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PassportAnnexures

^{Government

of India

Ministry of External Affairs

CPV Division, DelhI}

A) PASSPORTS

(1) While applying for a fresh passport attach two copies of the following documents:

(a) Proof of address (attach one of the following):

Applicant’s ration card, certificate from Employer of reputed companies on letter head, water /telephone /electricity bill/statement of running bank account/Income Tax Assessment Order /Election Commission ID card, Gas connection Bill, Spouse’s passport copy, parent’s passport copy in case of minors. (NOTE: If any applicant submits only ration card as proof of address, it should be accompanied by one more proof of address out of the above categories).

(b) Proof of Date of Birth (attach one of the following):

Birth certificate issued by a Municipal Authority or district office of the Registrar of Births & Deaths;

Date of birth certificate from the school last attended by the applicant or any other recognized educational institution; or an Affidavit sworn before a Magistrate/Notary stating date/place of birth as per the specimen in ANNEXURE ‘A’ by illiterate or semi-illiterate applicants.

N.B.: In the case of applicants born on or after 26.01.89, only Birth Certificate issued by the Municipal Authority or the Office of the Registrar of Births & Deaths is acceptable.

(c) Citizenship Document if applicant is a citizen of India by Registration or Naturalization.

(d) Government/Public Sector/Statutory body employees should submit “Identity Certificate” in original (ANNEXURE B) along with Standard Affidavit Annexure I.

(e) If the applicant is eligible for “ECNR” attach attested copy of supporting document (see COLUMN 15 of the INSTRUCTIONS AND GUIDELINES FOR FILLING UP THE APPLICATION FORM).

(f) If the applicant was repatriated at Government cost, enclose documents to show that the expenditure, if any, incurred by the Government of India on his/her repatriation has been fully refunded to the Government of India, Ministry of External Affairs.

(g) If the applicant was ever deported to India, give details of Emergency Certificate/Passport.

(2) When applying for reissue of a passport after 10 years, attach:

(a) Old passport in original with self-attested photocopy of its first four and last four pages, including ECR/ECNR page.

(b) Document mentioned at (1) (d), if applicable.

(c) Document mentioned at (1) (e), if the old passport did not have ECNR stamp or it was issued when the applicant was a minor.

(d) If there is any change in address, document mentioned at 1 (a).

(e) If the old passport does not contain spouse name, copy of marriage certificate issued by the Registrar of Marriage or affidavitas per specimen in Annexure `D’.

(3) When applying for a minor’s passport attach:

(a) A Declaration affirming the particulars furnished in the application about the minor child as per ‘Annexure-H (signed by both parents), Annexure “C” (Single parents who are separated but not formally divorced/Single parent of the child born out of wedlock), Annexure “G” (when passport is being applied for by single parent or legal guardian) . Annexure “I” (when a minor between 15-18 years of age applies for a full validity 10 year passport OR in case either parents who do not hold valid Indian passport while applying passport for their minor child), as the case may be.

(b) Attested photocopy of passport, if any, of both parents, applicable.

(c) Original passports of parents should be presented for verification of particulars.

(d) If one parent is resident abroad, a Sworn affidavit by the parent resident abroad attested by the Indian Mission along with affidavit from parent residing in India as well be submitted.

N.B.: Ordinarily the consent of both parents is required for issue of a passport to a minor (below 18 years of age). However if it is absolutely not possible due to any reason, the parent applying for a passport for his/her minor child may submit an affidavit (Annexure G) and based on the same passport application will be processed. In case where the parent(s) is/are resident outside India, such consent from the parent(s), in the form of a sworn affidavit, duly attested by the Indian Mission abroad, is acceptable. In the cases where the minor children who are less than 18 years of age, the details of valid passports held by BOTH OR EITHER parents should be furnished. In such cases, passport to their minor child will be issued without any police verification basis. Further, in the cases where the parents do not hold valid passports, applications for such minors can be made on the basis of three documents of parents details of which are given in para C(B) of Section IV of the Passport Information Booklet along with Standard Affidavit Annexure I. In all such cases, passport to their minor child will be issued on post-police verification basis. Children of all ages including new born must apply for separate passports. However, those below 15 years will be given 5 years validity passport or passport till 18 years of age. In case the minor child who is between 15 and 18 years of age wishes to obtain a full validity passport for 10 years, the same can be issued only on post-police verification basis on submission of Standard Affidavit as in Annexure “I” and three of the 14 document of parents details as mentioned in para C (B) of Section IV of Passport Information Booklet and on payment of fee equivalent to the normal passport fee i.e. Rs. 1000/- for a 36 pages passport, as applicable for an adult. In the case of single parents or of parents who are separated but not formally divorced, an affidavit at ‘Annexure C is to be submitted.

