Service Required 
                             Applying for  *   
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                                New / Fresh Passport 
                                Reissue Passport 
                            
                        
						
						 
                            Type of Application  *   
                            
                                Please Select Type of Application 
                                Normal 
                                Tatkaal 
                             
                        
						
						 
                            Type of Passport Booklet  *   
                            
                                Please Select Type of Passport Booklet 
                                36 Pages 
                                60 Pages 
                             
                        
						
						
                      
                     
					
					
                        Applicant Details 
                            Applicant's First Name  *   
                            
                        
                            Middle Name  *   
                            
                        
                            Last Name  *   
                            
                        
                            Aadhaar No  *   
                            
                        
                            Gender  *   
                             
                                Select Gender 
                                Male 
                                Female 
                                Transgender 
                             
                        
						
                            Marital Status  *   
                             
                                Select Marital Status 
                                Single 
                                Married 
                                Divorced 
                                Widow/ Widower 
                                Separated 
                             
                        
						
						
								Date of Birth  *   
								
						
                            Is your Place of Birth out of India?  *   
                             
                                No 
                                Yes 
                             
                        
						
                            Birth Village or Town or City  *   
                            
						
						
						
								Birth Country  *   
								
								
										Select Country 
											Afghanistan 
                                              Albania 
                                              Algeria 
                                              American Samoa 
                                              Andorra 
                                              Angola 
                                              Anguilla 
                                              Antigua & Barbuda 
                                              Argentina 
                                              Armenia 
                                              Aruba 
                                              Australia 
                                              Austria 
                                              Azerbaijan 
                                              Bahamas 
                                              Bahrain 
                                              Bangladesh 
                                              Barbados 
                                              Belarus 
                                              Belgium 
                                              Belize 
                                              Benin 
                                              Bermuda 
                                              Bhutan 
                                              Bolivia 
                                              Bonaire 
                                              Bosnia & Herzegovina 
                                              Botswana 
                                              Brazil 
                                              British Indian Ocean Ter 
                                              Brunei 
                                              Bulgaria 
                                              Burkina Faso 
                                              Burundi 
                                              Cambodia 
                                              Cameroon 
                                              Canada 
                                              Canary Islands 
                                              Cape Verde 
                                              Cayman Islands 
                                              Central African Republic 
                                              Chad 
                                              Channel Islands 
                                              Chile 
                                              China 
                                              Christmas Island 
                                              Cocos Island 
                                              Colombia 
                                              Comoros 
                                              Congo 
                                              Cook Islands 
                                              Costa Rica 
                                              Cote D'Ivoire 
                                              Croatia 
                                              Cuba 
                                              Curacao 
                                              Cyprus 
                                              Czech Republic 
                                              Denmark 
                                              Djibouti 
                                              Dominica 
                                              Dominican Republic 
                                              East Timor 
                                              Ecuador 
                                              Egypt 
                                              El Salvador 
                                              Equatorial Guinea 
                                              Eritrea 
                                              Estonia 
                                              Ethiopia 
                                              Falkland Islands 
                                              Faroe Islands 
                                              Fiji 
                                              Finland 
                                              France 
                                              French Guiana 
                                              French Polynesia 
                                              French Southern Ter 
                                              Gabon 
                                              Gambia 
                                              Georgia 
                                              Germany 
                                              Ghana 
                                              Gibraltar 
                                              Great Britain 
                                              Greece 
                                              Greenland 
                                              Grenada 
                                              Guadeloupe 
                                              Guam 
                                              Guatemala 
                                              Guinea 
                                              Guyana 
                                              Haiti 
                                              Hawaii 
                                              Honduras 
                                              Hong Kong 
                                              Hungary 
                                              Iceland 
                                              India 
                                              Indonesia 
                                              Iran 
                                              Iraq 
                                              Ireland 
                                              Isle of Man 
                                              Israel 
                                              Italy 
                                              Jamaica 
                                              Japan 
                                              Jordan 
                                              Kazakhstan 
                                              Kenya 
                                              Kiribati 
                                              Korea North 
                                              Korea South 
                                              Kuwait 
                                              Kyrgyzstan 
                                              Laos 
                                              Latvia 
                                              Lebanon 
                                              Lesotho 
                                              Liberia 
                                              Libya 
                                              Liechtenstein 
                                              Lithuania 
                                              Luxembourg 
                                              Macau 
                                              Macedonia 
                                              Madagascar 
                                              Malaysia 
                                              Malawi 
                                              Maldives 
                                              Mali 
                                              Malta 
                                              Marshall Islands 
                                              Martinique 
                                              Mauritania 
                                              Mauritius 
                                              Mayotte 
                                              Mexico 
                                              Midway Islands 
                                              Moldova 
                                              Monaco 
                                              Mongolia 
                                              Montserrat 
                                              Morocco 
                                              Mozambique 
                                              Myanmar 
                                              Nambia 
                                              Nauru 
                                              Nepal 
                                              Netherland Antilles 
                                              Netherlands (Holland, Europe) 
                                              Nevis 
                                              New Caledonia 
                                              New Zealand 
                                              Nicaragua 
                                              Niger 
                                              Nigeria 
                                              Niue 
                                              Norfolk Island 
                                              Norway 
                                              Oman 
                                              Pakistan 
                                              Palau Island 
                                              Palestine 
                                              Panama 
                                              Papua New Guinea 
                                              Paraguay 
                                              Peru 
                                              Philippines 
                                              Pitcairn Island 
                                              Poland 
                                              Portugal 
                                              Puerto Rico 
                                              Qatar 
                                              Republic of Montenegro 
                                              Republic of Serbia 
                                              Reunion 
                                              Romania 
                                              Russia 
                                              Rwanda 
                                              St Barthelemy 
                                              St Eustatius 
                                              St Helena 
                                              St Kitts-Nevis 
                                              St Lucia 
                                              St Maarten 
                                              St Pierre & Miquelon 
                                              St Vincent & Grenadines 
                                              Saipan 
                                              Samoa 
                                              Samoa American 
                                              San Marino 
                                              Sao Tome & Principe 
                                              Saudi Arabia 
                                              Senegal 
                                              Serbia 
                                              Seychelles 
                                              Sierra Leone 
                                              Singapore 
                                              Slovakia 
                                              Slovenia 
                                              Solomon Islands 
                                              Somalia 
                                              South Africa 
                                              Spain 
                                              Sri Lanka 
                                              Sudan 
                                              Suriname 
                                              Swaziland 
                                              Sweden 
                                              Switzerland 
                                              Syria 
                                              Tahiti 
                                              Taiwan 
                                              Tajikistan 
                                              Tanzania 
                                              Thailand 
                                              Togo 
                                              Tokelau 
                                              Tonga 
                                              Trinidad & Tobago 
                                              Tunisia 
                                              Turkey 
                                              Turkmenistan 
                                              Turks & Caicos Is 
                                              Tuvalu 
                                              Uganda 
                                              Ukraine 
                                              United Arab Emirates 
                                              United Kingdom 
                                              United States of America 
                                              Uruguay 
                                              Uzbekistan 
                                              Vanuatu 
                                              Vatican City State 
                                              Venezuela 
                                              Vietnam 
                                              Virgin Islands (Brit) 
                                              Virgin Islands (USA) 
                                              Wake Island 
                                              Wallis & Futana Is 
                                              Yemen 
                                              Zaire 
                                              Zambia 
                                              Zimbabwe 
									 
