You are on page 1of 4

5/4/2017 View/PrintDiplomaticForm

HowtoApplyforDiplomatic/OfficialPassport

NormallyapplicationsforDiplomaticandOfficialpassportsareentertainedonlyattheConsular,PassportandVisa(CPV)Division,
PatialaHouse,NewDelhi.However,applicantscanalsovisittherespectivePassportOffice(PO)linkedtotheirpresentresidential
address.ApplicantsofDelhiandNCRwouldcontinuetovisittheCPVDivision,PatialaHouse,NewDelhi.

PleasereadthefollowinginstructionscarefullybeforeapplyingforDiplomatic/Officialpassport:

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.Applicantswillneedtocarrytwophotographsandrequireddocuments(mentionedbelow)alongwithaprinted
copyoftheonlinefilledapplicationform.
Photograph: All applicants need to carry two coloured photographs (size 4.5 x 3.5 cm) with white background.
Applicantsshouldaffixphotographsontheprintedcopyoftheonlinefilledapplicationform.
Firstphotographneedstobeaffixedonthefirstpageoftheapplicationformwithoutanysignature/stamp.
Second photograph needs to be affixed on the third page of the application form, and then stamped across with
officestampandsignatureoftheHeadofOffice.
DocumentsRequired:Pleasesubmitonecopyofthefollowingdocuments:
Applicant'sOfficialIdentity(ID)Card(orthatoftheHeadofOffice)
CertificateissuedbytheHeadofOfficeintheformatenclosedbelow.
OfficialRequestLetterfromForwardingOfficerintheformatenclosedbelow.
Political/PMOClearanceCertificate,ifapplicable
ForExistingPassport(ifany):
Diplomatic/OfficialPassport(i.e.inReIssueapplications):OriginalDiplomatic/OfficialPassportforcancellation.
If the same is kept in the safe custody of the Ministry of External Affairs (MEA), bring the original
Surrender/SafeCustodyCertificate.
IfthesamehasbeencancelledbyMEA,bringtheOriginalCancellationCertificate.
Ordinary Passport: Certificate of Safe Custody (in applicant's department). (Nondisclosure of already held
passport(s)isanoffenceunderPassportsAct,1967)
Official retiring in less than six months from the date of application, is required to give an undertaking from his/
herofficethathe/shewillsurrenderdip./off.passporttohis/herofficeimmediatelyafterreturn.

Thedocumentsshouldbeplacedinthefollowingorder:
1.Printedcopyofonlinefilledapplicationform
2.Political/PMOClearance
3.CopyofIdentity(ID)Card
4.CertificatefromHeadofOffice
5.RequestfromForwardingOfficer
6.OtherRelevantDocuments
Incaseonlinefilledupprintedapplicationformsaresubmittedinbulk(GroupApplications)atCPV/POitisadvisedto
submitapplicationformsinseparatebatches(ofmaximum20applications).

https://portal1.passportindia.gov.in/AppOnlineProject/secure/previewDiplomaticFormAction?arn=170006409724 1/4
5/4/2017 View/PrintDiplomaticForm

FileNumber(ForOfficeUseOnly)

GOVERNMENTOFINDIA,MINISTRYOFEXTERNALAFFAIRS
PASSPORTAPPLICATIONFORM(DIPLOMATIC/OFFICIAL)

Please fill this form in CAPITAL LETTERS using


blue/black ink ball point pen only, wherever required.
Furnishing of incorrect information/ suppression of
informationwouldleadtorejectionoftheapplicationand
Signature/LeftHandThumb
would attract penal provisions as prescribed under the ImpressionofIlliterateApplicantand
Minorswhocannotsign.
PassportsAct,1967.

ServiceRequired

ApplicationReferenceNumber 170006409724

ApplyingFor FRESH

TypeofApplication OFFICIAL
ApplicantDetails
Applicant'sName ASHISH

Surname ARORA

DateofBirth(DD/MM/YYYY) 02/07/1989

PlaceofBirth(Village/Town/City) DELHI

District NORTHDELHI

State/UT DELHI

Country INDIA

Gender MALE

EmploymentType OTHERS

Organisationname KANCHANMETALPVT.LTD.

