!cd for a passport in favour of (name of minor.) undT the instruction! of his/hei (name and address of minor's parents residing abroad). interest adverse to that of said 4 That (name of guardian) is (relationship) of (name of minor). Signature, address and designation of Deponcnf, This affidavit may be sworn in the presence of Oath Consmissioncr/NcHary PubJic, etc. 3 0 _ THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC 3(i)] ANNEXURE 'E' All Central Government employees, State Government cmploye.s employees of Statutory Bodies and employees of Public Sector Undertakings are required to produce a NO OBJECTION CERTIFICATE No . Certified that Shri is a temporary/permanent employees of this from (date) and is at present holding the post of This Ministry/Department/Organisation has no objection to his acquiring an Tndian passpjrt. Ths unJenisr.\I is djly authorised to sign this No Objection Certificate. (Na-ne & Deviation) ANNEXURE 'F* SPECIMEN AFFIDAVIT TO BE EXECUTED ON APPROPRIATE NON-JUDICIAl. STAMP PAPER IN CASE OF APPLICATION FOR MINOR 7 s/o, d/o, w/o r/o --do hereby state that I have filled up an application for passport dated for me/for my minor son/daughter for going to country of destination for f nature of purpose), I take on h and solemnly declare/ affirm that the particulars furnished by me in my said passport application form arc correct and that 1 hav; not co.uwiiLti or misrepresented any fact in it. I solemnly declare that there are no crminal or civil cases pending against me in any court of law in India. ] am a citizen of India by birth/registration/natumlisation. I have neither acquired the citizenship of .mother counlry nor have lost, surrendered or been deprived of my citizenship of India. DEPONENT Place ; Date : Verification Verified at (place) on tliis day of of the year one thousand nine hundred and A.D. that the contents of by above affidavit are true and correct to theb best of my knowledge and belief and nothing material has been concealed therefrom. ANNEXURE—G VERIFICATION FORM FOR GENERAL PUBLIC INCLUDING PUBLIC SERVICE (on official stationery of verifying authority) This is to certify that Miss/Mrs son of/daughter of/wife of resident of has good moral character and reputation and that after having read the provision section 6(2) of the Passport Act, 1967 (Printed below), 1 certify th:it thew provisions are not attatched in case of the applicant and I, therefore, recommend issue of -in Indua P.isspjrt to hin. Place : Date : Signature (Complete name with designation and official seal) Telephone No. Offles Residence Note : (1) This verification certificate may begotsignid by any of following
(i) A Deputy Secretary and above to the Govt. of India
(ii) A Joint Secretary and above to a State Govt.
(iii) A Sub-Divisional Magistrate and above posted in concered District of residsn;; of applicA.it.
(iv) A District Supdt. of Polic; and above postsJ in coac:rn;i DUtrict of re^idsnl of applicant.
(2) Officer issuing verification certificate should also attest photograph of applicant.
Section 6(2) of the Passport Act, 1967. "Subject to the other provision of this Act, the passport authority shall refuse to isi-.u a rmspoct or have! djjjini.it for visiting any foreign country under clause(c) of section 5 of any one or more of the following ground, and on no other ground. namely :—
(a) that the applicant is not a citizen of India. 31
(b) that the applicant may, or is likely to engage outside India in activities prejudicial to the sovereignly and integrity of India. (t1) that the departure of the applicant from India may, or is likely to, be detcrimental to the security of India.
(d) that the presence of the applicant outside India may, or is likely to Prejudice the friendly relations of India with any foreign country.
