1 Service Required
Applying for *
Type of Application *
Type of Passport Booklet *
2 Applicant Details
Applicant's First Name *
Middle Name
Aadhaar No
Gender *
Marital Status *
Date of Birth (DD-MM-YYYY) *
Is your Place of Birth out of India? *
Village or Town or City *
District *
Citizenship of India by
PAN (If available)
Voter ID (If available)
Educational Qualification *
Employment Type *
Is your parent (If Minor)/ spouse, a govt servant? *
Are you eligible for Non-ECR category? *
Visible Distinguishing Mark (If any?)
Are you known by any other names?
Have you ever changed your name ?
3 Family Details (Father/Mother/Legal Guardian details; at least one is mandatory.)
Father's First Name
Middle Name
Mother's First Name
Middle Name
Legal Guardian's First Name
Middle Name
4 Present Residential Address Details (where applicant presently resides)
Is your present address out of India?
House No. and Street Name *
Village or Town or City *
State/ Province *
District *
Police Station *
Mobile No *
E-mail ID *
Do you have a Permanent Address?
5 Emergency Contact Details
Name and Address *
Mobile No *
E-mail ID
6 Previous Passport/ Application Details
Have you ever held/hold any Identity Certificate? *
Detail of Previous/Current Diplomatic/Official Passport
Have you ever applied for passport, but not issued? *
7 Other Details
Have you ever been charged with criminal proceedings or any arrest warrant/ summon pending before a court of India? *
Have you at any time during the period of 5 years immediately preceding the date of this application been convicted by a court in India for any criminal offence and sentenced to imprisonment for two years or more? *
Have you ever been refused or denied passport? *
Has your Passport ever been impounded or Revoked? *
Have you ever applied for/ been granted political asylum to/ by any foreign country? *
Have you ever returned to India on Emergency Certificate (EC) or were ever deported or repatriated? *
8 Documents Submitted as Proof
Date of Birth Proof
Address Proof