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PASSPORT APPLICATION FORM
Ministry of External Affairs, Government of India
Service Required
Application Reference Number - 25-0056505879
Applying For - FRESH
Type of Application - NORMAL
Type of Passport Booklet - NORMAL
Applicant's Details
Applicant's Name - MOHD ABID
Date of Birth (DD/MM/YYYY) - 18/06/1998
Validity Required - NA
Place Of Birth (Village/Town/City) - DHAUJ
District - FARIDABAD
State/UT - HARYANA
Region/Country - INDIA
Gender - MALE
Marital Status - MARRIED
Citizenship of India by - BIRTH
Employment Type - SELF EMPLOYED
Is either of your parent (in case of - N
minor)/spouse, a government
servant?
Educational Qualification - 10TH PASS AND ABOVE
Are you eligible for Non-ECR - Y
category
Visible Distinguishing Mark - NO MARK
Aadhaar Number - 357500941299
PAN - DUCPA5032D
Voter ID - IKR1953884
Family Details
Father Name - HASAN MOHD
Mother Name - RAHILA
Spouse's Name - RABIYA
Present Residential Address Details
Address - H NO 2077 PALL MOHALLA VPO DHAUJ, DHOJ, FARIDABAD, HARYANA
Pin - 121004
Police Station - DHOUJ
Mobile/Tel No - 9050636737
E-mail - SAHIDCOMPUTERS4475@GMAIL.COM
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Emergency Contact Details
Name and Address - MOHD ABID H NO 2077 PALL MOHALLA VPO DHAUJ FARIDABAD
HARYANA 121004
Mobile/Tel No - 9050636737
Previous Passport
Details of latest held/existing/lost/damaged Ordinary Passport
Details of Previous/Current Diplomatic/Official Passport - N
Have you ever applied for passport, but not issued? - N
Other Details
Enclosures Details
1. Transfer or school leaving or matriculation certificate issued by the recognised school last attended or recognised
educational board having the date of birth of the applicant
2. Aadhaar Card (Address Proof)
Self Declaration
I owe allegiance to the sovereignty, unity & integrity of India, and have not voluntarily acquired citizenship or travel
document of any other country. I have not lost, surrendered or been deprived of the citizenship of India. I have not
contravened any of the conditions relating to the possession and use of an Indian passport.I affirm that the
information and particulars given by me in this form are true and correct. I further state that I am not suppressing
any material information in this regard. I further affirm that the enclosures and documentary proof submitted in
support of my application for an Indian passport are authentic and solely pertain to me and I am fully responsible
for the accuracy of the same. I am liable to be penalized or prosecuted if found otherwise. I am aware that under the
Passports Act, 1967 it is a criminal offence to furnish any false information or to suppress any material information
with a view to obtaining passport or travel document. I have read and understood the contents of the above and by
submitting this form certify that all the information submitted by me in the form is bonafide.
Place - DHAUJ
Date - 29/06/2025
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