							
							 
							
							
						
                            Birth State  *   
                            
									Select State 
                                        Andaman and Nicobar Islands 
                                        Andhra Pradesh 
                                        Arunachal Pradesh 
                                        Assam 
                                        Bihar 
                                        Chandigarh 
                                        Chhattisgarh 
                                        Dadra and Nagar Haveli 
                                        Daman and Diu 
                                        Delhi 
                                        Goa 
                                        Gujarat 
                                        Haryana 
                                        Himachal Pradesh 
                                        Jammu and Kashmir 
                                        Jharkhand 
                                        Karnataka 
                                        Kerala 
                                        Lakshadweep 
                                        Madhya Pradesh 
                                        Maharashtra 
                                        Manipur 
                                        Meghalaya 
                                        Mizoram 
                                        Nagaland 
                                        Orissa 
                                        Pondicherry 
                                        Punjab 
                                        Rajasthan 
                                        Sikkim 
                                        Tamil Nadu 
                                        Tripura 
                                        Uttaranchal 
                                        Uttar Pradesh 
                                        West Bengal 
                             
                        
						
                            Birth District  *   
                            
						
                            Citizenship of India by  *   
                            
                                Select 
                                Birth 
                                Descent 
                                Registration/ Naturalization 
                             
                        
						
                            PAN (If available) 
                            
						
                            Voter ID (If available) 
                            
						
                            Educational Qualification  *   
                            
                               Select Educational Qualification 
                                7th pass or less 
                                Between 8th and 9th standard 
                                10th pass and above 
                                Graduate and above 
                             
                        
						
						
							
						
                            Is your parent, a govt servant?  *   
                             
                                Select 
                                Yes 
                                No 
                             
                        
						
                            Is your spouse, a govt servant?  *   
                             
                                 Select 
                                Yes 
                                No 
                             
                        
						
                            Visible Distinguishing Mark (If any?)  *   
                             
                                Select 
                                Yes 
                                No 
                             
                        
						
						
						
						
						
						
						
                            Are you known by any other names? 
                             
