REGISTERED No. D. 221
The Gazette of India
EXTRAORDINARY
PART II-Section 3—Sub-Section (i)
PUBLISHED BY AUTHORITY
No. 8a] NEW DELHI, WEDNESDAY, MAY 10, I967/VA1SAKHA 20, 1889
Separate paging is given to this Part in order that it may be filed as a separate compilation.
MINISTRY OF EXTERNAL AFFAIRS
NOTIFICATION
New Delhi, the 10th May 1967
G.S.R. 709.—In exercise of the powers conferred by section 23 of the Passports Ordinance, 1967 (4 of 1967), the Central Government hereby makes the following rules, namely:—
1. (1) Short title and commencement.—These rules may be called the Passports Rules, 1967.
(2) They shall come into force at once.
2. Definitions.—In these rules, unless the context otherwise requires,—
(a) "Form." means a form set out in the Schedule;
(b) "miscellaneous service" in relation to a passport or travel document includes—
(1) varying the entries in a passport or travel document; (ii) making fresh endorsement on a passport or travel document in respect of additional foreign countries;
(iii) issue of a duplicate passport or travel document in lieu of a passport or travel document which has been lost, stolen or damaged; (iv) any other service in respect of a passport or travel document which the holder thereof may require;
(c) "Ordinance" means the Passports Ordinance, 1967;
(211)
212 THE GAZETTE OF INDIA EXTRAORDINARY [PART 11^(d) "Schedule" means a Schedule appended to these rules;
(e) "section" means a section of the Ordinance.
3. Passport a u t h o r i t i e s^ 1) In addition to the Central Government, the officers specified in column 2 of Schedule I shall, subject to the provisions of sub-rule (2), be the passport authorities for all purposes of the Ordinance and these rules.
(2) Nothwithstanding anything contained in sub-rule (1) an officer referred to in column (,2) of Schedule I shall, for the purpose of issue of a passport or travel document, exercise jurisdiction in respect of applications for such issue made by persons ordinarily residing in the States specified In the corresponding entries in column 3 of the said Schedule:
Provided that in exceptional and urgent cases the said officer may entertain an application for the issue of a passport or travel document from a person residing in any other State and may issue a passport or travel document for a period not exceeding six months.
4. Classen of persons to whom the classes of passports and travel documents may be Issued.—The classes of persons to whom the classes of passports and travel documents referred to respectively in sub-section (1) and sub-section (2) of section 4 may be issued shall be as specified respectively in Part I and Part II of Schedule
n.
5. Forms' of applications.—An application for the issue of a passport or travel document or for the renewal thereof or for any miscellaneous service shall be made in the Form set out for the purpose in Schedule III and in accordance with the procedure and instructions set out therein.
6. Financial guarantee.—An application for the issue of a passport or travel document shall be accompanied by a guarantee executed in the Form set out in Schedule IV:
Provided that no such guarantee shall be necessary m respect of an applicant in the following cases, when he,—
(i) furnishes a certificate from a Stipendiary Magistrate of the First Class or from an officer not below the rank of Deputy Secretary to the Government;
(ii) pays income tax or property tax;
(iii) furnishes an entry permit issued by a foreign Government hi his favour;
(iv) proceeds out of India under the Indian Emigration Act, 1922 (7 of 1922) and the employer has furnished the required security deposit;
(v) proceeds to the United Kingdom on an employment voucher;
(vi) proceeds on scholarship or fellowship;
(vii) proceeds on pilgrimage or for other purpose to neighbouring foreign countries;
(viii) furnishes a ticket in proof of the journey to a foreign country and return therefrom.
7 Fee payable on applications.—The fee payable on every application made under rule 5 shall be at the rates specified in Schedule V.
8 Collection of fees.—All fees payable in respect of such applications shall be remitted by money order to, or paid in cash at the counter of, the passport autho- rity concerned, stating in the coupon or receipt the particulars in respect of which such fees have been remitted or paid.
9 Forma of passports or travel documents.—A passport or travel document issued under the Ordinance shall be in the Form set out for the purpoge in Schedule VI,
10 Pnratlon of passports or travel documents.—(1) An ordinary passport shall continue in force for a period of three years from the date of issue
SEC. 8(i)) THE GAZETTE OF INDIA EXTRAORDINARY 2 13(2) An emergency certificate shall continue in force for a period of six months from the dalie of issue.
(3) An identity certificate shall continue in force for a period of one year from ihe date of Issuo.
