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MYcÖRvZš¿x evsjv‡`k miKvi ewnivMgb I cvm‡cvU© Awa`ßi

MYc RvZ x evsjv `k miKvi ewnivMgb I cvm cvU Awa` i wiBmy /Z_ cwieZ b/ms kvab Av e`b dig Reissue/Information alteration /Correction Application Form digwU cvm cv U i gqv` D xY , Z_ cwieZ b/gy` YRwbZ fzj ms kvab ms v wel q e e Z n e| This form will be used to reissue, to change the information/rectify the printing errors of passport. wb ` kbv t digwU Bs iwR Z (CAPITAL LETTER S) c~iY Ki b Ges AbyM nc~e K Avcbvi Av e` bi mv _ Dchy c gvYvw` mshy Ki b| Instruction : Please fill up the form in English (CAPITAL LETTER S) and attach relevant documents in favour of your application. Av e`bKvixi bvg (evsjvq) Name of Applicant (In Bangla) Av e`bKvixi bvg (Bs iwR Z) Name of Applicant (in English) PvwnZ ms kvab Expected Correction cvm cv U eZ gv b c `wk Z Z_ Information on existing passport c Z vwkZ cwieZ b/ms kvab Expected Change/Correction ZvwiL Date Av e`bKvixi/Awffve Ki (Av e`bKvix Ac v eq n j) ^v i Applicant s/Guardian s (if the applicant is a minor) Signature wefvMxq/ Av wjK cvm cvU Awdm/wgk bi bvg Name of Divisional/Regional Passport Office/Mission M nxZ cvm cv U i Z_ Received Passport s Details cvm cvU b ^i Passport No.

Reissue/Information Alteration/Correction Application Form digwU cvm‡cv‡U©i †gqv` DËxY©, Z_¨ cwieZ©b/gy`ªYRwbZ fzj ms‡kvab msµvšÍ wel‡q e¨eüZ n‡e| This form will be used to reissue, to change the information/rectify the printing errors of passport.

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