Reissue of Passport in India | Passport Application Form

APPLICATION FORM FOR PASSPORT

Applying for *

Type of Application *

Normal
Tatkaal

Note: For Tatkaal Application Extra Fees Will Be Charged At Passport Seva Kendra Office.

Type of Passport Booklet *

36 Pages
60 Pages

Note: For Minor Applicant 60 Pages Of Passport Are Not Allowed. Select 36 Pages Booklet Only For Minors.

Applicant Details

Applicant's Given Name (Given Name means First Name followed by middle Name (if any)) *

Surname *

Gender *

Are you known by any other names(aliases)? *

Have you ever changed your name? *

Date of Birth (DD/MM/YYYY) *

Place Of Birth

Is your Place of Birth out of India? *

Village or Town or City *

District *

Marital Status *

Citizenship of India by *

PAN (If available)

Voter ID (If available)

Employment Type *

Is either of your parent (in case of minor)/ spouse, a government servant? *

Educational Qualification *

Are you eligible for Non-ECR category? *

Visible Distinguishing Mark

Aadhaar Number

I, the holder of above mentioned Aadhaar Number , hereby give my consent to passport Sahayak to obtain my Aadhaar Number, Name and Fingerprint/Iris for authentication with UIDAI. I have no objection using my identity and biometric information for validation with Aadhaar (CIDR) database only for the purpose of authentication.

I agree

Family Details (Father/Mother/Legal Guardian details; at least one is mandatory.) *

Father's Given Name (Given Name means First Name followed by Middle Name (If any)) *

Surname *

Legal Guardian's Given Name (if applicable)

Surname

Mother's Given Name (Given Name means First Name followed by Middle Name (If any)) *

Surname *

If applicant is minor

If applicant is minor, check this box

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 *

District *

Mobile Number *

Telephone Number

E-mail Id *

Do you have a Permanent Address? *

Emergency Contact Details

Name *

Address *

Mobile Number *

Telephone Number

E-mail Id

Upload File	Document Details
	Proof of Birth - Front Side (Upload any document containing your Date of Birth. Example - Aadhaar Card, Voter Id, Driving License, Birth Certificate, 10th Passing Certificate or any other document containing your Date of Birth) *
	Proof of Birth - Back Side (If any)
	Proof of Current Residential Address - Front Side (Upload any document containing your Current Residential Address. Example - Aadhaar Card, Voter Id, Driving License, Birth Certificate, Bank Passbook Statement or any other document containing your Current Residential Address) *
	Proof of Current Residential Address - Back Side (If any)

Identity Certificate / Previous Passport Details

2) Details of Previous/Current Diplomatic/Official Passport *

Details Available
Details Not Available/Never Held Diplomatic/Official Passport

3) Have you ever applied for passport, but not issued? *

Other Details

I owe allegiance to the sovereignty, unity & integrity of India, and have not voluntarily acquired citizenship or travel document of any other country. I have not lost, surrendered or been deprived of the citizenship of India. I have not contravened any of the conditions relating to the possession and use of an Indian passport. I affirm that the information and particulars given by me in this form are true and correct. I further state that I am not suppressing any material information in this regard. I further affirm that the enclosures and documentary proof submitted in support of my application for an Indian passport are authentic and solely pertain to me and I am fully responsible for the accuracy of the same. I am liable to be penalized or prosecuted if found otherwise. I am aware that under the Passports Act, 1967 it is a criminal offence to furnish any false information or to suppress any material information with a view to obtaining passport or travel document. I have read and understood the contents of the above and by submitting this form certify that all the information submitted by me in the form is bonafide.

I Agree (Self Declaration)

Place *

Date (DD/MM/YYYY) *

ENTER AVAILABLE COUPON

NOTE:
Applicants are required to submit the proof of address of the present address only, irrespective of the date from which he/she has been residing at the given address. However, he/she is required to mention all the places of stay during previous one year (from the date of application filling) in the Passport application form.

