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Form A
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Please read the form carefully before filling it up.
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Applications with incomplete entries will not be
accepted.
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Partially filled forms received through post may be
returned without consideration.
APPLICATION FOR FRESH / DUPLICATE
PASSPORT
1. Full Name
(Block letters)
Mr./Mrs./Miss_______________________________________
2. Father’s / Husband’s name
_____________________________________________
3. Father’s/Husband’s Nationality__________________________________________
4. Date of Birth: Day___________ Month___________ Year____________
5. Place of Birth: City____________________ Country
________________________
6. Height _______m ______cm Color of eyes:___________
Color of hair:_________
7. Visible distinguishing marks_____________________________________________
8. Profession:
[_] Doctor [_] Govt.
Service [_] Teacher [_] Engineer [_] Business
[_] Other (specify)
_________________
9. Religion :
[_] Muslim [_] Hindu
[_] Qadiani [_] Parsi [_] Sikh [_] Buddhist [_] Christian
[_] Other
(Specify)___________________________
10. Pakistani
national: [_] By Birth
[_] By Naturalization [_]
By Registration
[_]
By Descent [_]
By
Migration (Date of migration ____/___/______)
11. National ID-Card No. ________________________ Date of
issue___________ Place of issue:___________
12. Present Address: Street
_______________________________________________
Postal code____________ City__________________
Country__________________
13. Permanent Address (in Pakistan)
Street______________________________________
Postal code_____________ City__________________
Country_________________
14. Present Telephone and fax number : Home_______________________________________
and
E mail
address
Work_______________________________________
E mail address________________________________
15. Passport No. of present Pakistani
passport _______________________________
Date of issue________________
Place of issue_____________________________
16. The application is regarding:
[_]
Renewal of the old passport
[_]
New
passport in lieu of lost passport
(In case of lost passport, please
attach i) police report and ii)
Personbevis or certificate
of legal residence in the respective country)
17. Marital Status [_] Unmarried [_] Married
[_] Divorced
18. Name of children to be included in the passport:
Name:_____________________ Date of birth_______________
Sex : Male/Female
Name:_____________________ Date of birth_______________
Sex : Male/Female
19. DECLARATION (for all applicants)
I declare on solemn affirmation as under:
- To the best of my knowledge and belief, the
information given in this application is true.
- I have not previously been refused passport
facilities.
- All previous passports granted to me have
been surrendered other than the passport mentioned above in column
15.
_______________________________________
(Signature of applicant)
20. DECLARATION FOR MUSLIMS ONLY
I, __________________________________ s/o, d/o,
w/o________________________________
(Name of applicant)
(Name of father or husband)
aged ___________ adult Muslim, resident of ________________ hereby
solemnly declare that:
- I am a Muslim and believe in the absolute
and unqualified finality of the Prophet hood of Hazrat Muhemmed
(peace be upon him) the last of the Prophets.
- I do not recognize any who claims to be a
prophet in any sense of the word or any description whatsoever
after Hazrat Muhemmed (peace be upon him) or recognize such a
claimant as a prophet or a religious reformer as Muslim.
- I consider Mirza Ghulam Ahmad Qadiani to be
an impostor nabi and also consider his followers whether belonging
to the Lahori, Qadiani or Mirzai groups, to be non-Muslims.
________________________________________________
( Signature of the applicant)
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FOR OFFICIAL USE ONLY
New passport number: _________________________________
Date of issue /D/M/Y/:__________________________________
Valid until /D/M/Y/ :_______________________________
Signature and stamp of issuing authority.
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IMPORTANT
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SIGNATURE and THUMB IMPRESSION are essential
requirements for the issuance of a passport. Without these the
application is considered incomplete. Please leave specimen
signature and thumb impression in each box below. (Left thumb
impression for males; Right thumb impression for females)
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Signature Thumb impression
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Signature Thumb
impression |
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