Embassy of India Muscat APPLICATION FOR INDIAN PASSPORT

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Embassy of India
Muscat
Website: http:// www.indemb-oman.org
E-mail : [email protected] or [email protected]
APPLICATION FOR INDIAN PASSPORT (EAP-I)
The application EAP-1 can be used for re-issue of
passport due toA) EXPIRY OF 10 YEARS VALIDITY -R.O. 29.900
B) EXHAUSTION OF PAGES IN THE EXISTING PASSPORT- R.O.
29.900
C) ANY CHANGE IN THE LAMINATION
PORTION OF THE
EXISTING PASSPORT LIKE CORRECTION OF DATE/PLACE OF
BIRTH INVOLVING ISSUE OF NEW PASSPORT BOOKLET
R.O. 29.900
D) NEW PASSPORT IN LIEU OF LOST /STOLEN-R.O. 58.800
(PLEASE SUBMIT DOCUMENTS AS PER LIST ATTACHED)
E) NEW PASSPORT IN LIEU OF DAMAGED PASSPORT -R.O. 58.800
F) PASSPORT FOR NEW BORN CHILDREN - R.O.29.100
(PLEASE SUBMIT DOCUMENTS AS PER LIST ATTACHED)
(JUMBO BOOKLET NORMAL CASES- R.O. 39.500) (JUMBO
BOOKLET Damaged CASES- R.O. 68.400) (Minors below 18
years- R.O. 20.300) (Tatkal Fee (Additional)-58.100)
PASTE
A
PHOTO HERE
Plain white back ground and
dress in dark colour
(3.5X3.5 cm without
border)
don't sign the photo
Signature inside the box with
Black Ink Ball pen
NOTE
Applicant should come personally or the documents should have been verified by the Honorary Consular Agent
authorized by the Embassy. FILL IN USING BLOCK LETTERS WITH BLUE/ BLACK INK ONLY AND ALL THE
COLUMNS SHOULD BE FILLED PROPERLY OTHER WISE THE APPLICATION MIGHT BE REJECTED.
1. FULL NAME (EXPANDED INITIALS)
________________________
(SURNAME NAME)
_________________________
(GIVEN NAME)
_______________________
(MIDDLE NAME)
2. IF YOU HAVE EVER CHANGED YOUR NAME, WRITE YOUR PREVIOUS NAME/Maiden name in case of a married woman:
3. PLACE OF BIRTH
4. COUNTRY OF BIRTH
5. DATE OF BIRTH
6. SEX: Male / Female
(DD)
/
(/MM)
/
(YYYY)
8. FULL NAME OF FATHER
NATIONALITY
9. FULL NAME OF MOTHER
NATIONALITY
10. FULL NAME OF SPOUSE
(HUSBAND/WIFE)
NATIONALITY
11. PROFESSION
Company/Office
Designation
12. PRESENT ADDRESS IN
OMAN
TEL. NO.
13. PERMANENT ADDRESS
IN INDIA
GSM. NO.
E-MAIL
7.Educational
Qalification:
14. PRESENT PASSPORT NO.
DATE OF ISSUE
II) PLACE OF ISSUE
III) DATE OF EXPIRY
15. ADDRESS OF PERSONS TO BE INTIMATED IN THE EVENT OF DEATH OR ACCIDENT ONE IN OMAN AND ONE IN INDIA:
OMAN
INDIA
16.HEIGHT
COLOUR OF EYES
COLOUR OF HAIR
17. VISIBLE DISTINGUISHING MARKS, IF ANY
i) Birth
ii) Descent
iii) Naturalization / Registration
18. ARE YOU A CITIZEN OF INDIA BY
19. DID YOU EVER POSSESS ANY OTHER NATIONALITY OR TRAVEL DOCUMENT OF ANY OTHER
COUNTRY? If so, please give details
No
Yes
20. IF THIS APPLICATION IS FOR DUPLICATE PASSPORT, WAS THE PREVIOUS PASSPORT
LOST
DAMAGED
(If damaged, please attach damaged passport & if lost, then attach the requisite documents as per list)
21. a.) WERE YOU EVER REFUSED A PASSPORT?
Yes
NOT APPLICABLE
No
b.) WAS YOUR PASSPORT EVER ORDERED TO BE IMPOUNDED OR REVOKED?
Yes
No
IF ANSWER TO ANY OF THESE QUESTIONS IS “YES,” PLEASE ENCLOSE A COPY OF THE OFFICIAL COMMUNICATION RECEIVED BY YOU
AND GIVE OTHER DETAILS.
22.LABOUR CARD/HEALTH CARD/DRIVING LICENCE NO.& DATE AND PLACE OF ISSUE
23.EMIGRATION STATUS: ECR/ECNR
24. ARE ANY CRIMINAL PROCEEDINGS AGAINST APPLICANT IN ANY COURT IN INDIA? IF SO, PLEASE GIVE DETAILS
25. HAS APPLICANT EVER BEEN REPATRIATED FROM ABROAD TO INDIA AT THE EXPENSE OF THE GOVT. OF INDIA? IF SO, DETAILS
PLEASE
26. NO. OF LOST/DAMAGED PASSPORT ____________ PLACE OF ISSUE _____________ DATE OF ISSUE _________________ VALID
UNTIL __________________________
27.Briefly state circumstances of loss/theft/damage of passport on a plain paper and attach copy of report lodged with local police in case
of loss/theft’
28. Give details of restriction, if any, imposed on applicant’s damaged/lost passport
29. Did applicant avail himself/herself of transfer of residence, foreign travel scheme or any other facility like gold/silver import on
lost/damaged passport? If so, details please _______________________________________
SPECIMEN SIGNATURE OF APPLICANT ONLY
(THUMB IMPRESSION (T.I), IN CASE OF AN INFANT)
Left hand T.I. if male and right hand T.I. if female
SELF DECLARATION :
I OWE ALLEGIANCE TO THE SOVEREIGNTY & INTEGRITY OF INDIA AND HAVE NOT VOLUNTARILY ACQUIRED THE CITIZENSHIP OR
TRAVEL DOCUMENT OF ANY OTHER COUNTRY. I HAVE NOT LOST, SURRENDERED OR BEEN DEPRIVED OF CITIZENSHIP OF INDIA.
THE INFORMATION GIVEN BY ME IN THIS FORM AND ENCLOSURES IS TRUE AND I AM SOLELY RESPONSIBLE FOR ITS ACCURACY. I AM
AWARE THAT IT IS AN OFFENCE UNDER PASSPORT ACT, 1967 TO FURNISH ANY FALSE INFORMATION OR TO SUPPRESS ANY MATERIAL
INFORMATION WITH A VIEW TO OBTAINING PASSPORT OR ANY OTHER TRAVEL DOCUMENT.
I FURTHER DECLARE THAT I HAVE NO OTHER PASSPORT / TRAVEL DOCUMENT.
________________________________________
(Signature or thumb impression of applicant)
Declaration by Parents/Legal Guardian in case of Minor:
1)
2)
3)
4)
Information given above in respect of _____________________________ of whom I am the parent / legal guardian is true.
I undertake to be 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.
I hereby declare that ________________________________ born in Oman has not applied for or acquired Omani/ any other
citizenship/travel document. Should I approach the Omani or any other authorities for such a travel document, I undertake to
inform the Embassy of India, Muscat immediately so that Indian travel document may be withdrawn.
Place: _________________________
Date: __________________________
Signature of both the Parents / Legal guardian
* Copies of passports of both parents to be enclosed in the case of Minor applicants
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