READ THE INSTRUCTIONS TO FILL THE FORM

Applying for: RE-ISSUE OF PASSPORT

IF RE-ISSUE, SPECIFY REASONS: Select the reason for your re-issue./ अपने पुन: जारी करने का कारण चुनें।

Type of application: TATKAL

TYPE OF PASSPORT BOOKLET: Select the passport booklet type./ पासपोर्ट बुकलेट प्रकार का चयन करें।

APPLICANT DETAILS/ अवेदक की जानकारी

Applicant’s Given name: Mention the first and middle name of the applicant./ आवेदक का पहला और अंतिम नाम का उल्लेख करें।

Surname: Mention the surname of the applicant./ आवेदक के उपनाम का उल्लेख करें।

Gender : Mention the gender of the applicant./ आवेदक के लिंग का उल्लेख करें।

Are you known by any other name (aliases)?:If the applicant is known by any other name, mention it./ यदि आवेदक किसी अन्य नाम से जाना जाता है तो उसका उल्लेख करें।

Have you ever changed your name?:If the name of the applicant has ever been changed, then select “YES” otherwise “NO”./यदि आवेदक का नाम कभी बदला गया है, तो "हाँ" चुनें अन्यथा "नहीं"।

DATE OF BIRTH: Enter the birth date of the applicant./ आवेदक की जन्मतिथि दर्ज करें।

PLACE OF BIRTH/ जनम का स्थान

IS YOUR PLACE OF BIRTH OUT OF INDIA?: If the applicant’s birthplace is outside India then choose “YES” otherwise “NO”./ यदि आवेदक का जन्मस्थान भारत से बाहर है तो "हाँ" या "नहीं" चुनें।

VILLAGE OR TOWN OR CITY:Mention the village or town or city of the applicant./ आवेदक के गांव या कस्बे या शहर का उल्लेख करें।

State: From the dropdown, select the state of the applicant./ ड्रॉपडाउन से, आवेदक की स्थिति का चयन करें।

District:Choose the district of the applicant from the dropdown./ ड्रॉपडाउन से आवेदक का जिला चुनें।

Marital status: Choose the marital status of the applicant from the provided dropdown./ दिए गए ड्रॉपडाउन से आवेदक की वैवाहिक स्थिति चुनें।

CITIZENSHIP OF INDIA: Provide the applicant’s citizenship nature from the dropdown./ ड्रॉपडाउन से आवेदक की नागरिकता की प्रकृति प्रदान करें।

PAN Number: The Applicant's pan card’s number must be written here. / आवेदक के पैन कार्ड का नंबर यहां लिखे।

Voter ID: Mention the Voter ID card details of the applicant./ आवेदक के वोटर आईडी कार्ड के विवरण का उल्लेख करें।

EMPLOYMENT TYPE: Provide the employment type of the applicant./ आवेदक का रोजगार प्रकार प्रदान करें।

IS EITHER OF YOUR PARENT (IN CASE OF MINOR)/ SPOUSE, A GOVERNMENT SERVANT?: If either of the applicant’s parents or spouse is a government servant then “choose “YES” otherwise “NO” from the dropdown./ यदि आवेदक के माता-पिता या पति या पत्नी में से कोई एक सरकारी कर्मचारी है तो ड्रॉपडाउन से "हां" और "नहीं" चुनें।

Educational qualification: Mention the educational qualification of the applicant./ आवेदक की शैक्षणिक योग्यता का उल्लेख करें।

ARE YOU ELIGIBLE FOR NON-ECR CATEGORY?: Select “YES” or “NO” If the applicant is eligible for Non-Ecr-Category./ "हाँ" या "नहीं" का चयन करें यदि आवेदक गैर-ईसीआर-श्रेणी के लिए पात्र है।

VISIBLE DISTINGUISHING MARK: The applicant is required to mention if he has any distinguishable visible marks on his body./ आवेदक को यह उल्लेख करना आवश्यक है कि क्या उसके शरीर पर कोई अलग दिखने वाले निशान हैं।

AADHAAR NUMBER: Mention the aadhaar number of the applicant./ आवेदक के आधार नंबर का उल्लेख करें।

I, THE HOLDER OF ABOVE MENTIONED AADHAAR NUMBER , HEREBY GIVE MY CONSENT TO PASSPORT SAHAYAK TO OBTAIN MY AADHAAR NUMBER, NAME AND FINGERPRINT/IRIS FOR AUTHENTICATION WITH UIDAI. I HAVE NO OBJECTION USING MY IDENTITY AND BIOMETRIC INFORMATION FOR VALIDATION WITH AADHAAR (CIDR) DATABASE ONLY FOR THE PURPOSE OF AUTHENTICATION.: Hit the “I agree” Checkbox.