For Adopted Children:

In case of Adopted Children the following documents are to be furnished:

i) Valid adoption deed registered as per Indian laws

ii) In the case of Christians, Muslims and Parsis, a court order granting guardianship and allowing the child to be taken out of the Country.

iii) Copy of the guarantee executed before the Court concerned.

(B) CHANGE OF NAME

I. Following marriage, remarriage or divorce:

(a) A woman applying for change of name/surname in existing passport due to marriage must furnish:

(i) Photocopy of the Husband’s passport, if any, and

(ii) An attested copy of marriage certificate issued by Registrar of Marriage OR an affidavit from the husband and wife along with a joint photograph, (Specimen at Annexure D).

(b) Divorcees applying for change of name OR for deletion of spouse’s name in existing passport must furnish

(i) Certified copy of Divorce decree.

(ii) Deed poll/sworn affidavit (ANNEXURE ‘E’)

(i) Divorce deed/death certificate as the case may be in respect of first spouse, and

(ii) Document as at (a) above relating to second marriage.

II. In other circumstances for change of name, the applicant (both male and female) should furnish:

(i) Deed poll/sworn affidavit (ANNEXURE ‘E’):

(ii) Paper cuttings of two leading daily newspapers in original (one daily newspaper should be of the area of applicant’s permanent and present address or nearby area).

(C) OUT OF TURN ISSUE OF PASSPORT UNDER TATKAAL SCHEME

(A) If an applicant desires to obtain his passport under the Tatkal Scheme, a Verification Certificate as per the specimen at ANNEXURE ‘F’ and Standard Affidavit as Annexure “I” should be submitted along with the TATKAAL fee. The Passport Issuing Authority shall retain the right to verify in writing the authenticity of the Verification Certificate from the official who has issued it. All applicants seeking a passport out of turn under the TATKAAL Scheme are advised to submit their application, documentation and fee as specified below. No proof of urgency is required for Out-of-Turn issue of passport. Post Police Verification shall be done in respect of all passports issued under the Tatkaal Scheme.

(B) The applicant also has the option to obtain a passport under Tatkal Scheme on submission of three documents from the Fourteen documents as mentioned below, provided one of the three documents is a photo identity document and atleast one of the three is amongst the documents indicated at (a) to (i) and a Standard Affidavit (Annexure “I”) on non-judicial stamp paper duly attested by a Notary:

(a) Electors Photo Identity Card (EPIC);

(b) Service Photo Identity Card issued by State/Central Government, Public Sector Undertakings, local bodies or Public Limited Companies;

(c) SC/ST/ OBC Certificates;

(d) Freedom Fighter Identity Cards;

(e) Arms Licenses;

(f) Property Documents such as Pattas, Registered Deeds etc.;

(g) Rations Cards;

(h) Pension Documents such as ex-servicemen’s Pension Book/Pension Payment order, ex-servicemen’s Widow/Dependent Certificates, Old Age Pension Order, Widow Pension Order;

(i) Railway Identity Cards;

(j) Income Tax Identity (PAN) Cards;

(k) Bank/ Kisan/Post Office Passbooks;

(l) Student Photo Identity Cards issued by Recognized Educational Institutions;

(m) Driving Licenses; and

(n) Birth Certificates issued under the RBD Act

(o) Gas Connection Bill

(All above documents to be produced in original along with self-attested copies)

The TATKAAL fee is in addition to the applicable passport fee and payable either in cash or DD in favor of Passport Officer concerned. The additional fee for out of turn TATKAAL passport, would be as follows:

Fresh Passport

1.	Within 1-7 days of the date of Application	Rupees 1,500/- plus the passport fee of Rs.1000/-
2.	Within 8-14 days of the date of Application	Rupees 1,000/- plus the passport fee of Rs.1000/-

Duplicate Passport (in lieu of Lost/Damaged Passport)

1.	Within 1-7 days of the date of Application	Rupees 2,500/- plus the duplicate passport fee of Rs.2500/-
2.	Within 8-14 days of the date of Application	Rupees 1,500/- plus the duplicate passport fee of Rs.2500/-

Re-issue cases after expiry of 10 years validity

Within 3 working days of the date of application

Rupees 1,500/- plus the passport fee of Rs.1000/-

(D) For issue of passports to owner, partners and directors of Companies which are members of CII, FICCI & ASSOCHAM, the applicants have to submit Verification Certificate as at Annexure “J” along with Standard Affidavit at Annexure “I”.