AadhaarNumber 316902362869
FamilyDetails
Father'sName PRATAPSINGH

Surname ARORA

Mother'sName SUDESH

Surname ARORA

Spouse'sName YAMINI

Surname ARORA
PresentResidentialAddressDetails
C243,GALIN.5A,CBLOCK,SANTNAGARNORTHDELHI
Address
DELHIINDIA

PIN 110084

Mobile/TelNo. 9958114630

Email ashishmtech2012@gmail.com
PermanentResidentialAddress
C243,GALIN.5A,CBLOCK,SANTNAGARNORTHDELHI
Address
DELHIINDIA

https://portal1.passportindia.gov.in/AppOnlineProject/secure/previewDiplomaticFormAction?arn=170006409724 2/4
5/4/2017 View/PrintDiplomaticForm

PIN 110084
Detailsofcountriestobevisited/transited

Countrytobevisitedonofficialduty Countrytobetransited PurposeandDurationofvisit



PHILIPPINES PHILIPPINES EXHIBITION

Enclosures

1. 2. 3.

4. 5. 6.

7. 8. 9.

SelfDeclaration

Ioweallegiancetothesovereignty,unityandintegrityofIndia,andhavenotvoluntarilyacquiredcitizenshiportraveldocument
ofanyothercountry.Ihavenotlost,surrenderedorbeendeprivedofthecitizenshipofIndiaandIaffirmthattheinformation
givenbymeinthisformandtheenclosuresistrueandIamsolelyresponsibleforitsaccuracy,andIamliabletobepenalized
or prosecuted if found otherwise. I am aware that under the Passports Act, 1967 it is a criminal offence to furnish any false
informationortosuppressanymaterialinformationwithaviewtoobtainingpassportortraveldocument.

Place Signature/LeftHandThumbImpression
ofApplicant(Ifapplicantisminor,either
Date parenttosign)


CERTIFICATE
(i)(a)IherebycertifythatShri/Smt./Kumari

isproceedingabroadonofficialdutyasindicatedinitem9above.

(b)Iherebycertifythat,Shri/Smt./Kumari

isWife/Son/Daughter/Parent/DomesticHelpof

whoisgoingabroadonofficialdutyasindicatedinitem9above.

(ii)Payscale&gradepayoftheofficerisRs.

(iii)Designation

[SignatureandOfficialSealofHeadofOffice]

https://portal1.passportindia.gov.in/AppOnlineProject/secure/previewDiplomaticFormAction?arn=170006409724 3/4
5/4/2017 View/PrintDiplomaticForm

GOVERNMENTOFINDIA/STATEGOVERNMENT

MINISTRY/DEPARTMENTOF.........................................................................

ReferenceNo...................................................... Date.........................

Subject:RequestforIssueofDiplomatic/OfficialPassport(s)andVisaNote
1.DetailsofApplicant(s):

NameofApplicant(s) Designation,PayScale Present/Previous


S.No
pleaseattachalist,ifrequired andGradePay Passport(s)Number


2.PassportApplicationForm(s)FilledinandAttached: Yes No

3.DetailsofVisit:

CountriestobeVisitedon CountriestobeTransited PurposeandDuration


OfficialDuty


4.Political/PMOclearanceEnclosed: Yes No

5.Thisiscertifiedthatthevisithasbeenapprovedbythecompetentauthorities,andtheperiodofdeputationwillbetreated
asGovernmentofIndia/StateGovernmentdutyandhe/sheshalldrawpayandallowancesinIndia.

SignatureofForwardingOfficer
AlongwithName/Stamp/PhoneNumber

(ForOfficialUseOnly)

DiplomaticPassport
SafeCustody IssueofPassport
OfficialPassport
ReleasefromS/C VisaNotefor
Cancellation ExpectedDateofDelivery

Remarks

https://portal1.passportindia.gov.in/AppOnlineProject/secure/previewDiplomaticFormAction?arn=170006409724 4/4

You might also like