FAMILY DETAILS

FATHER'S GIVEN NAME:Mention the first and second name of the applicant’s father./ आवेदक के पिता का पहला और दूसरा नाम बताएं

SURNAME:Mention the applicant’s father's surname./ आवेदक के पिता का उपनाम उल्लेख करें।

LEGAL GUARDIAN'S GIVEN NAME: Mention the first and middle name of the guardian./ अभिभावक का पहला और मध्य नाम बताएं।

SURNAME: Mention the surname of the guardian./ संरक्षक के उपनाम का उल्लेख करें।

MOTHER'S GIVEN NAME: Mention the first and middle name of the applicant’s mother./ आवेदक की माता के प्रथम और मध्य नाम का उल्लेख करें।

SURNAME:Mention the surname of the applicant./ आवेदक के उपनाम का उल्लेख करें

IF APPLICANT IS MINOR

IF APPLICANT IS MINOR, CHECK THIS BOX:

PRESENT RESIDENTIAL ADDRESS DETAILS

IS YOUR PRESENT ADDRESS OUT OF INDIA?:If the applicant’s present address is outside India then it is required of him/her to select “YES” otherwise “NO”./ यदि आवेदक का वर्तमान पता भारत से बाहर है तो उसके लिए "हाँ" का चयन करना आवश्यक है अन्यथा "नहीं"।

HOUSE NO. AND STREET NAME: Mention the house number and street name of the applicant./ आवेदक के घर का नंबर और गली का नाम बताएं।

VILLAGE OR TOWN OR CITY: Mention the village or town or city of the applicant./ आवेदक के गांव या कस्बे या शहर का उल्लेख करें।

STATE: Mention the applicant’s state name./ आवेदक के राज्य का नाम उल्लेख करें।

DISTRICT: Mention the district name of the applicant./ आवेदक के जिले का नाम उल्लेख करें।

POLICE STATION: Mention the police station of the applicant./ आवेदक के थाने का उल्लेख करें।

PIN: Mention the pin code of the applicant./ आवेदक के पिन कोड का उल्लेख करें।

MOBILE NUMBER:Mention the mobile number of the applicant./ आवेदक के मोबाइल नंबर का उल्लेख करें।

TELEPHONE NUMBER:Mention the telephone number of the applicant./ आवेदक के मोबाइल नंबर का उल्लेख करें।

E-MAIL ID:Mention the email address of the applicant./ आवेदक के ईमेल पते का उल्लेख करें।

DO YOU HAVE A PERMANENT ADDRESS?:If the applicant has a permanent address, mention it./ यदि आवेदक का स्थायी पता है तो उसका उल्लेख करें।

EMERGENCY CONTACT DETAILS

NAME:Mention the emergency contact name./ आपातकालीन संपर्क नाम का उल्लेख करें।

ADDRESS:Mention the emergency contact’s address./ आपातकालीन संपर्क के पते का उल्लेख करें।

MOBILE NUMBER:Mention the emergency contact’s mobile number./ आपातकालीन संपर्क के मोबाइल नंबर का उल्लेख करें।

TELEPHONE NUMBER:Mention the telephone number of the applicant./ आवेदक के टेलीफोन नंबर का उल्लेख करें

E-MAIL ID:Mention the email address of the applicant./आवेदक के ईमेल पते का उल्लेख करें।