(E) In case an applicant is in possession of a Verification Certificate (VC) and or three (3) documents as mentioned in para C(B) (a) of Section IV, and Standard affidavit as in Annexure-I, but does not wish to pay the additional fees as required under Tatkaal, he/she will be issued passport on post- police verification basis in the normal course.

(F) CASES OF LOST/DAMAGED PASSPORTS: The applicant has to fill the passport application form and submit the same along with following deeds:

i) FIR in original

ii) First and last four pages of old passport.

iii) If there is any change in address, proof of address.

^{Government
of India

Ministry of External Affairs

CPV Division, Delhi}

ANNEXURE ‘A’

SPECIMEN AFFIDAVIT TO BE SUBMITTED BY ILLITERATE APPLICANTS AS PROOF OF DATE OF BIRTH IN CASE NO OTHER DOCUMENT MENTIONED AT PARA A (b) OF SECTION IV IS AVAILABLE

(To be executed on non-judicial stamp paper)

I …………………S/o W/o D/o ……………….. presently residing at ………………… hereby state as follows:

I was born on ………………. at ……………… situated in the District. ………….. in the State of ……….. I have no documentary proof in support of my place and date of birth.

I do not possess any educational qualification and I am an illiterate person.

I take oath and solemnly declare/affirm that the particulars furnished by me above are correct and that I have not concealed or misrepresented any facts.

Place …………

Date …………..

Verified on this …………………… day of …………….. of the year …………….. that the contents of my above affidavit are true and correct to the best of my knowledge and belief and nothing in material has been concealed there from.

The contents of the affidavit has been read out to me

Deponent

Attested

Signature and official seal of attesting authority

Note: Affidavit to be attested by the Magistrate/Notary

In case of notary, notarial stamp would be required

^{Government
of India

Ministry of External Affairs

CPV Division, Delhi}

ANNEXURE ‘B’

ALL CENTRAL GOVERNMENT EMPLOYEES STATE GOVERNMENT EMPLOYEES, EMPLOYEES OF STATUTORY BODIES AND PUBLIC SECTOR UNDERTAKINGS AND THEIR DEPENDENT FAMILY MEMBERS ARE REQUIRED TO PRODUCE A IDENTITY CERTIFICATE (STRIKE OUT PORTION NOT APPLICABLE)

(To be given in Duplicate on Original Stationery)

Certified that SHRI/SHRIMATI/KUM …………. Son/Wife of Shri ………………… of is a temporary/permanent employee of this (office address) ……………. from ……. (date) ……. and is at present holding the post of ……………….. Shri/Smt./Miss/Mst. ……………….is/are a dependent family member(s) of Shri/Smt…………………………. and his/her identity is certified. This Ministry/Department/Organization has no objection to his/her acquiring Indian Passport. The undersigned is duly authorized to sign this Identity Certificate. I have read the provisions of Section 6(2) of the Passports Act, 1967 and certify that these are not attracted in case of this applicant. I recommend issue of an Indian Passport to him/her. It is certified that this organization is a central / State Government / Public Sector / undertaking / statutory body. The Identity Card Number of Shri/Smt (employee)…………………………is…………………

Ref. No. &

Date …………….. Name, Designation, address & Tel No.

^{Government

of India

Ministry of External Affairs

CPV Division, Delhi}

ANNEXURE ‘C’

AFFIDAVIT TO BE SUBMITTED WITH THE APPLICATION FOR A PASSPORT OF A MINOR CHILD BY EITHER PARENT (WHO ARE SEPARATED BUT NOT FORMALLY DIVORCED) OR BY A SINGLE PARENT OF THE CHILD BORN OUT OF WEDLOCK

(To be executed on non-judicial stamp paper)

I, (name of single parent) solemnly declare and affirm as follows:

1. That I am the mother/father of (name of the child) who is a minor child and on whose behalf I have made an application for his/her passport.

