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0% found this document useful (0 votes)
42 views4 pages

ViewPrintApplicationReceipt DP

Uploaded by

deepakdevesh027
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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How to Apply for Diplomatic/Official Passport

Normally applications for Diplomatic and Official passports are entertained only at the Consular, Passport and
Visa (CPV) Division, Patiala House, New Delhi. However, applicants can also visit the respective Passport
Office (PO) linked to their present residential address. Applicants of Delhi and NCR would continue to visit the
CPV Division, Patiala House, New Delhi.
Please read the following instructions carefully before applying for Diplomatic/Official passport:
Where to Apply : Applicants are required to fill the application form online through the Passport Seva
website http://www.passportindia.gov.in, and then visit the CPV division, or the PO attached to their present
residential address. Applicants will need to carry two photographs and required documents (mentioned below)
along with a printed copy of the online filled application form.
Photograph : All applicants need to carry two coloured photographs (size 4.5 x 3.5 cm) with white
background. Applicants should affix photographs on the printed copy of the online filled application form.

First photograph needs to be affixed on the first page of the application form without any
signature/stamp.
Second photograph needs to be affixed on the third page of the application form, and then stamped
across with office stamp and signature of the Head of Office.

Documents Required : Please submit one copy of the following documents

Applicant's Official Identity (ID) Card (or that of the Head of Office)
Certificate issued by the Head of Office in the format enclosed below
Official Request Letter from Forwarding Officer in the format enclosed below
Political/PMO Clearance Certificate, if applicable
For Existing Passport (if any):
Diplomatic/Official Passport (i.e. in Re-Issue applications): Original Diplomatic/Official Passport
for cancellation
If the same is kept in the safe custody of the Ministry of External Affairs (MEA), bring the
original Surrender/Safe Custody Certificate.
If the same has been cancelled by MEA, bring the Original Cancellation Certificate.
Ordinary Passport: Certificate of Safe Custody (in applicant's department). Non-disclosure of already
held passport(s) is an offence under Passports Act, 1967)
Official retiring in less than six months from the date of application, is required to give an
undertaking from his/ her office that he/ she will surrender dip./ off. passport to his/ her office
immediately after return.

The documents should be placed in the following order:

Printed copy of online filled application form


Political/PMO Clearance
Copy of Identity (ID) Card
Certificate from Head of Office
Request from Forwarding Officer
Other Relevant Documents

In case online filled up printed application forms are submitted in bulk (Group Applications) at CPV/PO - it
is advised to submit application forms in separate batches (of maximum 20 applications).

File Number (For Office Use Only)


Ministry of External Affairs, Government of India
PASSPORT APPLICATION FORM (DIPLOMATIC/OFFICIAL)
Please read the Passport Instruction Booklet carefully before filling the form. Fill this form in CAPITAL LETTERS
using blue/black ink ball point pen only. Furnishing of incorrect information/ suppression of information would
lead to rejection of the application and would attract penal provisions as prescribed under the Passports Act,
1967. Please produce your original documents at the time of submission of the form.
Service Required
Application Reference - 25-0062670765 Please paste
Number your unsigned
Applying For - FRESH recent color
Passport Type - DIPLOMATIC photograph of
size 4.5cm *
Applicant Details 3.5cm.
Applicant's Name - YOGITA
Date of Birth
(DD/MM/YYYY) - 29/07/2004
Place Of Birth
(Village/Town/City) - GURUGRAM
District - GURGAON
State/UT - HARYANA Signature/Left Hand Thumb
Region/Country - INDIA Impression of Illiterate Applicant
and Minors who cannot sign.
Gender - FEMALE
Employment Type - OTHERS
Organisation Name - STUDENT
Aadhaar Number - 219927267670
Family Details
Father's Name - RAJKUMAR
Mother's Name - HEMLATA
Present Residential Address Details
Address - HOUSE NO 109/5 GALI NO 12 DEVILAL COLONY GURUGRAM
GURGAON HARYANA INDIA
PIN - 122001
E-mail - YOGITA.2974@GMAIL.COM
Mobile/Tel No. - 8851468383
Permanent Residential Address
Address - HOUSE NO 109/5 GALI NO 12 DEVILAL COLONY GURUGRAM
GURGAON HARYANA INDIA
PIN - 122001
Details of regions/countries to be visited/transited
Region/Country to be visited on Region/Country to be transited Purpose and Duration of visit
official duty BHUTAN TRIP
BHUTAN
Enclosures
1 2 3
4 5 6
7 8 9
Self Declaration
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.
Place - GURUGRAM Signature/Left Hand Thumb
Date - 18/08/2025 Impression of Applicant (If applicant
is minor, either parent to sign)

CERTIFICATE
(i) (a) I hereby certify that Shri/Smt./Kumari
___________________________________________________________________________
___________
________________________________________________________________ is
proceeding abroad on official duty as indicated in item 9 above.
(ii) (b) I hereby certify that Shri/Smt./Kumari
___________________________________________________________________________
___________
___________________________________________________________________________
________ is Spouse/ Son/ Daughter/ Parent/ Domestic Help of
_____________________________________________________________ who is
going abroad on official duty as indicated in item 9 above.
(ii) Pay scale & grade pay of the officer is INR.
___________________________________________________________________
(iii) Designation
___________________________________________________________________________
__________
Please paste
your unsigned
recent color
photograph of
size 4.5cm *
3.5cm
Duly attested by
the Head of the
office
[Signature and Official Seal of Head of Office]
GOVERNMENT OF INDIA/STATE GOVERNMENT
MINISTRY / DEPARTMENT OF.........................................................................
Reference No...................................................... Date.........................
Subject : Request for Issue of Diplomatic/Official Passport(s) and Visa Note
1. Details of Applicant(s):
S.No Name of Designation, Pay Present/Previous
Applicant(s)please Scale and Grade Pay Passport(s) Number
attach a list, if
required
2. Passport Application Form(s) Filled-in and Attached: Yes No
3. Details of Visit:
Countries to be Visited on Countries to be Transited Purpose and Duration
Official Duty

4. Political/PMO clearance Enclosed: Yes No


5. This is certified that the visit has been approved by the competent authorities, and
the period of deputation will be treated as Government of India/State Government duty
and he/she shall draw pay and allowances in India.
Signature of Forwarding Officer
Along with Name/Stamp/Phone Number
(For Official Use Only)
Safe Custody Issue of Passport Diplomatic
Passport
Official Passport

Release from S/C Visa Note for


Cancellation Expected Date of
Remarks Delivery

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