IDENTITY CERTIFICATE / PREVIOUS PASSPORT DETAILS

1) HAVE YOU EVER HELD/HOLD ANY IDENTITY CERTIFICATE:If the applicant has ever possessed any identity certificate, he/she should mention “YES”. / यदि आवेदक के पास कभी कोई पहचान प्रमाण पत्र है, तो उसे "हाँ" या नहीं का उल्लेख करना चाहिए।

2) DETAILS OF PREVIOUS/CURRENT DIPLOMATIC/OFFICIAL PASSPORT:The applicant is required to select “Details available” or “Details not available” based on their passport possession history./ आवेदक को अपने पासपोर्ट कब्जे के इतिहास के आधार पर "विवरण उपलब्ध" या "विवरण उपलब्ध नहीं है" का चयन करना आवश्यक है।

3) HAVE YOU EVER APPLIED FOR PASSPORT, BUT NOT ISSUED? :If the applicant was not issued a passport despite applying for it then they are required to select “yes” otherwise “no”./ यदि आवेदक को इसके लिए आवेदन करने के बावजूद पासपोर्ट जारी नहीं किया गया था तो उन्हें "हां" का चयन करना होगा अन्यथा "नहीं"।

OTHER DETAILS

I OWE ALLEGIANCE TO THE SOVEREIGNTY, UNITY & INTEGRITY OF INDIA, AND HAVE NOT VOLUNTARILY ACQUIRED CITIZENSHIP OR TRAVEL DOCUMENT OF ANY OTHER COUNTRY. I HAVE NOT LOST, SURRENDERED OR BEEN DEPRIVED OF THE CITIZENSHIP OF INDIA. I HAVE NOT CONTRAVENED ANY OF THE CONDITIONS RELATING TO THE POSSESSION AND USE OF AN INDIAN PASSPORT. I AFFIRM THAT THE INFORMATION AND PARTICULARS GIVEN BY ME IN THIS FORM ARE TRUE AND CORRECT. I FURTHER STATE THAT I AM NOT SUPPRESSING ANY MATERIAL INFORMATION IN THIS REGARD. I FURTHER AFFIRM THAT THE ENCLOSURES AND DOCUMENTARY PROOF SUBMITTED IN SUPPORT OF MY APPLICATION FOR AN INDIAN PASSPORT ARE AUTHENTIC AND SOLELY PERTAIN TO ME AND I AM FULLY RESPONSIBLE FOR THE ACCURACY OF THE SAME. I AM LIABLE TO BE PENALIZED OR PROSECUTED IF FOUND OTHERWISE. I AM AWARE THAT UNDER THE PASSPORTS ACT, 1967 IT IS A CRIMINAL OFFENCE TO FURNISH ANY FALSE INFORMATION OR TO SUPPRESS ANY MATERIAL INFORMATION WITH A VIEW TO OBTAINING PASSPORT OR TRAVEL DOCUMENT. I HAVE READ AND UNDERSTOOD THE CONTENTS OF THE ABOVE AND SUBMITTING THIS FORM CERTIFY THAT ALL THE INFORMATION SUBMITTED BY ME IN THE FORM IS BONAFIDE. :

PLACE:Mention the place of form fillup./ फॉर्म भरने के स्थान का उल्लेख करें।

ENTER AVAILABLE COUPON:Mention the coupon code, if any./ कूपन कोड, यदि कोई हो, का उल्लेख करें।

Apply For Reissue Tatkal Passport Online

APPLICATION FORM FOR PASSPORT

Applicant Details

Place Of Birth

Family Details (Father/Mother/Legal Guardian details; at least one is mandatory.) *

If applicant is minor

Present Residential Address Details (where applicant presently resides)

Emergency Contact Details

Upload Document

Identity Certificate / Previous Passport Details

Other Details

READ THE INSTRUCTIONS TO FILL THE FORM

APPLICANT DETAILS/ अवेदक की जानकारी

PLACE OF BIRTH/ जनम का स्थान

FAMILY DETAILS

IF APPLICANT IS MINOR

PRESENT RESIDENTIAL ADDRESS DETAILS

EMERGENCY CONTACT DETAILS

IDENTITY CERTIFICATE / PREVIOUS PASSPORT DETAILS

OTHER DETAILS

Operating Procedure