11. Issue of additional passports or travel documents in special circumstances,— A person holding a passport or travel document shall not be entitled to another passport or travel document unless he surrenders to the passport authority the passport or travel document already held by him:
Provided that separate passports or travel documents may be issued to the same person in respect of different countries if it is necessary so to do for facilitat- ing his visits to such countries,
12. Appellate authorities.—For the purposes of the Ordinance and these rules, the appellate authority to whom an appeal shall lie from an order specified in column 1 of the Table below shall be that specified in the corresponding entry of column 2 thereof:—
Orders appealed against
Appellate authority
i
2
i. Anordcr of the passport authority other than *
the Central Government under— (a) clause (b) or clause (c) of sub-section (2)
of section 5; or
The Chief Passport Officer, Ministry of (b) clause (b) of the proviso to section 7;
External Affairs, New Delhi.
or
(c) sub-section (1) or sub-section (3) of sec-
tion 10.
Secretary, Ministry of External Affairs,
>• New Delhi.
2. An order under sub-section (6) of section 10 of the authority to whom the passport autho- rity is subordinate.
13. Fee payable In respect of appeal.—Every petition for appeal shall be ac- companied by a fee of twenty-five rupees which shall be paid in cash at the trea- sury and a copy of the receipted challan shall be enclosed with such petition.
14. Procedure to be followed by appellate authority.—On receipt of an appeal, the appellate authority may call for the records of the case from the authority who passed the order appealed against and after giving the appellant a reasonable opportunity of representing his case pass final orders.
SCHEDUUB I
(See rule 3)
Passport Authorities
Jurisdiction
Serial No.
(3)
(0
1 (a) Regional Passport
The States of Maharashtra and Gujarat.
Officer, Bombay, i Emigration
(Regional Passport an< Office, Bombay)
(b) Assistant Passport
Do.
(Regional Passport and
Officer, Bombay, I Emigration Office,
Bombay).
214 T HE G A Z E T TE OF INDIA EXTRAORDINARY [PART I I-( I)
(3)
CO
The States of Maharashtra and Gujarat.
(c) Public Relations Officer, Bombay, (Re- gional Passport and Emigration Office, Bombay). -
2 (a) Regional Passport Officer, Calcutta, (Regional Passport and Emigration Office, Calcutta).
The States of West Bengal, Bihar, Orissa, Assam (including North East Frontier Tract) and Nagalund and the Union ter- ritories of Tripurn and Manipur.
Do.
(b) Public Relations Officer, Calcutta, (Re- gional Passport and Emigration Office, Calcutta),
3 (a) Regional Passport Officer, Delhi, (Re- gional Passport and Emigration Office, New Delhi).
The Union territories of Delhi, Himachal Pradesh and Chandigarh and the States of Punjab, Haryana, Jammu and Kashmir and Rajasthan.
Do.
(6) Assistant Passport Officer, Delhi, (Re- gional Passport and Emigration Office, New Delhi),
Do.
(c) Public Relations Officer, Delhi, (Regio- nal Passport and Emigration Office, New Delhi).
The States of Madhya Pradesh and Uttar 4 (a) Regional Passport Officer, Lucknow, (Regional Passport Office, Lucknow).
Pradesh.
Do.
(£) Public Relations Officer, Lucknow, (Regional Passport Office, Lucknow).
5 (a) Regional Passport Officer, Madras, (Re- gional Passport a.nd Emigration Office, Madras).
The States of Madras, Andhra Pradesh* Mysore, Kerala and the Union territories, of Laccadive, Minicoy and Amjndivi Islands and Pondichcrry.
Do.
(6) Assistant Passport Officer, Madras, (Regional Passport and Emigration Office, Madras).
Do.
(c) Public Relations Officer, Madras, (Re- gional Passport and Emigration Office, Madras),
The Union territories of Goa, Daman and Chief Secretary, Union territory of Goa,
Diu and Dadra and Nagar Havcli.
Daman and Diu, Panaji.
The Union territory of Andaman and Nico- Chief Commissioner, Union territory of
7
bar Islands.
Andaman and Nicobar Islands
Consular Officer In an Indian Mission/Post
8
The area within the Consular jurisdicton of the Indian Mission or post concerned. ^ outside India.
Sec. 3(1)] THE GAZETTE OF INDIA EXTRAORDINARY 215SCHBDUL]-: 11
(See rule 4)
PART I—PASSPORTS
Classes of Passports
Classes of persons to whom issuablc
2
1
. Citizens of India.
