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PASSPORT APPLICATION FORM FOR INDIANS RESIDING …

HCI Ottawa/ CGI Toronto/ CGI Vancouver PASSPORT APPLICATION form FOR INDIANS RESIDING ABROAD (FOR ISSUE OF NEW BOOKLET / RENEWAL OF PASSPORT / CHANGE IN APPEARANCE / CHANGE OF NAME) Requirements: 1. REFER BLS NEW BOOKLET OR RENEWAL OF PASSPORT DOCUMENT CHECKLIST. 2. FEES: NEW BOOKLET: CAD + CAD (CONSULAR SURCHARGE) NEW BOOKLET (UP TO AGE 14 YEARS): CAD + CAD (CONSULAR SURCHARGE) RENEWAL OF PASSPORT : CAD 3. SIGNATURE REQUIRED ON 1ST / 2ND / 3TH PAGES OR THUMP IMPRESSION MINOR APPLICANT WHO CANNOT SIGN (LEFT FOR MALE & RIGHT FOR FEMALE). FOR MINOR APPLICANT: BOTH THE PARENTS SIGNATURE IS REQUIRED + BOTH PARENTS VALID PASSPORT + STATUS IN CANADA MUST BE ATTACHED WITH THIS APPLICATION .

passport and to surrender it to the nearest Indian diplomatic mission. I am aware that in the event of failing to do so, I will be liable for action under provisions of the Indian Passports Act 1967 and related laws, and v) I hereby authorize all government including the Department of Citizenship, Immigration and Police in Canada

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Transcription of PASSPORT APPLICATION FORM FOR INDIANS RESIDING …

1 HCI Ottawa/ CGI Toronto/ CGI Vancouver PASSPORT APPLICATION form FOR INDIANS RESIDING ABROAD (FOR ISSUE OF NEW BOOKLET / RENEWAL OF PASSPORT / CHANGE IN APPEARANCE / CHANGE OF NAME) Requirements: 1. REFER BLS NEW BOOKLET OR RENEWAL OF PASSPORT DOCUMENT CHECKLIST. 2. FEES: NEW BOOKLET: CAD + CAD (CONSULAR SURCHARGE) NEW BOOKLET (UP TO AGE 14 YEARS): CAD + CAD (CONSULAR SURCHARGE) RENEWAL OF PASSPORT : CAD 3. SIGNATURE REQUIRED ON 1ST / 2ND / 3TH PAGES OR THUMP IMPRESSION MINOR APPLICANT WHO CANNOT SIGN (LEFT FOR MALE & RIGHT FOR FEMALE). FOR MINOR APPLICANT: BOTH THE PARENTS SIGNATURE IS REQUIRED + BOTH PARENTS VALID PASSPORT + STATUS IN CANADA MUST BE ATTACHED WITH THIS APPLICATION .

2 BOTH PARENTS MUST SIGN IN THE SPACE PROVIDED AS PER THEIR PASSPORTS. Please paste one PASSPORT Size photograph (35mm x 35mm) here and enclose three more. All copies should be identical. DO NOT STAPLE (Make sure Signature is within the box) 1. Full name in capital letters (please do not use any initials). _____ First Name Middle Name Last Name 2. Maiden name if applicant is a married woman:_____ 3. Aliases, if any:_____ 4. Have you ever changed your name, if so what was your previous name: _____ 5. a) Date of Birth _____ b) Place of Birth _____ 6. Sex: M / F 7. Father's name in full (please do not use initials): _____ 8. Mother's name in full :_____ 9.