									No 
                                    Yes 
                             
                        
						
						
						
                     
                    
                        Present Residential Address Details (where applicant presently resides) 
                            Is your present address out of India?  *   
                             
                                 Select 
                                Yes 
                                No 
                             
                        
                        
                            House No. and Street Name *   
                            
                        
                            Village or Town or City  *   
                            
                       
                            District *   
                            
						
						
						
                            Country  *   
                            
                                     Select Country 
											Afghanistan 
                                              Albania 
                                              Algeria 
                                              American Samoa 
                                              Andorra 
                                              Angola 
                                              Anguilla 
                                              Antigua & Barbuda 
                                              Argentina 
                                              Armenia 
                                              Aruba 
                                              Australia 
                                              Austria 
                                              Azerbaijan 
                                              Bahamas 
                                              Bahrain 
                                              Bangladesh 
                                              Barbados 
                                              Belarus 
                                              Belgium 
                                              Belize 
                                              Benin 
                                              Bermuda 
                                              Bhutan 
                                              Bolivia 
                                              Bonaire 
                                              Bosnia & Herzegovina 
                                              Botswana 
                                              Brazil 
                                              British Indian Ocean Ter 
                                              Brunei 
                                              Bulgaria 
                                              Burkina Faso 
                                              Burundi 
                                              Cambodia 
                                              Cameroon 
                                              Canada 
                                              Canary Islands 
                                              Cape Verde 
                                              Cayman Islands 
                                              Central African Republic 
                                              Chad 
                                              Channel Islands 
                                              Chile 
                                              China 
                                              Christmas Island 
                                              Cocos Island 
                                              Colombia 
                                              Comoros 
                                              Congo 
                                              Cook Islands 
                                              Costa Rica 
                                              Cote D'Ivoire 
                                              Croatia 
                                              Cuba 
                                              Curacao 
                                              Cyprus 
                                              Czech Republic 
                                              Denmark 
                                              Djibouti 
                                              Dominica 
                                              Dominican Republic 
                                              East Timor 
                                              Ecuador 
                                              Egypt 
                                              El Salvador 
                                              Equatorial Guinea 
                                              Eritrea 
                                              Estonia 
                                              Ethiopia 
                                              Falkland Islands 
                                              Faroe Islands 
                                              Fiji 
                                              Finland 
                                              France 
                                              French Guiana 
                                              French Polynesia 
                                              French Southern Ter 
                                              Gabon 
                                              Gambia 
                                              Georgia 
                                              Germany 
                                              Ghana 
                                              Gibraltar 
                                              Great Britain 
                                              Greece 
                                              Greenland 
                                              Grenada 
                                              Guadeloupe 
                                              Guam 
                                              Guatemala 
                                              Guinea 
                                              Guyana 
                                              Haiti 
                                              Hawaii 
                                              Honduras 
                                              Hong Kong 
                                              Hungary 
                                              Iceland 
                                              India 
                                              Indonesia 
                                              Iran 
                                              Iraq 
                                              Ireland 
                                              Isle of Man 
                                              Israel 
                                              Italy 
                                              Jamaica 
                                              Japan 
                                              Jordan 
                                              Kazakhstan 
                                              Kenya 
                                              Kiribati 
                                              Korea North 
                                              Korea South 
                                              Kuwait 
                                              Kyrgyzstan 
                                              Laos 
                                              Latvia 
                                              Lebanon 
                                              Lesotho 
                                              Liberia 
                                              Libya 
                                              Liechtenstein 
                                              Lithuania 
                                              Luxembourg 
                                              Macau 
                                              Macedonia 
                                              Madagascar 
                                              Malaysia 
                                              Malawi 
                                              Maldives 
                                              Mali 
                                              Malta 
                                              Marshall Islands 
                                              Martinique 
                                              Mauritania 
                                              Mauritius 
                                              Mayotte 
                                              Mexico 
                                              Midway Islands 
                                              Moldova 
                                              Monaco 
                                              Mongolia 
                                              Montserrat 
                                              Morocco 
                                              Mozambique 
                                              Myanmar 
                                              Nambia 
                                              Nauru 
                                              Nepal 
                                              Netherland Antilles 
                                              Netherlands (Holland, Europe) 
                                              Nevis 
                                              New Caledonia 
                                              New Zealand 
                                              Nicaragua 
                                              Niger 
                                              Nigeria 
                                              Niue 
                                              Norfolk Island 
                                              Norway 
                                              Oman 
                                              Pakistan 
                                              Palau Island 
                                              Palestine 
                                              Panama 
                                              Papua New Guinea 
                                              Paraguay 
                                              Peru 
                                              Philippines 
                                              Pitcairn Island 
                                              Poland 
                                              Portugal 
                                              Puerto Rico 
                                              Qatar 
                                              Republic of Montenegro 
                                              Republic of Serbia 
                                              Reunion 
                                              Romania 
                                              Russia 
                                              Rwanda 
                                              St Barthelemy 
                                              St Eustatius 
                                              St Helena 
                                              St Kitts-Nevis 
                                              St Lucia 
                                              St Maarten 
                                              St Pierre & Miquelon 
                                              St Vincent & Grenadines 
                                              Saipan 
                                              Samoa 
                                              Samoa American 
                                              San Marino 
                                              Sao Tome & Principe 
                                              Saudi Arabia 
                                              Senegal 
                                              Serbia 
                                              Seychelles 
                                              Sierra Leone 
                                              Singapore 
                                              Slovakia 
                                              Slovenia 
                                              Solomon Islands 
                                              Somalia 
                                              South Africa 
                                              Spain 
                                              Sri Lanka 
                                              Sudan 
                                              Suriname 
                                              Swaziland 
                                              Sweden 
                                              Switzerland 
                                              Syria 
                                              Tahiti 
                                              Taiwan 
                                              Tajikistan 
                                              Tanzania 
                                              Thailand 
                                              Togo 
                                              Tokelau 
                                              Tonga 
                                              Trinidad & Tobago 
                                              Tunisia 
                                              Turkey 
                                              Turkmenistan 
                                              Turks & Caicos Is 
                                              Tuvalu 
                                              Uganda 
                                              Ukraine 
                                              United Arab Emirates 
                                              United Kingdom 
                                              United States of America 
                                              Uruguay 
                                              Uzbekistan 
                                              Vanuatu 
                                              Vatican City State 
                                              Venezuela 
                                              Vietnam 
                                              Virgin Islands (Brit) 
                                              Virgin Islands (USA) 
                                              Wake Island 
                                              Wallis & Futana Is 
                                              Yemen 
                                              Zaire 
                                              Zambia 
                                              Zimbabwe 
                             
