Click here to reprint already registered application form Select the Indian High Commission that you are

applying in Select the service that you are applying for Under Surname, type your Family name. Under Given name, type your first & middle name If you have ever changed your name click the box and indicate previous name in full Select your sex from the drop down. Fill in the date of birth in DD/MM/YYYY format. Type state or country of birth. Type your present profession Type your height in cms only Type the color of your hair Type your place of birth Type your qualification; please mention Nil if you are uneducated Type any visible mark (i.e Moles, Scars etc) Type the color of your eyes Type your Indian Address here, please note that State & Pin code is a must. Mobile No. could be your local number Type your present US address, as the same will be printed on the passport. Phone number could be your local number, that could be used to contact you. Please type your active email id as the same will be used to contact you. Please note:- Applicant's Family Information(All Names should be in full. Initials and titles such as Mr, Mrs, Dr etc. are not allowed.)

Select the martial status from the dropdown If selected Married or Widow/Widower, please fill-in the spouses Name and Nationality; you would be required to provide a notarized copy of the marriage certificate /divorce degree /death certificate as per your selection Fill-in your Parents names, place of birth and country and their nationality at the time of your birth

If you have / had valid or expired passport, please click on this box and fill the details below

Fill-in the existing passport details. Please note: in case of lost passport, kindly provide proposed information

Once the entire data is filled, hit save and print.

Upon saving a pop-up would ask to verify the details again. Press OK to Save and cancel to Re-edit

Post saving a pop-up would show a tentative appointment. Please ignore the same and press OK

Please select any month and date; as this appointment booked from this link is invalid and would not be considered

Post selecting the month and date, hit confirm appointment to print the 4 page application form.

Please note:- The date printing on your application form is not your appointment date. For information on scheduling an appointment click here, for information on sending application by post click here

Please paste your unsigned recent color photograph of 2 by 2 in size. Please ensure that the photos strictly satisfy specifications. Click here for photo specifications.

Please dont leave any question/column blank

Please provide a specimen signature as you want on your passport, please note that the signature is inside the box. Please fill the mode of payment as Cash/ Money order / Cashiers Check or which ever mode you choose for the payment Please fill the amount you paid for the application

Please fill the amount paid for the self addressed prepaid envelope.

Please note that the rest of the details on this page will be picked from the online form you filled. Please DO NOT overwrite any pre-printed information on the application form If there is any correction required on the pre-printed information of the application form, discard the old application form and refill a new application form.

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Mention the particulars of the person to be intimated in event of death or accident Mention the particulars of the present Passport/ Nationality, Identity card if any Mention the Local drivers License details if available, if not please mention NIL

Please dont leave any question/column blank

Your educational qualification will be picked from the online form you filled Please fill the date when you left India to stay abroad. Please fill in the recent date of visit to India Your total stay away from India Select ECNR or ECR as mentioned on your existing passport, If the same is not available on your passport, you may select ECNR. Please mention your profession and the phone number (i.e Self-employed, Homemaker, Service, Retired etc.)

Please note: The Reference number printed on the application form is not valid for tracking purpose, post submission of you form at the center a new reference number will be issued and the same could be used for tracking. Also, the date printing on the application form is NOT your appointment date. For information on scheduling an appointment click here, for information on sending your application by post click here.

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Please select if you are citizen by birth/Descent/Nationalization/Registration.

Please dont leave any question/column blank

If you ever possessed any other nationality/passport/ travel document of any other country. Please mention the details of the same or else NA" Select Yes or No as appropriate

Please provide the name and address of two relatives/friends. This would be used for verification Please provide the details as instructed

In case of Lost/ Damage passport please provide the details

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Please dont leave any question/column blank

Please provide specimen signature / thumb impression ( Left hand thumb impression if male and Right hand thumb impression if female) in case of a lost or damaged passport and get this page notarized.

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Please dont leave any question/column blank

In case the application is for a minor, please provide details as requested here. Signature / thumb impression ( Left hand thumb impression if male and Right hand thumb impression if female) of both the parents / guardian is required.

Please provide specimen signature / thumb impression ( Left hand thumb impression if male and Right hand thumb impression if female) in both the boxes

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