Ashadip PSC

MOBILE NO *

EMAIL ID *

APPLICANT FULL NAME *

GENDER *

HAVE YOU EVER BEEN KNOWN BY OTHER NAMES? *

Yes No

If Yes, Provied Name

HAVE YOU EVER CHANGED YOUR NAME ? *

Yes No

If Yes, Provied Name

DATE OF BIRTH *
(DD/MM/YYYY)

IS YOUR PLACE OF BIRTH OUT OF INDIA ? *

Yes No

NAME OF THE PLACE OF BIRTH *
( Village/Town/City )

STATE *

DISTRICT *

MARITAL STATUS *

CITIZENSHIP OF INDIA BY *

PAN NO (If Available)

VOTAR ID CARD NO (If Available)

AADHAAR NO (If Available)

EMPLOYMENT TYPE *

IS EITHER OF YOUR PARENT (in case of minor) / SPOUSE , A GOVERNMENT SERVANT ? *

Yes No

EDUCATIONAL QUALIFICATION *

IS APPLICANT ELIGIBLE FOR NON-ECR CATEGORY ? *

Yes No

Name *
Address *
Email *
Phone No *

APPLYING FOR *	Fresh Passport Re-issue of Passport
TYPE OF APPLICATION *	Normal Tatkaal
TYPE OF PASSPORT BOOKLET *	36 Pages 60 Pages

FATHER NAME *
MOTHER NAME *
LEGAL GUARDIAN NAME *
SPOUSE NAME *

HOUSE NO *
STREET NAME *
VILLAGE / TOWN / CITY *
POST OFFICE *
POLICE STATION *
DISTRICT *
STATE *
PIN CODE *
IS PERMANENT ADDRESS SAME AS PRESENT ADDRESS ? *	Yes No
IF YES, GIVE FULL ADDRESS ( Mention House No + Street Name + At/Vill + P.O + P.S + Sub-division + Dist. + State + Pin code )

HAVE YOU EVER HELD / HOLD ANY IDENTITY CERTIFICATE * ( Identity certificate is normally issued to Tibetan/other stateless people residing in India )	Yes No
Details of Previous / Current Diplomatic / Official Passport
Have you ever applied for passport, but not issued ? *	Yes No

GOVT.VARIOUS APPLICATION & REGISTRATION

Form - Application for Passport

Total Expenses : Rs 1736/-

:: Contact Person Details ::

RPO DETAIL

PASSPORT TYPE

APPLICANT DETAILS

FAMILY DETAILS

PRESENT RESIDENTIAL ADDRESS

EMERGENCY CONTACT

IDENTITY CERTIFICATE / PASSPORT DETAILS

OTHER DETAILS

DOCUMENTS

(scan all documents in 300 dpi color jpeg / pdf format)(maximum size-1MB)

Our Team

ARPITA CHAKRABORTY BANERJEE

Nisha Sarki

Jharna Mallick

Mousumi Pal

DEBIKA SUBBA

ANINDITA ROY

Kiran Bala Dey

Gopal Bera

Chhanda Barik

Rabina Kumari Sharma

Contact Info

Visit Us

Mail Us

Call Us

Feel free to write your query

ASHADIP PSC

Have you ever been charged with criminal proceesings or is any arrest warrant/summon pending before a court in India ?	Yes No
Have you at any time during the period of 5 years immediately preceding the date of this application been convicted by the court in India for any criminal offence and sentenced to imprisonment for two year or more ?	Yes No
Have you ever been refused/denied passport ?	Yes No
Has you passport ever been impounded or revoked ?	Yes No
Have you ever applied for or been granted political asylum to/by any foreign country ?	Yes No
Have you ever returned to India on Emergency Certificate (EC) or were ever deported or repatriated ?	Yes No
If any of this option yes , Give the details

Applicant Aadhaar Card *
Applicant PAN Card
NON-ECR Catagory Proof , If any
Other if Any
Final Submission *