REGISTERED No. D. (D.)-72 The Gazette of India EXTRAORDINARY
PART II—Section 3 -Sub-section (i) PUBLISHED BY AUTHORITY No. 164] NEW DELHI, FRIDAY, JUNE 1, 1979/JYAISTHA 11, 1901 Separate paging is given to this Part in order that it may be filed as a separata compilation 190GI/79 (749) 750 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(0] 751 MINISTRY OF EXTERNAL AFFAIRS New Delhi, tho 1st June, 1979 C.S.R. 335(E).—In exercise of the powers conferred by section 24 of tho Passports Act, 1967 (15 of 1967), the Central 752 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC 3(1^ Government hereby makes the following rules further to amend the Passports Rules, 1967, namely :—
1. (1) These rules may be called th0 Passports (Seventh Amendment) Rules, 1979.
(2) They shall come into force o n the date of their publication in the Official Gazette.
2. In the Passports Rules, 1967 (hereinafter referred to as the said rules), for rule 16, the following rule shall bo substituted, namely :— "16. Inspection of passport or travel document :— The authorities fov the purposes of clause (c) of subsection (1) of section 12 shall be—
(i) the passport authority; or
(ii) an officer of Police, not below the rank of a Sub-Inspector; or
(iii) an officer of Customs, empowered by a general or special order of the Central Government in thl» behalf."
3. In Schedule i n to the said rules, for Forma EA (P)—1 and EA (P)—2, the following Form shall be substituted, namely :— FORM EA (P) 1 GOVERNMENT OF TNDIA MINISTRY OF EXTERNAL AFFAIRS PASSPORT APPLICATION FORM Caution : It is an offence under Space for affixing the Passports Act. 1967 to passport for Postal knowingly furnish false infor- Stamp mation or suppress material information. This application form can be used for issue of an ordinary international passport/ India-Sri Lanka Passport by an adult foi himself/herself or by a parent/legal guar. dian for issue of a passport to a person below 18 years of age. To The Passport Officer (fill in name of Office here) For official u*e A. FEE: only — — ] Amount paid R$. For Payment At Passport Office/ 2. Date of payment State Bank Counter 3. How have you paid I t - Receipt No. _(a) CO fe) (d) Date — ^ pftSS. (at P a s S . ( a t g t a t c ^by m o n e y Initials of port fee portOffi- Bankcoun- order Cashier ———— Stamp ce coun- ter in receipt ter) Passport to be Office) attached) B. PHOTOGRAPH: In all 5 copies are required • one to be pasted here and four to be enclosed with the application. The photograph must be not less than 50rcmyf0 mm in size an,j show a f rorital view of full face. Please do not mark front of Photograph Space for pasting photograph C. PARTICULARS OF APPLICANT/MINOR FOR WHOM THE PASSPORT IS REQUIRED :
1. Full name in capital letters) (please do not use any initial)
2. Maiden name In case applicant is married WMnan/ widow
3. Aliases, if any
4. (a) Have you ever changed your name ?
(b) If yes, what was your previous name 7
5. Date of birth _ Date Month Year
6. Place of birth (Villago/town) (District)
7. Father'* name in full State (please do not use initials)
8. Husband's name in full in case applicant is married woman/widow D. PERSONAL DESCRIPTION .
1. Profession and present occupation
2. Height — r e cm
3. Colour of eyes
4. Colour of hair
5. Visible distinguishing marks E. CHILDREN UNDER 15 TO BE INCLUDED IN PASSPORT : Name of child Place of birth Date of birth Relationship to applicant I.
2.
3. Please attach attested copies of birth certificates Or school certificates showing dates of birth. F. ADDRESS :
1. Permanent address : (House No. /Street) (Village/Town) (District) (Stale)
2. (a) Present address : (House No./Street) (Village/Town) (District) (Stato)
(b) If you have not received at the above address continuously for the last two years, pleaso give the other addresses where you have resided during thia period :
3. Name and address of relative to be intimated in case passport holder faces any difficulty abroad : Name Relationship Full address Phone number, if any G. CITIZENSHIP :
1. (a) Did you ever possess any other citizenship 7
(b) If yes, did you acquire Indian citizenship by registration oi naturalisation ? (Please attach a certified copy of the citizenship document in case of first application for passport) 753
2. (a) If you ;ire ;i married woman/widow, is/was your husband an Indian citizen 7
(b) If the answer to (a) above is 'No', what is/was your husband's nationality und when were you married to him ?