(e) that the applicant has, at any time during the period o( five years fmmediately preceding the date of his application heen convicted by a count in India for anv offence involving moral turpitude and sentenced in respect thereof to imprisonment for not less than two years. (0 that proceedings In respect of an offence alleged to have been committed by the applicant arc pending before a criminal court in India. (K) that a warrant or summons for the appearance, or a warrant for the arrest, of the applicant has been Issued by a court under any law for the time being inforee or that an order prohibiting the departure from India of the applicant has been made by any such court
(h) that the applicant has heen repatriated and lias nol reimbursed llu evpimdlture incurred in ijn.mection with such rtrpiiiriation. AFFIDAVIT H1 TO BH EXECUTED ON APPROPRIATE NON STAMP PAPER AFFIDAVIT I s/o, w/o, d/o r/o hereby state that I have filed an application for passport dated for me/for my minor son/daughter for going to (country of destination) fo r (nature of purpose). I take oath and solemnly declare/affirm that the particulars furnished by me in my said passport application form are correct that I have not concealed or misrepresented any fact in it. I solemnly declare that there are no criminal or civil cases pending against me in nny court of law in India. I am a citizen of India by birth/registnition/natuvalistition. I have neither acquired I hi: citizenship of Hiioihei eoiintiv 11.11 have lost, surrendered or been deprived of mv citizenship of India, OH PONE NT Place ; Dale : Verification : Verified at on this day of of the year one thousand nine hundred and A.D. that the contents of my above Affidavit are true and correct to the be9t of my knowledge and b.lief and nothing material has been concealed therefrom. DEPONENT PASSPORT INFORMATION BOOKLET This Application Form is to be used for the issue of an ordinary International Passport, India-Srilanka Passport, India-Bangladesh Passport and for Duplicate Passport in Lieu of Lost/Damaged Passport. Caution : A Passport is issued under the Passports Act, 1967. It is an offence to knowingly furnish false information or suppress material information which attracts penal and other action under relevant sections of the said Act. The passport is a valuable document. All holders are required to take due care that it does not get damaged or mutilated or lost. Passport should no! bo sent out of any country by post. Please Note :
1. A passport is issued only after due verification by concerned authorities. Appllcaanls tire therefore advised to make enquiries about the status of their application only if passport is not received after 30 days of submission thereof.
2. Passports are normally despatched by registered post unless submitted through an authorised agent. Delivery of passport in the passport office shall be restricted to passport holder in person only.
3. It takes considerable time to process application for Issue of Duplicate Passport in lieu of lost/dumngt-ij ones
(a) In case of first loss, the time taken will be 90 days
(b) For subsequent loss it will be beyond 180 days. No request for expeditious cotisiili-iaiimi Is enferiwnrd
4. Infants and minors may have separate passport.
5. Incomplete forms shall not be accepted. 585 GI/91—6 32 THE GAZETTE OF INDIA .EXTRAORDINARY [PART II—SEC, 3(i)J INSTRUCTIONS
1. Application has to be submitted personally or through recognised travel agent or by registered post or through authorised representative.
2. Please fill the form in block letters and state "yes" or "no" as the case may be In side the boxes to the light side.
3. DOCUMENTS
1. Applications are advised to submit attested photocopies of all documentary and other evidences wherever asked for, to facilitate expeditious processing of their applications, Original documents may also be asked for exmination and will be returned.
2. Copies of documents should be attested by any of the competent authorities mentioned below incase of applications submitted by legistered post.
(1) Originals of documents should be produced at the time of submissions in case tho application is submitted at the passport office. The originals will be returned after verification. (ilj Authorities competent to attest documents and photographs
1. A gazetted Government servant of the state or central Government;
2. A notary public;
3. A Magistrate from a court of law. The following documents must accompany the application (in addition to any other documentary evidence asked for specifically in any section),
3. PROOF OF ADDRESS
1. 1 photostat copy each of tho front and back pages of the applicant's ration card should be attached or any other documentary evidence such as water tax, telephone bill, electric bill etc. as acceptable to passport office.
4. BIRTH DOCUMENTS
1. Applicant born on or after 26th January, 1989, should produce an attested copy of tho birth certificate, from Municipal authorities if born within territorial jurisdiction of a Municipal authority or otherwise from the office of the Registrar of Births and Deaths
2. Applicants born before 26th January, 1989 should produce attested copy of any of the following documents,
(i) Birth certificate issued by a Municipal Authority or District office of the Registrar of Births & Deaths.
(ii) Date of birth certificate or nationality certificate from the school last attended by the applicant or any other recognised educational institution;
(iii) A certified copy of extract from the concerned District Magistrate/SDM/SDO from voter's list where the name of the applicant is entered;
(iv) Date of birth certificate Issued by the Educational Boards;
(v) Certificate from the Chief Medical Officer on the basis of the entries in register of the Registrar of Births & Deaths;
(vi) No Objection Certificate issued by State Government or Central Government or Government Undertaking who may be asked to certify the nationality of their employees applying for passport;
(vli) Old Passport;
(viii) Notarised affidavit stating nationality and date of birth in case of illiterate persons, Annoxure 'H1. (CAUTION) : Date of Birth/Place of birth once included in the Passport will not be changed under any circumstances. In case of error applicant will have to mike a fresh application enclosing relevant evidence for obtaining fresh passport with correct date or place of birth,
5. PHOTOGRAPHS j . Five photographs of size 35mm x 45 mm showing frontal view of full face against light back-grouud are required, 3 of which should be attested on the reverse by any of the authorities given above as "True Likeness of Name ," Photograph should be in civilian dress. ii. Please do not mark the front of photographs in any way or furnish photographs with coloured glasses or in uniform, iii. Authorities attesting photos and for other documents must indicate their otfice telephone numbers also.