I. Ordinary Passports
II. ) Tidal Passports
h
(1) Government officials and non-officials when their passages arc paid by the Government and the members of their families, when such members also proceed out of India at the expense of Govern- ment;
4V
(2) officials of the Reserve Bank of India, the LState Bank of India, Corporations and Undertakings owned or controlled by the State, proceeding out of India for technical training;
V
(3) permanent Government officials on de- putation to foreign Governments, the United Nations Organisation and its specialised Agencies and the members of their families, provided such deputation is arranged through the Government of India;
1
(4) Government officials sponsored by the Ministries in the Government of India and their departments, for attending international conferences, seminars and meetings or for undergoing training either independently or under any of the scholar- ships schemes for the time being in force where the deputation out of India is treated as duty and they arc allowed to draW their duty pay and allowances in India;
(5) an immediate relative of an officer be- " longing to the Indian Foreign Service such as widowed mother, widowed mother- in-law, dependant sister, dependant bro- rher and not a distant relative such as cousin, uncle or aunt, subject to the con- dition that the relative is dependant on the Officer and is proceeding out of India with a view to reside with the officer in the place to which he is deputed.
Note—The following persons shaJl not be entitled to the issue of official passports namely :—
(j) employees of the Indian Airlines . Corporation and the Air-India Inter-
national Corporation;
1/
{b) persons sponsored by Government department lor attending interna- tional conferences, seminars and meetings or for studies or training outside India either independently
J l6 THE GAZETTE OF INDIA EXTRAORDINARY [PART I I-2
I
or under any of the scholarship schema for the time being in force when such persons go on study leave or leave of any other kind;
(c) persons proceeding outside India at rhcir own expense on commercial and other purposes although a de- partment of the Government certifies that such purpose would be to Government interest.
III. Diplomatic Passports
(i) Officers of the Indian Foreign Ser-
vice;
I
(2) A person having diplomatic status either because of the nature of his foreign mis- sion or because of the position he holds;
(3) Following members of the family of an officer of a person referred to in item (1) or item (2) above when travelling with or joining such officer or person at Govern- ' ment expense;—
Wife or official hostess, as the case may be, husband, son and daughter.
PART II—TRAVEL DOCUMENTS
Class of Travel Documents
Classes of persons to whomissuablc
2
I
I. Emergency Certificate
. Citizens of India outside India who have been refused passporls or whose passports have been impounded or revoked.
II. Certificate of Identity
Persons exempted under section 21 from The provisions of clause (a) of sub-section (2) of section 6.
SCHEDULE III
(See rule 5) FORM EA(P) 1 .Application for the issue of an Ordinary Passport (To be made In duplicate)
To
The Regional Passport Officer
Duplicate application The District Magistrate, "1 submitted on The Deputy Commissioner, f through The Collector, >
The Sub-Divisional Officer, I , The Commissioner of Police, J
Sir.
I hereby apply for an Ordinary Passport, The passport fee of Ha. 1B.00 has been remitted by Money Order/paid and the receipt No dated , issued at is attached herewith.
SEC. 3(51 T HE GAZETTE OF INDIA EXTRAORDINARY 217I solemnly declare that I am a citizen of India and I have not lost, surren- dered or been deprived of my citizenship of India and that the information given by me in reply to the Questionnaire is true.
Yours faithfully,
Place Date
(Signature of applicant)
QVESTIONNA1RE
Particulars and Description
1. Full name, with alias, if any (in capital letters).
2. Have you ever changed your name? If so, what
waa your previous name(s)?
3. Are you married or single?
4. If married woman/widow—
(a) State maiden name (b) State husband's or late husband's nationality,
name and place of birth and address.
(c) If married to a person who is not a citizen of ' India, state place and date of marriage.
5. (a) Place (village, town district etc.) of birth.
(b) Date of birth (attach documents in support,
if available.)
6. (a) Permanent address
(b) Present address
7. (a) Profession
(b) Present occupation giving full details includ-
ing monthly income.
8. Educational Qualifications.
9. Personal particulars:—
(1) of applicant
(a) Height (in M. Cm.) (b) Colour of eyes (c) Colour of hair (d) Visible distinguishing marks, If
any,
(il) of children. If to be Full Name Date of Sex included in the passport.
birth*
I. 2. 3. 4.
•Please attach three certified copies of photographs (size approximately 3,5 Cm X 3 Cm.) and a birth certificate of each child
10. (a) Father's nama
(b) Place and date of birth. If the date of birth
Is not known, approximate age.
a lg THE GAZETTE OF INDIA EXTRAORDINARY [PART I I-11. (a) What was your father's nationality—
(i) at the time of your birth? (il) on the 26th January, 1950?
(b) If he had acquired alien nationality when did he do so? Particulars of any travel document held by him.
12. Mother's name and place and date of birth?
13. How long have you been continuously residing In
India?
14. Have you at any time resided abroad, including Pakistan? State countries and periods. If resident In Pakistan, date of migration therefrom.
16, What was your occupation while residing abroad?
