High Commission for Pakistan London

1 Application Form Form A. for the PPM-1/15. Pakistani Passport (Manual). high Commission for Pakistan London FOR OFFICIAL USE: Paste applicant photograph here. It must be: Passport style and size ( 45mm x 35mm). A recent and true likeness, showing full face, with no hat, helmet or sunglasses. Taken against WHITE. Fill in the Form in BLOCK LETTERS using black ink. background You can download this Form from our Website: PHOTOGRAPHS THAT DO NOT. CONFORM TO THESE. STANDARDS WILL BE REJECTED. Applying for Renewal First Passport Loss of Passport Other_____. APPLICANT DETAILS. 1. Name: 2. Surname: 3. Gender: Male Female 4. Nationality: 5. Date of Birth: dd mm yyyyy 6. Place of Birth: 7. Religion: 8. Profession: 9. Father's Name: 10.

2 Father's Nationality: 11. Husband's Name: 12. Husband's Nationality: 13. Pakistani National: By Birth By Registration By Descent By Immigration 14. National Identity Card No. - - Date of Issue: Place of Issue: 15. Permanent Address (in Pakistan ): Post Code: Present Address (in UK): Post Code: Tel. No. Work/Mobile: Tel. No. Residence: 16. Child(ren) need to be endorsed on mother's passport (under 12 years of age): (for endorsement of children on father's passport please see Form C' for detailed information). Name Date of Birth Place of Birth Gender (i). (ii). (iii). In case of more than three (3) children, please attach complete list with this form pertaining above details 17. Signature and thumb impression of the Applicant (Male applicants: Left hand thumb impression.)

3 Female applicants: Right hand thumb impression). Signature Thumb Signature Thumb 18. ATTESTATION. (For FIRST PASSPORT applicants only). I, the undersigned, hereby declare that I personally know to be a Pakistani National and to the best of my knowledge the information given in this application form is correct and that the photograph attached with the application bears true likeness of the applicant. _____ _____ _____. Address & Official Seal Name & Signature of Attester Date 19. DECLARATION. I declare on solemn affirmation as under, 1. To the best of my knowledge and belief the information given in this application is correct. 2. I have not previously held or applied for a passport of any description or have ever been refused passport facilities.

4 3. Passport officer has the authority to refuse the issuance of passport without assigning any reason. (skip no. 4 and proceed to signature if you are applying for first ever Pakistani Passport). 4. The passport or travel document noted below is attached, and that I have made no other application for a passport since the attached passport or travel document was issued to me Details are as follows:- Passport No. Date of Issue: Place of Issue: Signature of Applicant: 20. DECLARATION. (FOR MUSLIM APPLICANTS). I, S/O, W/O, D/O Age Years Adult Muslim, resident of Declare that:- a) I am a Muslim and believe in the absolute and unqualified finality of the prophethood of Muhammad (peace be upon him) as the last of the prophets b) I do not recognize any person who claims to be a prophet in any sense of the word or of any description whatsoever after Muhammad (peace be upon him) or recognize such Claimant as a prophet or religious reformer as a Muslim c) I consider Mirza Ghulam Ahmad Qadiani to be an imposter nabi and also consider his followers whether belonging to the Lahori or Qadiani group to be a non Muslim Signature of the Applicant: 21.

5 DECLARATION. (FOR LOSS OF PASSPORT CASES). I declare on solemn affirmation as under, 1. The passport as per details given below has been lost. In the event of it's coming again into my possession, I undertake to return it to nearest Pakistan passport office:- Passport No. Date of Issue: Place of Issue: 2. I have never been repatriated on Government expense 3. I am not a Government servant, an employee of a semi-Government body, a municipality, any other body or state owned industry. Signature of the Applicant: For further information please visit our website: Page 2 of 2.