2. That I am judicially separated from the mother/father of (name of minor).

That no legally valid marriage ever existed between me and Mr./Ms.(the father/mother the minor child)

The father/mother of (name of the child) has deserted me after conception/ delivery

3. That (name of the minor) is exclusively under my care and custody since separation/delivery.

Signature & address of Deponent

Date:

(Sworn before the First Class Judicial Magistrate or Notary Public)

^{Government
of India

Ministry of External Affairs

CPV Division, Delhi}

ANNEXURE ‘D’

SPECIMEN AFFIDAVIT TO BE SUBMITTED ALONG WITH APPLICATION FOR PASSPORT BY A WOMAN APPLICANT FOR CHANGE OF NAME AFTER MARRIAGE (JOINT AFFIDAVIT TO BE SUBMITTED ALONG WITH HER HUSBAND)

(To be executed on non-judicial stamp paper)

We 1………………………………………………………………………………

(maiden name of wife)

2.……………………………………………………………………………….

(name of husband)

solemnly declare and affirm as under:

1.That we are married under ……………………….Marriage Act/Rights/Customs and are living together as married couple since……………………………………………

(date of marriage)

2..That ……………………………….. would henceforth be known as …………………

(maiden name of wife) (name of wife after marriage)

by virtue of our marriage.

3.That our joint photograph is affixed below.

Date:

Signature & address of Deponents

1……………………….

2………………………

Note: 1. This affidavit may be sworn before a Magistrate/Notary.

2. The joint photograph of the couple is to be pasted on the bottom left hand side of the affidavit paper and attested by the Magistrate/Notary with his/her signature and rubber stamps (half on the photograph and half on the affidavit)

3. Declaration 2 above to be ignored by applicants who seek endorsement of name of spouse in respect of reissue of a previously issued passport.

^{Government
of India

Ministry of External Affairs

CPV Division, Delhi}

ANNEXURE ‘E’

SPECIMEN AFFIDAVIT FOR CHANGE IN NAME/DEED POLL/SWORN AFFIDAVIT

(On non-judicial stamp paper)

By this deed I, the undersigned……………….(New Name) previously called ………………. (Old name), doing……………………(give profession or vocation) and resident of …………………………(address) solemnly declare:-

1. That for and on behalf of myself and my wife and children and remitter issue wholly renounce/relinquish and abandon the use 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, 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 I shall at all times hereafter in all records, deeds and writings and in all proceedings, dealings and transactions, private as well as upon all occasions whatsoever use and sign the name of …….. as my name/surname in place and in substitution of my former name/surname.

3. That I expressly authorize and request all persons in general and relatives and friends in particular, at all times hereafter to designate and address me, my wife, my children, remitter issue by such assumed name/surname of …………………..accordingly.

4. In witness whereof I have hereunto subscribed my former and adopted name/surname of ………….. and ……… affix my signature and seal, if any, this ………………….. day of …………..

Signed sealed and delivered by the above name

Former name……………

Date……

In the presence of:

Name……………….. Name ………………….

Address……………. Address ………………..

(This deed poll/affidavit may be signed and attested in presence of a Magistrate/Notary or Consular Officer in an Indian Mission abroad)

Note: In case of change of name, applicant should insert advertisements in two reputed newspapers (one local newspaper of the area in which he/she is residing and 2^nd in newspaper of the area of permanent address) and submit original newspapers at time of applying for passport in his/her new name.

^{Government
of India

Ministry of External Affairs

CPV Division, Delhi}

ANNEXURE ‘F’

SPECIMEN VERIFICATION CERTIFICATE (FOR PASSPORT UNDER TATKAL ONLY)

(On official stationery of verifying authority)

(To be given in Duplicate* along with Standard Affidavit as at Annexure “I” )

Reference Number

Applicant’s Photo

(Verification Certificate issuing officer should attest the photograph of the applicant with his/her signature and rubber stamp in such a way that half the signature and stamp appear on the photograph and half on the certificate).

Verification Certificate

This is to certify that Sh./Smt./Kum. ……………………….. son of/wife of/daughter of …………………. whose personal particulars are given below has good moral character and reputation and that after having read the provisions of Section 6(2) of the Passports Act, 1967. I certify that these provisions are not attracted in case of this applicant and I, recommend issue of an Indian Passport to him/her. Applicant has been staying at his/her address continuously for the last one year.

Date of Birth ……………………………….

Place of Birth ……………………………….

Educational Qualification ……………………………….

Profession (Govt./Private Service/Others) ………………………………..

Permanent Address ………………………………..

Present Address ………………………………..

Place

Office Address with location

Date: Signature …………………….

Office

Seal

Full Name ………………….

Designation ………………….