6. PASSPORT FOR MINORS ARE ALLOWED In case the application is for the passport of a minor, the affidavit sworn by the guardian as per the specimen appended should be attached. (Annexure F)
7. OTHER DOCUMENTS REQUIRED FOR REPLACEMENT OF LOST/DAMAGED PASSPORTS a. If passport is lost: i. Copy of first information report (F.I.R.) from the police station where the loss U reported ii. Affidavit as per specimen appended (Annexurc 'B') b. If passport is damaged i. attach passport with affidavit as per specimen appended (Annexurc 'B'J. 33
8. LIST OF APPLICANTS ENTITLED TO EMIGRATION CHECK NOT REQUIRED STAMP (E.C.N.R.) This list' is prepared in the Ministry of Labour.
1. Person going abroad in managerial capacity in Hotels Restaurants, Tea-Houses or other places of public resort etc., possessing specialised Degrees in these fields.
2. All Gazetted Government servants.
3. AH Income-Tax payers (including Agricultural Income-Tax Payers) in respect of their individual capacity proof of assessment to Income-Tax and actual payment of Income tax for last three years to bo insisted upon, and not merely payment of advance tax.
4. All professional Degree holders, such as Doctors holding M.B.B.S. Degrees in Ayurved or Homeopathy); accredited journalists, Engineers, Chartered Accountants, Cost Accountants, Lecturers; Teachers, Scientists, Advocates, etc,
5. Spouses and dependent children of category of person listed from (2) to (4).
6. All persons who have been staying abroad for more than three years, (the period of three years could be oihter in stretch or broken) and spouses and children of such persons.
7. Seaman who are in possession of CDC and Sea Cadets.
8. All holders of Diplomatic/Official Passports.
9. Dependent children of parents whose passport is classified as E.C.N.R. In the case of such cliildron E.C.N.R. classification to be restricted until they attain 24 years of age.
10. Persons holding permanent Immigration Visas, such as in UK, USA and Australia.
11. Person holding Graduate or higher Degrees.
12. Person holding Diploma from recognised Institutions like polytechnics.
13. Nurses possessing qualifications recognised under the Indian Nursing Council Act, 1947.
14. All persons above the age of 60 years.
15. All visitors to Pakistan and Bangladesh.
9. PAYMENT An amount of Rs. 60/- has to be paid alongwith the application form either by bank draft or by cash or by Postal Order or by special passport stamp (issued by post offices) at the passport office. Rs. 10/- extra if children are to be Included. EA(P)—2 Governmenr of India Ministry of External Affairs Application Form for Miscellaneous Services on Indian Passports For (use in India) (a) Renewal (b) Additional Visa Sheet
(c) Additional Booklet (d) Change of Address (o) PCC (f) Additional Endorsement (g) Child inclusion/Deletion (h) Any other Service (specify) (Please delete Inapplicable) Amount of Fee paid Rs — • ———by —————• — (Mode of Payment) Mode of Submission of application (A)and Delivery (D)
(i) Personally (ii) fly Post (iii) Through Rec. Travel Agent (iv) Through auth rep) (A) (D) (A) (D) (A) (D) (A) (D) Please tick mode (i) & (ii) only if previous Passport containing valid visas for U.K., U.S.A. etc. submitted with application. (For delivery tick marked by post Rs. 10/- extra to bs paid as postal charges or each passport enclosing self-addressed envelop of size 16cm x 10cm).
1. Name (Please give expanded initials)—-— — — — —
2. (a) [Faiher's Name- • . — - . „ _ - ..-.~._ _ — _ — _ _ ^ ^
(b) Mother's Name-——• — — ——— —— — . __ _ .