                        
						 
						
						
                        
                            State/ Province  *   
                             
                                Select State 
                                            Andaman and Nicobar Islands 
                                            Andhra Pradesh 
                                            Arunachal Pradesh 
                                            Assam 
                                            Bihar 
                                            Chandigarh 
                                            Chhattisgarh 
                                            Dadra and Nagar Haveli 
                                            Daman and Diu 
                                            Delhi 
                                            Goa 
                                            Gujarat 
                                            Haryana 
                                            Himachal Pradesh 
                                            Jammu and Kashmir 
                                            Jharkhand 
                                            Karnataka 
                                            Kerala 
                                            Lakshadweep 
                                            Madhya Pradesh 
                                            Maharashtra 
                                            Manipur 
                                            Meghalaya 
                                            Mizoram 
                                            Nagaland 
                                            Orissa 
                                            Pondicherry 
                                            Punjab 
                                            Rajasthan 
                                            Sikkim 
                                            Tamil Nadu 
                                            Tripura 
                                            Uttaranchal 
                                            Uttar Pradesh 
                                            West Bengal 
                             
                        
						 
						
						
                        
                            Pin  *   
                            
                        
                            Police Station  *   
                            
                        
                            Mobile Number  *   
                            
                        
                            E-mail ID   *   
                            
						
						
                            Do you have a Permanent Address? *   
                             
                                 Select 
                                Yes 
                                No 
                             
                        
						
						
								
									Is permanent address same as present address? *   
									 
										 Select 
										Yes 
										No