16. Were you ever repatriated at Government expense from any country abroad? If so, give particulars and state whether you have reimbursed the expen- diture incurred in connection with such repatria- tion giving date and place of reimbursement.
17. National Status:
(a) What la your nationality?
(b) Are you a citizen of India by birth?
(c) Are you a citizen of India by registration/
naturalization? If so. attach certificate.
18. Did you ever possess any other nationality? if so,
what?
19 Have you (or any your of children, If to be includ- ed in the passport) been convicted by a court in India for any offence and sentenced to imprisonment for not less than two years. If so give date and particulars.
20. Have you (or your children, if to be included in the passport) held or been included in a passport or travel document before? If so, give particulars (number, place and date of issue). Have the parti- culars been deleted in the passport or travel docu- ment and if so, by whom? Give evidence in sup- port.
21 Have you ever applied for a passport? If so, give
the following particulars:
(a) Authority to whom application was made.
(b) Whether passport was issued/refused.
(c) If issued, give passport particulars.
(d) Whether the passport was ever impounded or
revoked.
'
22. Names of countries for which passport is required?
23. What lfl the purpose of your visit abroad?
24 How do you propose to support yourself outside
' IndiaT
I 28. Addresses in India during the last two years.
SEC, 8(i),l THE GAZETTE OF INDIA EXTRAORDINARY 21926. Names and addresses of two responsible persons In your locality who would be prepared to vouch for you.
i
Verification Certificate
I hereby certify that I have known Shri/Shrimati/Kumari
flon/wtfe/daughter of for more than two years. The applicant In financially sound.
I have satisfied myself that the particulars furnished in the passport applica- tion are correct to the best of my knowledge.
I regard the applicant a suitable person to be considered for the Issue of a passport.
I
Office Telephone:
Signature
Name in block letters:
Designation
Office Seal:
Besldence
Piece
Date
Caution: This is an Important document and should be signed after due con- sideration (To be signed by an Officer not below the rank of Deputy Secretary or Stipendiary Magistrate First Class).
Specimen Signature
(For Official use only)
Remarks:—
Signature
Date
Seal
'
(For use of Protector of Emigrants)
Signature
Date
Seal
(Orders of Regional Passport Officer)
Seal
Signature
Date
22O T HE GAZETTE OF INDIA EXTRAORDINARY [PAUT I I-SCHEDULE III
(See rule 5)
FORM EA(P) 2
Application for the issue of an Ordinary
Passport on behalf of a person below 18 years of age
(To be made in duplicate)
To
The Regional Passport Officer,
Duplicate application submitted on through
The District Magistrate, The Deputy Commissioner, The Collector, The Commissioner of Police
Sir,
I. the undersigned
residing at hereby apply lor the issue of a passport to of whom I am the parent/legal guardian.
I undertake to be entirely responsible for all his/her expenses.
The passport feo of Ra. 15 has been remitted by Money Order/paid and the cash receipt No dated issued at is attached herewith.
I solemnly declare that Shri/Kumarl
Is a citUen of India and he/she has not lost, surrendered or been deprived of his/her Citizen- ship of India and that the information given in respect of him/ her in reply to the questionnaire is true.
Yours faithfully,
(Signature of applicant)
Place
Date
QUESTIONNAIRE
(N.B.—Items 1-13 below relate to the person on whose behalf the application Is made)
1. Full name, with alias if any
(In capital letters).
1. (a) If there has been a change of name.
State previous name-
2. (a) Place (village, town, district etc.)
of birth,
(b) Date of birth. 3- Address In India.
Sic. 5(1)} THE GAZETTE OF INDIA EXTRAORDINARY 2214, Personal particulars:
(a) Height m vm.
(b) Colour of eyes
(c) ,Colour of hair
(d) Visible distinguishing marks, If
any
4. (a) Educational qualification (attach attested copy
of certificate, if any).
5. Father's name, place and date of birth, and nationality at the time of birth of person on whose behalf application is being made.
6. Mother's name, place and date of birth, and nationa-
lity.
7. Husband's name, place and date of birth and natio-
nality.
8. Length of continuous residence in India, with
dates and places of residence-
9- Has he/she at any time resided abroad Including Pakistan?, State countries and periods. If re- sided In Pakistan, date of migration therefrom.
10. National' status.
(a) What is his/her nationality?
(b) Is he/she a citizen of India by birth?
(c) Is he/she a citizen of India by registration/ naturalization? If so, attach certificate.
11. Did he/she ever hold a passport or travel docu-
ment before? If so, give particulars (number, place and date of issue).
N.B.—If still in his/her possession, the passport or travel document should be attached to this application. If not, state what has happened to it.
12- What Is the purpose of the visit abroad?
Give full details.
13- What is the country of final destination? What countries will he/she be touching or passing through?