I Card No. ………………………

(Enclose a photocopy of I Card)

Telephone No. (O)…………..(R)………

Mobile No………………………………

Notes:

1. The applicant’s passport size photograph is also required to be affixed on the Verification Certificate and attested by the officer issuing the Verification Certificate with his/her signature and rubber stamp in such a way that half the signature and stamp appear on the photograph and half on the certificate.

2. If the applicant has resided at more than one place during the last one year then all previous addresses with the relevant dates should be mentioned.

3. This Verification Certificate may be got signed by any of the following:

(i) An Under Secretary/Deputy Secretary/Director/Joint Secretary/Add. Secretary/Special Secretary/Secretary/Cabinet Secretary to Government of India.

(ii) A Director/Joint Secretary/Additional Secretary/Special Secretary/Chief Secretary to a State Govt.

(iii) A Sub-Divisional Magistrate/First class Judicial Magistrate/Additional DM/District Magistrate of the district of residence of applicant.

(iv) A District Superintendent of Police, DIG/IG/DGP of district of residence of applicant.

(v) A Major and above in the army, Lt. Commander and above in the Navy and Sq. Leader and in the Air Force.

(vi) The General Manager of a Public Sector Undertaking

(vii) All members of any All India Service or Central Service who are equivalent to or above the rank of an Under Secretary to the Government i.e. in the pay scale of Rupees 10,000-15,200 or above.

(viii) Resident Commissioners/Additional Resident Commissioners of all State Governments based in Delhi.

(ix) Concerned Tehsildars or Concerned SHO’s for an applicant staying in the area under his/her jurisdiction.

(x) The Chairmen of the Apex Business Organizations i.e.FICCI, CII and ASSOCHAM in respect of owners, partners or directors of the companies that are members of the concerned Chamber in prescribed performa as at Annexure “J”.

4. Anyone who issues incorrect verification certificate may be prosecuted under section 12(2) of the Passport Act, 1967.

5. 5. SECTION 6(2) (C) OF THE PASSPORT ACT, 1967

“Subject to the other provisions of this Act, the passport authority shall refuse to issue a passport or travel document for visiting any foreign country under clause ( C ) sub-section 5 of anyone or more of the following grounds, and on no other ground, namely:

(a) that the applicant is not a citizen of India.

(b) that the applicant may, or is likely to engage outside India in activities prejudicial to the sovereignty and integrity 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 of five years immediately preceding the date of his application been convicted by a court of India for any offence involving moral turpitude and sentenced in respect thereof imprisonment for not less than two years.

(f) that criminal proceedings in respect of an offence alleged to have been committed by the applicant are pending before a court in India.

(g) that a warrant or summons for the appearance, of a warrant for the arrest, of the applicant has been issued by a court under any law for the time being in force or that an order prohibiting the departure from India of the applicant has been made by any such court.

(h) That the applicant has been repatriated and has not reimbursed the expenditure incurred in connection with such repatriation.

^{Government
of India

Ministry of External Affairs

CPV Division, Delhi}

ANNEXURE ‘G’

DECLARATION OF APPLICANT PARENT OR GUARDIAN IF PASSPORT IS FOR MINOR (one parent not given consent) : IN THE FORM OF A SWORN AFFIDAVIT BEFORE JUDICIAL MAGISTRATE ON NON-JUDICIAL STAMP PAPER

I/We …………………………………………………………………….solemnly declare and affirms as follows:

(Name of the Parent/Guardian applying for passport)

1. That I/We am/are the mother/father/parents/guardians of …………………………………………………………..who is a minor child and on whose behalf (Name of the Minor Child)

I/We have made an application for his/her passport.

2. Signature/Consent of Mr/Mrs…………………………………………………………………….who is father/mother/parents of the child has not (Name of the father/Mother)

been obtained by me for the following reasons:

3. That I/We only am/are taking care of ………………………………………………………………………………he/she is exclusively in my physical custody. (Name of the minor child)

4. I/We also affirm that in the case of a court case arising due to issue of a passport to the minor child………………………………………….

(Name of the minor child)

I/We would be solely responsible for defending the case and not the Passport Issuing Authority.