3. (a) Did you migrate from the territory included in Pakistan or Bangladesh ?
(b) II" yes, from which countiy and when did you mig- " rate ?
4. (a) Were you born in a country other than India, Pakistan or Bangladesh 7
(b) Tf yes, what WHS your father's citizenship :
(i) at the time of your birth ; and
(ii) as on 26-1-1950.
(c) What is your father's place of birth. ?
4. Did your father acquire another citizenship 7
(a) If yes, what nationality; and
(b) when ? H. PREVIOUS PASSPORT :
1. Have you ever applied for a passport/trnvel document before ? Jf passport/travel document was issued, please indicate following details and attach the passport/travel document (if passport/travel document is not attached, indicate what happened to it). Number Date of issue Place of issue If passport /travel document was refused, or was issued but subsequently impounded, please enclose a copy to official communication received by you. If your name was included in either parent's passport, a certificate about its deletion may be produced or passport/travel document produced for deletion. I. INFORMATION REQUIRED UNDER SECTION 6 OF THE PASSPORT ACT, 1967 :
1. 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 any criminal offence and sentenced to imprisonment?
2. Arc any proceedings pending against you before a criminal court in India?
3. Has a warrant or summons for your appearance, or a warrant for your arrest or tin order prohibiting your departure from India been issued by any court?
4. (a) Have you ever been repatriated from abroad at Government expense 7
(b) If yes, have you repaid to Government the expendi ure incurred 7 If the ancwer to any of the above questions is 'yes', please furnish details in a separate sheet duly signed. * J. FOR GOVERNMENT/PUBLIC SECTOR EMPLOYEES ONLY :
1. Are you working in a Central or State Government Department, statutory body or public sector undertaking?
2. Tf yes, please enclose a 'No Objection Certificate* in original, from your employer. K. SUPPLEMENTARY INFORMATION :
1. What countries do you propose to visit7 190GI/79—2
2. What is the purpose of your visit? study, business, tourism, pilgrimage, employment etc.)
3. What arc your educational qualifications?
(i) General
(ii) Professional/technical L. REFERENCES : Name and address of two responsible persons in your locality who would be prepared to vouch for you :
1.
2. M. DECLARATION OF APPLICANT : I solemnly declare that ;
(i) 1 have not voluntarily acquired the citizenship ot another country;
(ii) I have not lost, surrendered or been deprived of my citizenship of India; and
(iii) the information given by me in reply to the questions in this form is true. Place Date Signature of applicant NOTE: Please give your specimen signatures in the space provided at the end. N DECLARATION OF PARENT OR LEGAL GUARDIAN IN CASE PASSPORT IS FOR A MINOR : I affirm that the particulars given above in r^pecl of —• ——son 'daughter of — — of whom I am the parent/legal gardian. I undertake to bo entirely responsible for his/her expenses. I solemnly declare that he/she has not lost, surrendered or been deprived of his/her citizenship of India and that the information given in respect of him/her in this application is tri'e. Place Date SiB"ature of applicant O. VERIFICATION CERTIFICATE : (This certificate is not a pie-requisite for obtaining a passport) I hereby certify that I have satisfied myself that the particulars in the above application for a passport furnished by Shii/Shrimati/km son|wife|daughter of are correct. I regard the applicant to be a suitable person to be considered for issue of a passport, 1 have satisfied myself that the applicant ia a citizen of India. Office Signature Telephone Name ( in capital letters) Residence , Place Designation Date Office Stamp CAUTION This is an important document and should bo signed after due consideration (To be signed by a Member of Parliament or Member of Legislative Assembly of a State or Union Territory or Member of Legislative Council of a State or Member of Metropolitan Council, Delhi, or an officer not below the rank of a Deputy Secretary to Government or a Magistrate of the First Class (Judicial) or an Executive Magistrate who is also Sub-Divisional Magistrate Additional Dislrict Magistrate[District Magistrate). Two specimen signatures or left thumb impression (if male) or right thumb impression (if female) of the applicant/ minor on whose behalf application is made. 2 [VI/401/31/79] K. D. SHARMA, Jt. Secy. PRINTED BY THE MANAGER, GOVT. OF INDIA PRESS, RING ROAD, NEW r>ELHI-l 10064 AND PUBLISHED BY THE CONTROLLER OF PUBLICATIONS, DELHI-1 10054 197')