14. Has he/she been convicted by a court in India for
any offence and sentenced to imprisonment for not less than two years; If so, give date and particulars.
15. Names and addresses of two responsible persons in the locality who would be prepared to vouch for the applicant:
(1)
(2)
Specimen signature of the person on whose behalf the application la belnt made.
,22 2 THE GAZETTE OF INDIA EXTRAORDINARY [PART I I-(For Official use only)
KEMARKS:—
Seal
Signautre
,
Date
(For use of Protector of Emigrants)
Seal
Signautre
t..
Date
(Orders of Regional Passport Officer)
Seal
Slgnautre
Date
SCHEDULE III
(See rule 5)
FOEM EA (P) 3
.Application for the Issue of a Diplomatic Passport/Official Pasport.
1. (a) Surname (In block letters)-
(b) Personal and/or other names,
if any (In block letters).
(c) Aliases, if any (In block letters).
2. Profession.
3- Present appointment-
4. Permanent home address.
5. Present address.
6. (a) Place (village, town district etc) of birth,
(b) Date of birth.
7. Father's/husband's name
8 Personal Particulars:—
(1) of applicant
(a) Height
(b) Colour of eyes
(c) Colour of hair _, ...
(d) Visible distinguishing marks. If
any
SlO. 8(1)] THE GAZETTE OF INDIA EXTRAORDINARY 223,(il; of child/children, Full name Date of Sex- if to be Included
birth
in the passport.
L
2.
3.
4.
5.
•-
9. Particulars of passport, If any, held at present
N.B.—The passport should be submitted together with this application.
10. Countries to be visited on official duty, with the exact nature of the duty and duration of stay:
Name of country Exact nature of official duty Period of stay giving approxi-
mate dates
11. Mode of travel and route;
Place
Date
Signature of applicant
(To be filled if applicable)
I certify that
(full name and designation)
is proceeding out of India on official duty as indicated under item 10 above.
Place
Date
Signature of Head of Office
Designation
Specimen signature of
applicant.
.224 T HE GA Z ET TE OF INDIA EXTRAORDINARY [PA"T I I-SCHEDUIJ: III (See rule 5) FORM EA (P) 4 Application for the Issue of an EmergBncy Certificate
I, the undersigned
at present re- hereby apply for the issue siding at of an Emergency Certificate for travel to India-
I solemnly declare that I was born at on I am a citizen of India.
I solemnly declare that all the particulars given by me In respect of this application are true.
I hold passport/travel document No
issued at by which Is sur- dated rendered herewith; or
I do not have any passport or travel document.
Presonal Particulars
1. Full name, with aliases, if any (in capital letters).
2- Have you ever changed your name? If so, what
was your previous name?
3. If married woman/widow (a) State maiden name (b) State husband's or late husband's nationality,
name and place of birth.
(c) If married to an alien, state place and date of
marriage.
4. (a) Place (Village, town, district etc.) of birth:
(b) Date of birth:
5. Present national status.
6. Name of father.
7. Profession.
8. Address in India.
9- Address abroad-
10. Height.
11. Colour of Hair.
12. Colour of eyes.
13. Visible distinguishing marks, if any.
14. If held a passport or travel document and not sur- rendered along with this application, the reasons therefor-
Specimen signature of applicant
Signature of applicant
Date.
Particulars of child/children below the age of fifteen accompanying:—
Name Date of birth sex
SEC. 3(1)] THE GAZETTE OF INDIA EXTRAORDINARY 225SCHEDULE in
(See rule 5)
FORM EA (P) 5
Application for the Issue of a Certificate of Identity
I, the undersigned
at present residing at hereby apply for a Certificate of Identity lor travel to
I solemnly declare that I was born at
on the
I am of
nationality/stateless, and have not obtained a passport because
I solemnly declare that all the particulars given by me In respect of this appli- cation are true.
I further declare that I have no other passport or travel document in my posses- sion.
I attach the following documents:— Residential Permit. Three unmounted Passport size photographs-—one copy duly countersigned by the Local Police Authority.
Personal Particulars
1. (a) Surname (in block letters)
(b) Personal and/or other names, If any (In block
letters).
(c) Aliases, if any (in block letters)
2- Place and date of birth- s' Nationality of origin.
4- Present National Status.
5. Name of father.
6. Name of mother.
7. Prefession.
8. Present occupation.
9- Period of residence In India.
10. Last permanent address abroad-
11. Present address-
12. Height.
13. Colour of hair-
14. Colour of eyes.
15. Visible distinguishing marks, If any.
Specimen sljpiature of applicant.