Date :

Signature & Address of the parent (s)

guardian(s) applying for the Passport

____________________________________________________________________________________________________________

^{Government
of India

Ministry of External Affairs

CPV Division, Delhi}

ANNEXURE ‘H’

DECLARATION OF APPLICANT PARENT OR GUARDIAN IF PASSPORT IS FOR MINOR: ON PLAIN PAPER

I/We affirm that the particulars given above are in respect of (name of the child) …………………………………… son/daughter of Shri. ………………………………………………… and Shrimati ……………………………………………………… of whom I/we am/are the Parents/Single Parents/Applicant Parent/Guardians. He/She is a Citizen of India. His/Her date of birth/place of Birth is ----------. I/We undertake the entire responsibility for his/her expenses. I/We 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 true. It is also certified that I/we am/are holding/not holding valid Indian passport(s) and the name of the child mentioned is not included in Passport of either parent.

_____________ / _________________ OR___________________

Father (Signature) Mother (Signature) Legal Guardian (Signature)

____________________________________________________________________________________________________________

^{Government
of India

Ministry of External Affairs

CPV Division, Delhi}

ANNEXURE ‘I’

AFFIDAVIT

(To be executed on appropriate non-judicial stamp paper and attested by a Notary Public)

(One original and one self-attested photocopy)

I, name),________________Son of _________________________residing at ______________________Date of Birth______ being an applicant for issue of passport, do hereby solemnly affirm and state as follows:

1. That the names of my parents and spouse are as follows:

(i) Father :

(ii) Mother :

(iii) Wife/Husband :

2. That I am continuously resident at the above mentioned address from……………………….

3. That I am citizen of India by birth/descent/registration/naturalization and that I have neither acquired the citizenship of another country nor have surrendered or been terminated/deprived of my citizenship of India.

4. That I have not, at any time during the period of five years immediately preceding the date of this affidavit, been convicted by any court in India for any offence involving moral turpitude and sentenced in respect thereof to imprisonment for not less than two years;

5. That no proceedings in respect of any criminal offence alleged to have been committed by me are pending before any criminal court in India;

6. That no warrant or summons for my appearance, and no warrant for my arrest, has been issued by a court under any law for the time being in force, and that my departure from India has not been prohibited by order of any such court;

7. That I have never been repatriated from abroad back to India at the expense of Government of India/I was repatriated from abroad back to India at the expense of Government of India, but reimbursed expenditure incurred in connection with such repatriation.

8. That I will not engage outside India in activities prejudicial to the sovereignty and integrity of India.

9. That my departure from India will not be detrimental to the security of India.

10. That my presence outside India will not prejudice the friendly relations of India with any foreign country.

Place: Date :

DEPONENT

VERIFICATION

Verified on…..(date) at …………. (place) that the contents of the above mentioned affidavit are true and correct and nothing material has been concealed.

DEPONENT

^{Government
of India

Ministry of External Affairs

CPV Division, Delhi}

ANNEXURE ‘J’

SPECIMEN VERIFICATION CERTIFICATE

(To be given {in Duplicate* along with Standard Affidavit as at Annexure “I"} by Chairmen of Apex Business Organizations to the Owners, Partners Or Directors of the Companies having Membership of the Concerned Chambers)

(Official stationery of verifying authority)

Reference Number

Applicant’s Photo

Verification Certificate

This is to certify that Sh./Smt./Kum. ……………………….. son/wife/daughter of …………………. whose personal particulars are given below has good moral character and reputation and that after having read the provisions of Section 6(2) of the Passports Act, 1967. I certify that these provisions are not attracted in case of this applicant and I, recommend issue of an Indian Passport to him/her. Applicant has been staying at his/her address continuously for the last one year.

Date of Birth ……………………………….

Place of Birth ……………………………….

Educational Qualification ……………………………….

Profession …………………………………………………………………………………………………………………...

Permanent Address ………………………………..

Present Address ………………………………..

Place

Office Address with location

Date: Signature …………………….

Office

Seal

Full Name ………………….

Designation ………………….

Name of the Chamber . ………………

Telephone No. (O)…………..(R)………

Mobile No………………………………

Notes:

2. If the applicant has resided at more than one place during the last one year then all previous addresses with the relevant dates should be mentioned.

3. Anyone who issues incorrect verification certificate may be prosecuted under section 12(2) of the Passport Act, 1967.

4. SECTION 6(2) (C) OF THE PASSPORT ACT, 1967

(a) that the applicant is not a citizen of India.

(b) that the applicant may, or is likely to engage outside India in activities prejudicial to the sovereignty and integrity 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.

(f) that criminal proceedings in respect of an offence alleged to have been committed by the applicant are pending before a court in India.

(h) That the applicant has been repatriated and has not reimbursed the expenditure incurred in connection with such repatriation.

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