Applicant Details
Place Of Birth
Family Details (Father/Mother/Legal Guardian details; at least one is mandatory.)
Present Residential Address Details (where applicant presently resides)
Other Details

1) Provide the following details if there are any criminal proceedings pending against the applicant.

2) Provide the following details if the applicants has been convicted by a court in India.

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.

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.