Signature of applicant
Dated
Particulars of child/children below the age of fifteen accompanying: —
Name Date of birth Sex
226 THE GAZETTE OF INDIA EXTRAORDINARY [PART I I-SCHEDULE I II
(See rule 5)
FORM EA(P) 6
Application for the Renewal of a Passport or Travel document
NOM.—Application for renewing the period of validity of a passport must be made direct to the passport authority in India or to an Indian Mission Post out- side India.
I
the undersigned at present residing at ..' hereby apply for renewing the period of validity for a further period of year(s) of passport or travel document No issued to me at on the
I have paid the prescribed fee In cash at the counter/remitted the fee by Money Order and Receipt No dated , issued at Is attached for reference.
*I declare that I have not lost or surrendered my citizenship of India since the above passport or travel document was issued to me.
I solemnly declare that all the particulars given by me in respect of this appli- cation are true.
I further declare that I have no other passport or travel document in my possession.
Particulars of Applicant
1. Full name (In block letters)
2. Place and date of birth —
3. Permanent Address-
4. Profession and present occupation
• (Give details)
5. Whether married or single
•—
6. If married woman/widow:—•
(a) Maiden name— (b) Hugband's/late husband's nationality, name and place of
birth—
7. Purpose for fahich Reneval is Required
:
Date -
(Signature of applicant.) •To be filled in when applicable.
SCHEDULE III
(See rule 5)
FORM EA(P) 7
Application for additional endorsements
' 1. Full name ~ ~~~ 2. Son/wife/daughter of ~ •
3. Address ~ "
4. Profession
" ' " 5 Present occupation — • ™ ~
(Giving full details)
SEC. 3(i)) THE GAZETTE OF INDIA EXTRAORDINARY 227C. Educational qualifications —— -——— ——• ?• Number, date and place of issue of passport/travel
document held and date upto which it is valid — — — - -— ~—
8. Countries for which valid — — —• — ——
9. Country/countries for which additional
endorsement now required — — — —• •—
10. Reasons for additional endorsement asked for ———-——
11. Amount of fee, if any, paid and particulars thereof ——
Dated —
Signature of applicant.
SCHEDULE III
(See rule 5)
FORM EA(P) 8
Application for miscellaneous services
1 Full name - —— — — —— ______—
2. Father's/husband's name,
3. Address ————— ——
4. Number, date and place pf issue of passport or travel document held and date upto which it continues in force
5. Nature of service required —— •
6. Amount of fee, if any, paid and particular, thereof — — — — — — ——
Date — ——
Signature of applicant
SCHBDULE III
(See rule 5)
FOBJM EA(P) a
Application, for the issue of a new passport of travel document when all the pages of the passport or travel document held by the applicant arc used up.
1. Full name —
•
2. Father's/husband's name — —— — ——
3. Address
4. Number, date and place of issue of passport or travel document held and date upto which it continues in force
- — -— ———— • 5. Amount of fee, if any, paid and particulars thereof -——
Date —
Place •
Signature of applicant
228 t HE GAZETtE Of INllIA EXTRAORDINARY [PART H-SCHEDULE I II
(See rule 5)
FORM EA(Pi 10
Application for the issue of a duplicate pat-sport or travel document in lieu of Die passport or travel document which has been lost, stolen or damaged. To be made
in duplicate)
1. Full name
,2. Father's/husband's name
3. Profession
4. Place and date of birth
5- Domicile
6. Height M Cm,
7- Colour of eyes
8- Colour of hair
9. Visible distinguishing mark, if any
10. Number, date and place of issue of Passport or travel document
held, date upto which it would continue in force and the countries for which It was endorsed
11. State briefly the circumstances under which the passport or
travel document has been lost, stolen or damaged.
12. Iii case of loss or theft attach a copy of the report in that re-
gard sent to the police
13. Particulars of child/children included
Name Date of birth Male/Femole 14. Address
Date
Signature of the applicant.
Place
JV.B.—The application should be accompanied by three copies of passport size photographs-
Specimen signature.
SCHEDULE IV
(See rule 6)
FORM OF GUARANTEE
(To be executed on non-judicial stamp paper)
Whereas >-• ——— ——— wife/son/daughter is desirous of proceeding abroad of — — accompanied by his/her* •—• — —— - ——
I / we the undersigned — do hereby agree and undertake jointly and severally to provide suitable maintenance for and pay the travelling expenses of the said— —— during the period he/she/they shall be abroad and, In the event of my/our failing to provide or cause to be provided such maintenance and travelling expenses as aforesaid I/we jointly and severally hereby agree to pay to the President of India and his successors In office and assigns (thereinafter called "the Government of India") all such costs and expenses as may be incurred by the Government of India on the maintenance and repatriation of the said- ——— — wife/ children in the event of his/her/their repatriation to India.
