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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, 1967/VAISAKHA 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

Sew 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—

(i) 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)

(d) "Schedule" means a Schedule appended to these rules;

(e) "section" means a section of the Ordinance.

3. Passport authorities.—(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) Nothwiths.tan.ding 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. Classes 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 hi 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 in 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 in 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 appUcations shall be remitted by money order to, or paid In cash,at the counter of, the passport autho- rit^concerntfd, s t ating in the coupon or receipt the particulars in respect of which such fees have been remitted or paid.

" Forms of passports or travel documents.—A passport or travel document issued under the Ordinance shall be In the Form set out for the purpose tn Schedule VI.

10 Duration of passports or travel documents.—(1) An ordinary, passport shall continue in force for a period of three years from the date of issue.

(2) An emergency certificate shall continue in force for a period of sbc months from the dai" of issue.

(3) An identity certificate shall continue in force for a period of one year from the date of Utue.

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. An or^cr 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; * Hxteinal Affairs, New Delhi.

or

(c) sub-section (1) or sub-section (3) of sec-

tion i

Secretary, Ministry of External Affairs,

i- New Delhi.

z. An order under sub-section (6) of section 10 of the authority to whom the pas&port autho- rity js subordinate.

13. Fee payable in respect of appeal.—Every petition for appeal shall be ac- companied by a fee of twenty-five rupees which snail 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.

SCHEDULE I

(See rule 3)

Jurisdiction

Passport Authorities

Serial No.

(3)

0)

(0

T (a) Regional Passport Officer, Bombay, The States of Maharashtra and Gujarat.

(Regional Passport and Emigration Office, Bombay)

Do.

ffc) Assistant Passport Officer, Bombay, (Regional Passport and Emigration Office,

Bombay).

(3)

(c) Public Relatiom Officer, Bombay, (Re The States of Maharashtra and Gujarat.

gional Passport and Emigration Office, Bombay).

2 (a) Regional Passport Officer, Calcutta, (Regional Passport and Emigration Office, Calcutta).

The States ol West Bengal, Bihar, Onssa, Assam (including Norih East Frontier Tract) and Nagaland and the Union ter- ritories of Tripura and Manipur.

Do.

(*) Public Relations Officer, Calcutta, (Re- gional Passport and Emigration Office, Calcutta).

3 (a) Regional Passport Officer, Dclh¹, (Re- gional Passport and Emigration Office, New Delhi).

The Union territories of Delhi, Himachal Pradesh and Chandigarh and the State* of Punjab, Haryana, Jurnmu and Kashmiw . and Rajasthan.

Do.

(6) Assistant Passport Officer, Delhi, (Re- gional Passport and Emigration Office, New Delhi).

(c) Public Relations Officer, Delhi, f Regio

Do.

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.

(b) Public Relations Officer, LucknoWj (Regional Passport Office, Lucknow).

5 (a) Regional Passport Offit-ei, Madras, (Re- gional Passport and Emigration Office, Madras).

The States of Madras, Andhra Pradesh, Mysore, Kerala and the Union territories of Laccadive, Minlcoy and Amindivi Islands and Pondicherry

Do

(b) Assistant Passport Officer, Madras, (Regional Passport and Emigration Office, Madras).

Do

(e) Public Relations Officer, Madras, (Re- gional Passport and Emigration Office, Madras).

The Union territories of Goa, Daman and 6 Chief Secretary, Union territory of Goa,

Dm and Dadra and Nagar Ilaveli.

Daman and Dm, Pana)i

The Union terrttorj of Andaman and Nico- 7 Chief Commissioner, Union terrltoiy ot

bar Islands

Andaman and Nicobar Islands

8 Consular Officer in an Indian Mission/Post The area within the Consular jurisdicton o: the Indian Mission or post concerned. j| outside India.

SCHUDUJF II

fSu, rule 4)

PART I—PASSPORTS

Classes of Passports

Classes of persons Lowhomissuable

1

2

f .

Citi7cns of India.

I Ordinary Passports

II 1 licial Passports

(1) Government officials and non-officials when their passages are paid by the Government and the members of their families, when such members also proceed out of India at The expense of Govern- ment;

(z) officials of the Reserve Bank of India, Ihe State Bank of India, Corporations and Undertakings owned or controlled by the State, proceeding out of India for technical training;

(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 JS arranged through the Government of India,

(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 an> of the scholar- ships schemes ior the time being in iorcc where the deputation out of India is treated as duty and they are allowed to draw their duty pny and allowances in India;

(5) an immediate relative of an officer be- longing to the Indian Foreign Service such as widowed mother, Widowed mother- m-law, dependant sister, dependant bro- ther 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 officci in the place to which he is deputed.