(c) Husband/Wife Name • •• • —
3. Passport No.— • Place of issue—— —Date of issue—— • Valid upto-——
4. File No. of passport —— — _ — — _ — 34 THE GAZETTE OF INDIA : EXTRAORDINARY [PART 11-Snc. 3(0]
5. Are any criminal proceedings against applicant In criminal court in India or any other disqualification under section 10(3)
6. Particulars of children lo bo included/deleted Name Place & Date S e x of Birth <M-n>
7. DECLARATION I solemnly affirm that :
(i) I owe allegiance to the sovereignty and integrity of India, and
(li) Information given above in respect of myself, my son/daughtcr/ward is correct and nothing has. been concealed and I am aware that it is an offence under the Passport Act 1967 to knowingly furnish raise information or suprcss material information, which attract penal and other punishments under the acts and,
(iii) I undertake to be entirely responsible for expenses of my son/daughter/ward,
(iv) 1 declare that I have not lost or surrendered my citizenship of India since the above passport or travel document was issued to me. I further declare that 1 have no other passport. Signature of applicant or T.I. or his legal guardian (Left hand T.I. of male and right hand T.I. of female) Place. , . . •••• Date
8. Two specimen Signatures or T.I. required for services at (c) within the space given below FOR OFFICE USE INSTRUCTIONS FOR FILLING UP fcAP(2) FORM thisiorm is to be used lor the Miscellaneous Services on ordinary Indian Passports, for
(a) Renewal
(h) Issue of Visa Shed (C) Issue of Additional booklet dn userl itp pages, faking separate passport for child/chan^ in name/maiden name/date of birth.
(d) Change of address
(e) Police Clearance Certificate (indicate the name of country or which PCC requited and purpose')
(f) Addition/Deletion of particulars of children (B) Additional Endorsement
(h) Any other Services In case of fresh inclusion of namc(s) of children please enclose 0) birlh certificate(s) leaving name of both parent (li) Passports of both parents. Children below 15 years of age can eh her apply for inclusion in (heir parents (generally mother's passport) or apply for separate passports. Children above 15 years must apply or separate passport. 35 EA(P)-1 EXTERNAL APPLICATION FORM FOR INDIAN PASSPORT AT AN INDIAN MISSION/POST (for ihe issue of an ordinary international passport Fresh/After 10 years (Final)^and for duplicate in lieu of lost damaged passport) (Please Delete inapplicable) Payment of FLO (to be filled by applicant) Amount paid S/ by Mode of payment For delivery by mail $/ extra to be paid as postal charges for each passport
1. (A) Fu II name (expanded Initials) (Surname) (B) Aliases, if any (C) Has applicant ever changed his/her name 7 If so, give previous name in full (D) Maiden name, if applicant is a married woman
2. Date of birth place of birth Country Height (cms) Colour of eyes Hair Visible distinguishing marks, if any
3. Permanent Address
(a) ID India
(b) In country of domicile
4. (1) Name of father Country of his birth
(ii) Name of mother Country of her birih
(iii) Nationality of father at the time of applicant's birth (i v) Nationality of mother at the time of applicant's birth
5. Married/Unmarried (Tick mark). fi, Name & Nationality of Spouse
7. (i) Name of applicant's eldest son or daughter (first child) (Ii) Name of applicant's eldest brother or sister ,
8. Present Passport/national identity card, if any No Date & Place of issue
9. Local car driving Licence No Date & Place of issue ,
10. Educational qualification (In order to determine emigration status)
11. When did applicant first leave India ? When was he/she In India last 7
12. How long has applicants continuously resided abroad ?
13. Present Emigration Status (ECR or ECNR) (With documentary evidence)
14. Profession and business address Telephone ,
15. Please mention, if citizen of India by birth/desccnt/naturallsation/Registration.
16. Did applicant ever possess any other nationally or travel document of any other country, if so, please give detail.
17. Was applicant ever refused an Indian Passport 7 (Ycs,No).
18. Was applicant's passport ever impounded/revoked ? If so, detailed please. (Yes/No).
19. Name and address of two relatives/friends
(1) U)
(ii) (ii) 36 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)]
20. Is applicant fn Govt. Service/Public Undertaking Service/Statutory Bodies Service of India 7 If so. please give deiails and enclose 'No Objection Certificate' from your employer in original
21. (i> Are any criminal proceedings pending aganist applicant in any court in India 7 If so* please give details
(ii) Has applicant ever been repatriate from abroad to India at the expense of the Govt. of India ? If so, dciails please
22. No. of lost/damaged passport Place of issue Date of Issue valid until
23. 0) Briefly state circumstances of loss/'heft/damagc of passport on a plain paper and attach copy of report lodged with local police in case of loss/theft.
(ii) Deiails of restriction, if any, put on applicant's damaged/lost passport. Oil) Did applicant avail transfer of residence, foreign travel scheme facility on lost/damaged passport. If so, details please,..,
24. Is applicant registered wiih Indian Mission/Post ? If not, is he a member of any Indian Organisation 7
25. Particulars of children, if any, (o be included/deltcted Name Place & Date of birth Sex (M/F) Note : In case of fresh inclusion or Inclusion on a new passport in lieu of lost/damaged passport, enclose (i) birth certificated) bearing names of both parents (ii) passports of both parents and (iii) marriage certificate of parents. Children below fifteen years of age can either apply or inclusion in their parent's passports, generally mo:her's or apply for separate passport. Children above fifteen years must apply for separate passport.