SEC, 3(i)J THE GAZETTE OF INDIA EXTRAORDINARY 229In the event of the said — — _ _ __ __ dying abroad, I/we hereby undertake and agree to reimburse to the Government of India all such costs and expenses as may be incurred for her/his/their burial/cremation.
And it is hereby further agreed by me/us jointly and severally: •
(I) That the Government ol India shall be at liberty to grant to the said — —•— -such indulgence as It may think proper without discharging or impairing my/our liability hereunder; and
(II; that the authority to determine the costs, charges and expenses in such case referred to above shall rest exclusively with the Government of India and that it shall be binding on me/us and my/our heirs, execu- tors, administrators, and legal representatives as a continuing guarantee to pay such costs, charges and expenses as may be determined by the Government of India, without question-
Signed by the guarantor .—
(1)— — — .
Address— — and
(2>- — ——
Address • — on the
—- — day of 19
— In the presence of: —
Place of execution of guarantee
(I) .
Address™ —
(ii) —
Address—
"Here insert the names of wife and/or wife and children, if a joint passport is to be issued,
JV.B.—This form must he accompanied by: —
(1) a certificate from the appropriate Revenue Authority giving the value of the Immovable property In the possession of the signatory/signatories: or (ii.) a certificate from a bank giving the period during which the signatory/signatories has/have been their client/clients, the amount at his/her/their credit at the time of his/her/their signing the guarantee and the period during which this amount has been at his/her/their credit; or (iii) if the signatory/signatories has/have a regular fixed income/incomes, a certificate from the head of his/her/their department. firm, etc., giving his/her7fhelr monthly income.
(2) Words/Phrases not applicable in the form should not be reproduced in the guarantee.
(3) The value of the non-Judicial stamp paper will be as specified in the Stamp Act in forcr in a fttate when t he Pond is executed-
230 THE GAZETTE OF INDIA EXTRAORDINARY [PART I I-SCHEDULE V
(See rule 7)
Schedule of fees payable in respect of applications for passports and travel
documents
Scale of fees Particulars of application
l.No.
(2)
(3) CD
i Ordinary Passport . . . . . . ..
Ra. 15/-
2 Renewal of Ordinary Passport . . . . ..
Rs. 6/- for three years or R s. 2/- per year or part of a year.
Duplicate Passport in lieu of the Ordinary Passport which has been
3
lost, stolen or damaged . . . . . ..
Rs. 15,'-
Emergency Certificate
Rs. 3 '-
4
Renewal of Emergency Certificate . . . . ..
Re. 1- 5
6 Duplicate Emergency Certificate in lieu of the Emergency Certi-
ficate that has been lost, stolen or damaged.
Rs. 3;-
Rs. 10/-
Certificate of Identity . . . . . . ..
7
Renewal of Certificate of Identity
Rs. 2/- per year or part 8
of a year.
Duplicate Certificate of Identity in lieu of the Certificate of ] Jentity
9
Ra. 1 0- that has been lost, Btolen or damaged
10 Additional endorsements on an Ordinary Passport3 Emcrgcnc\
R s. 2 /- Certificate. Certificate of Identity
SCHEDULE VI
(See rule 9)
FORM OF DIPLOMATIC PASSPORT/OFFICIAL PASSPORT/ORDINARY
PASSPORT
(Front Cover)
DIPLOMATIC PASSPORT/OFFICIAL PASSPORT/ORDINARY PASSPORT
Emblem
REPUBLIC OF INDIA
(Inside front cover)
Hindi version
These are to request and require In the Name of the President of the Republic of India nnd all those whom It may concern to allow the bearer to pass freely with- out let or hindrance, and to afford him or her every assistance anrl protection of
SEC. 3(i)J THE GAZETTE OF INDIA EXTRAORDINARY 231which he or she may stand in need-
Given nt- -— „___. _ the — • • _ , —. day
By order of the President of the Republic of India
1 Pnt'e 11
THls Passport contains
32 pages
DIPLOMATIC PASSPORT/OFFICIAL PASSPORT'ORDINARY PASSPORT INDIA
No. of Passport
Name of Bearer
Accompanied by his wife
(Maiden name)
AND
CHILDREN
NATIONAL STATUS
1,Page 2)
Description
Profession . , . , . .
Place and date of birth . . . . .
Domicile . , . . . . .
Height
M Cm, M, Cm.
Coloui of eyes . .
Colour of hair
Visible distinguishing marks
CHILDREN
Name
Daio uf Birth Male/Female
2 32
I IlJi GAZETTE Ol INDIA I.XTRAOR1MNARY [PAKI I !-
(Pagc 3)
PHOTOGRAPH Ol; BliARliK
Signature of bearer
WIFE
Signature o< wife
(Page 4)
Countries for which this passport is valid
Unless renewed, the validity o£ this Passport expires
Issued at
...