3 Wife's/Husband's name in full :_____ 10. Height: _____cms 11a). Colour of eyes :_____ 11b). Colour of hair :_____ 12. Visible distinguishing marks:_____ 13. Address in Canada : _____ _____ Tel No: _____ 14. Permanent Address in India_____ _____ 15. Name and address of a relative to be informed in case PASSPORT holder faces any difficulty: _____ Phone No :_____Relationship:_____ 16. Citizenship : Are you a citizen of India by birth/descent/registration/naturalizatio n :_____ 17. PASSPORT Number: _____Date of Issue: _____Place of Issue: _____ 18. Were you ever refused a PASSPORT ? _____ 19. Was your PASSPORT ever ordered to be impounded or revoked?

4 _____ (If answer to 18 or 19 above is yes, please enclose a copy of the official communication received by you). 20 If the PASSPORT has expired more than 6 months ago, please state reasons for not applying in time :_____ 21. Declaration: i) I owe allegiance to the sovereignty and integrity of India, and ii) I am an Indian Citizen, and iii) I have neither applied for nor obtained Canadian or any nationality other than Indian, and iv) In the event of acquiring Canadian or any nationality other than Indian, I undertake not to use the Indian PASSPORT and to surrender it to the nearest Indian diplomatic mission. I am aware that in the event of failing to do so, I will be liable for action under provisions of the Indian Passports Act 1967 and related laws, and v) I hereby authorize all government including the Department of Citizenship, Immigration and Police in Canada or any other country to reveal to the Govt.

5 Of India or its Diplomatic Missions all records and information that they may possess on my behalf concerning my Immigration/Citizenship status, security clearance etc. I understand that this information will be used to assist in determining my eligibility for PASSPORT , security clearance, etc., and vi) Information given above in respect to myself, my son/daughter/ward is correct and nothing has been concealed and I am aware that it is an offence under the Indian Passports Act 1967 to knowingly furnish false information or suppress material information, which attract penal and other punishment under the Acts, and vii) I undertake to be entirely responsible for expenses of my son/daughter/ward.

6 Place:_____ Date_____ Signature of applicant_____ (Left thumb impression of male and right thumb impression of female) Signature (Father) :_____ Signature (Mother) : _____ BOTH PARENTS VALID PASSPORT + STATUS IN CANADA MUST BE ATTACHED WITH THIS APPLICATION . BOTH PARENTS MUST SIGN IN THE SPACE PROVIDED AS PER THEIR PASSPORTS. IMPORTANT: Please affix your specimen signatures in the space provided below. Declaration of parent or legal guardian in case APPLICATION is on behalf of a minor: 1. I affirm that the particulars given above in respect of _____ son/daughter of Mr. _____ of whom I am the parent/legal guardian are correct to my knowledge hereof.

7 2. I undertake to be entirely responsible for his/her expenses. 3. I solemnly declare that he/she has not lost, surrendered or been deprived of his/her Citizenship of India and that the information given in respect of him/her in this APPLICATION is true. _____ Signature of parent/legal guardian _____ Specimen Signatures of applicant. Or thumb impression in case of a child (left for male & right for female). PERSONAL PARTICULARS form Additional form to be filled for issue of a new PASSPORT / renewal (in BLOCK CAPITAL letters only) 1. Name:.. (First name) (Middle name) (Surname) 2. Has the applicant ever changed his name, if yes, previous name.

8 3. Name of Father :.. 4. Name of Mother :.. 5. Name of Spouse :.. 6. Date of birth :.. (7) Place of Birth:.. 8. Permanent address in India: House No/Street:.. Village/Town:.. Post office:.. Police Station:.. Distt:..State:.. 9. Applicant is a citizen of India by:.. (Birth/ Descent/ Registration/Naturalisation) 10. Details of PASSPORT held: i. PASSPORT Date of issue:.. iii. Place of issue:..iv. Date of expiry:.. _____ (Signature of applicant) Signature (Father) :_____ Signature (Mother) : _____ BOTH PARENTS VALID PASSPORT + STATUS IN CANADA MUST BE ATTACHED WITH THIS APPLICATION .

9 BOTH PARENTS MUST SIGN IN THE SPACE PROVIDED AS PER THEIR PASSPORTS.