26. DECLARATION I solemnly affirm that fi) I owe allegiance to 'he sovereignty and integrity of India, and
(ii) Information given above in respect of myself, my son/daughtcr/ward is correct end nothing has been concealed and I am aware that It is an offence under the Passport Act 1967 to knowingly furnish false information or stipress material information, which attract penal and other punishments under (he acts and,
(iii) I undertake to be entirely responsible for expenses of my son/daughter/ward. Signature of applicant or T.I. or his legal guardian (Left hand T.I. of- male and right hand T.I female). Place Date Specimen signature of T.I. within the space given below: 37 FOR OFFICE USE EA(F)-2 EXTERNAL Application Form for Miscellaneous Services on Indian Passports (For uiie in Indian Mission/Pos) (a) Renewal
(b) Additional Vina Sheet (c) Additional Bookie" (d) Change of Address
(e) PCC (f) Additional Endorsemen; <H) Child Inclusion/Deletion (h) Any Oher Service (Specify) (Please delete Inapplicable) Payment of Fee (to be filled by applicant) Amount Paid by • .(Mode of Payment)--—— . „ For delivery by mail J/, extra to b _4 paid as post al charges for each passport
1. Full Name
2. Applicant Car Driving Licence No Date & Place of Issue
3. Residential address:
(i) In India (ii) In ciurUry of domicile Tel Tel 4, Profession and business address Tel
5. Is applicant registered with the Indian Mission/Post 7 If not, is he a member of any Indian Organisation ? Give deiails 6, (i) Name of Father
(ii) Name of Moiher
(iii) Name of Spouse & Nationality
7. Current Passport No Place of its issue Date of issue Valid until
8. Particulars of children to be Included/deleted: Name Place & Date of issue Sex (M/F) Note ; fn case a fresh inclusion of name(s), enclose (i) birth ccniflcatc(s) bearing names of both parents (ii) marriage certificate of parents and (ill) passports of both parents, Children below fifteen ysirs of a j : can eilhsr apply for inclusion in their parent's generally mother's passport or apply for separate passports. Children above fifteen years must apply for separate passports.
9. DECLARATION I solemnly affirm that
(i) I owe allegiance to the sovereignty and integrity of India, (ii i Information given above is correct and nothing has been concealed and I am aware that it is an offence under the Passport Act 1967 to knowingly furnish false information or suppress material infromation; and
(iii) I undertake to be entirely responsible for expenses of my son/daughter/ward. Place Signature of applicant for T.I. or Date his legal guardian (Left thumb impression of male and right hand thumb of female) 38 THE GAZETTE OF JNDTA .EXTRAORDINARY [PART IT—5B1,. 3(i.)l
10. Two specimen sigaature or thumb impression required for servlce(c) within the space given below. FOR OFFICE USE (iij "FORM EA(P)-6", shall be omitted, (iii. "FORM EA(P)-8", shall be omitted,
(iv) "FORM EA(P)-10", shall be omitted.
(c) after, "Schedule 111", the following schedule be inserted, namely : — "SCHEDULE III A" [See sub-rule (2) of rule 5] SI. Description of passport application form Cost in India Cost abroad No. (1. . (2) (3) (4)
1. EA(P)-1 application form Rs 10/- —
2. EA(P)-1 external application — Rs. 10/-
3. EA(P>-2, EA(P)-2 Ext, an&EA<P>-3 Rs. 5/ Rs 5/
(d) In Schedule IV serid numbers 23, 24 and entries relating thereto shall be omitted; [No. VI17/887/10/89) SHASHANK, Jt. Secy. (CPV) NOTE:— The principal rules published vide Notification OSR 691(E) dated 11th December 1980, were subsequently awarded by :—
1. GSR 50(E) dated 07-02-1981
2. GSR 494(E) dated 10-06-1981
3. GSR 469(E) dated 24-06-1982
4. GSR 325(E) dated 12-04-1983
5. GSR 482(E) dated 13-06-1983
6. GSR 86O(E) dated 01-11-1985
7. GSR 345(E) dated 29-03,1985
8. GSR 857(E) dated 13-10-1987
9. GTJR. 1155(E) dated 21-11-1988
10. GSR 84(E) dated 11-02-1988
11. GSR 622(E) dated 27-06-1990
12. GSR 653f E^ dated 20-07-1990. Printed by the Manager, Govt. of India Press, Ring Road, New Delhl-110064 and Published hy the Controller of Publications, Dclhi-t 10054, 1991