Date
(Page 5)
Home address
Permanent address in India: (Including village or town, district and State)
Name of Father/Husband and his full address (Including village or town, district and State)
OBSERVATIONS
(Page 6)
RENEWALS
(Pages 7 to 29)
VISAS
SKC 3 ( I )J Tllfc GAZETI'fc W INDIA EX/TRAORDlNARV 233'.Pages 30 and 31>
FOREIGN EXCHANGE FOR TRAVELLING liXPKNSHS
N" entries Co be mude on this page except by an authorised dealer in foreign exchange
Date Country of travel for
Amount issued or
which exchange has been sold
Stamp and signature of Authorised Dealer selling exchange.
refunded (Sterling or rupee equivalent to nearest £ or Re.)
iPage 32
NOTE: 1. The colour of the cover oil the Diplomatic Passport booklet shall be maroon with the words "Diplomatic Passport" Inscribed on the front cover-
NOTE: 2. The colour ol the cover of the Official passport booklet shall be grey with the words "Official Passport" inscribed 011 the front cover.
NOTE: 3. The colour ui the cover of the Ordinary passport booklet shall be deep blue with the words "Ordinary Passport" inscribed on the front cover-
SCHEDULE VI
(See rule. 9)
FORM OF FJVIERGENCY CERTIFICATE
Emblem
EMERGENCY CERTIFICATE
No.
This is to certify that
has applied to me for the grant of an Emergency Certificate and that I have no reason to doubt his/ her statement.
Signature of passport authority
Seal
Date
fPage 2)
Np.
Description
(a) Prof elision (b) National Status (c) Father's/Husband's name (d) Place and date of birth (e) Address in India (f) Visible distinguishing marks, if any (g) Height . . .: (h) Colour of hair (1) Colour of eyes
2 34 I'HJl GAZETTE OF INDIA EXTRAORDINARY [£ART I I-(Page 3)
No.
The holder Ls accompanied by u child/ (children whose particulars are given below;
Particulars of child/children.
Name Date, of birth Sex
S. No.
1.
4.
Photograph of holder
Signature of holder
(Page 4)
No.
This certificate is only valid for journey to
via
Unless renewed, the validity of tte basic expires on
Renewed up to Issued at ..
•
Date
.
(Page 5)
Np.
Visas
(Page 6)
Np.
Vias
MR—The Boasesalon of this Emergency Certillcate doas not exempt tne noiaer Irom compUince with any immigration regulations in force in the country ot S S n S t o S o r f r om the necessity of obtaining a visa when required,
SCHEDULE VI (See rule 9) FORM OF CERTIFICATE OF IDENTITY (Front cover) GOVERNMENT OF INDIA (Emblem)
CERTIFICATE OF IDENTITY
(Inside front cover)
Hindi version
IDENTITY CERTIFICATE
Thii certificate is issued for the sole purpose of providing the holder with identity papers it lieu of a national passport. It is without prejudice to and in no i v K t he national status of the holder. If the holder obtains a national pass- nort Sto certificate ceases to be valid and must be surrendered to the nearest PaVsport Authority in India or an Indian Mission or Post outside InoUa.
.Wt;. 3(i)J THE GA7ETTE OF INDIA EXTRAORDINARY 235This certificate Is valid for travel to Countries mentioned at page 5 and its validity expires on
(Signature and seal of Passport
authority)
Place
Date
(Page 1)
This Certificate 01 identity
contains 13 pages
CERTIFICATE OF IDENTITY
INDIA
No. of Certificate 01 Identity
Name of holder
Nationality of origin
(Page 2)
No
Personal Description
P1 of ession
I-mte of birth
Place of birth
Name of father/husband
Name o± mother
Height
Colour of hair
Colour of eyes
(Page 3)
TTo.
Vliiblc diKtirij^uifching marks
Present occupation
]jH"t permanent address . .
abroad
Present adrirpst
(Pafle 4)
No.
The holctrr JK accompanied by H child/ children whose parucuku-s are flven below:
236 THE GAZETTE OF INDIA EXTRAORDINARY [PART II-SEC. 8 (I)]Particulars ol Children
S. No. Name Date of birth Sex
1
2
.
3
4.
5
Signature of holder
(Page 5)
No.
ENDORSEMENTS
(Pages 6 and 7)
No
RENEWALS
(Pages 8 to 13)
No.
VISAS
[No. F. VI/401/26/67-Vol, IJ.J S BIKRAM SHAH, Jt., Secy