Note—The following persons shall not be entitled to the issue of official passports namely •—

(a) employees of the Indian Airlines Corporation und the Air-India Inter-

national Corporation,

(b) persons sponsored by Government dcparimem ior attending interna- tional conferences, seminars and meetings or for studies or training outside India either independently

I

2

or under any of the scholarship schems for the time being in foicc when such persons go on study leave or leave of any other kind;

(c) persons proceeding outside India at

their own expense on commercial ' and other pui poses although a de- partment ol the Government certifies ihat such purpose would be to Government intciest.

III. Diplomatic Passports

. (i) Officers of the Indian Foreign Ser-

vice;

(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 member 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

CUsses ot persons to Whomissuable

1

2

I. Emergency Certificate

. Citizens of India outside India who have been refused passports 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 oj an Ordinary Passport (To be made In duplicate)

To

The Regional Passport Officer

Duplicate application The District Magistrate, submitted on The Deputy Commissioner, through The Collector, >

The Sub-Divisional Officer,

The Commissioner of Police, ,

Sir,

I hereby apply for on Ordinary Passport. The passport fee of Ha. 15.00 has

been remitted by Money Order/paid and the receipt No dated

, issued at

lo attached herewith.

I solemnly declare that I am a citizen ot 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)

QUESTIONNAIRE

Particulars and Description

1. Full name, with alias, if any (in capital letters).

2. Have you ever changed your name? If so, what

was 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:—

(i) of applicant

fa) Height (in M. Cm.) (b) Colour of eyes (c) Colour of hair (d) Visible distinguishing marks, if

any.

(il; of children, if to bo Full Name Date of Sex ( ETV included In the passport.

tilrth*

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 ahild.

10, (a) Father's name

(b) Place and date of birth. If the date of birth

is not known, approximate age.

11. (a) What was your father's nationality—

(i) at the time of your birth7 (11) on the 26th January, 1950?

(b) If he had acquired alien nationality when did he do ao? 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 is 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 is the purpose of your visit abroad?

24 How do you propose to support yourself outside

India?

'

25. Addresses in India during the last two years.

26. Names and addresses of two responsible persons in your locality who would be prepared to vouch for you.

1

Verification Certificate

I hereby certify that I have known Shri/Shrimati/Kumari

flon/wife/daughter of for more than two years. The applicant is financially sound.

I have satisfied myself that the particulars furnished in the passport applica- tion are correct to the best of my knowledge,

passport

I regard the applicant a suitable person to be considered for the issue of a , j ,|

I

Office

Telephone:

Signature

Name in block letters:

Designation

Office Seal:

Residence

Place

.,

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:—

I

Signature

Date

' Seal

1

(For use of Protector of Emigrants)

Signature

Date

Seal

(Orders of Regional Passport Officer)

Seal

Signature

Date

SCHEDTJLE I II

(Sec 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 for 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 fee of Rs 15 has been remitted by Money Order/paid and the cash receipt No dated issued at is attached herewith-

I solemnly declare that Shri/Kumari

is a citizen 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

QVEST1ONNAIRE

(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.

4. Personal particulars:

(a) Height m cm.

(b) Colour of eyes

(c) jColour of hair

(d) Visible distinguishing marks, If

any

4. (a) Educational qualification (attach attested copy

of certificate, ii any).

3- 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 certiflcate-

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 he attached to this application. H 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 passlnff 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 is being made.

(For Official use only)

REMARKS:—

Seal

Sigaautre

.,

Date

(For use of Protector of Emigrants)

Seal

Sisnautre

t..

Date

, ...

(Orders of Regional Passport Officer)

Seal

Slgnautre

Date

SCHEDULE HI

(See rule 5)

FORM 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.

G. (a) Place (village, town district etc.) of birth.

(b) Date of birth.

7. Father's/husband's name

a Personal Particulars:—

(i) of applicant

(a) Height

(b) Colour of eyes ••

(c) Colour of hair

t ...

Cd) Visible distinguishing marks. If

any

Full name Date of

Sex (tlj of child/children, tl to be included.

birth

In the passport.

1.

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)

i3 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.

SCHEDULE I II (See rule 5) FORM EA (P) 4 Application for the Issue of an Emergency 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 fathei.

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:—

Tlame Date of birth sex

SCHEDULE III

(Sec 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 for 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, 11 any (in block

letters).

(c) Aliases, if any (in block letters)

2. Place and date of birth-

3. 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 signature of applicant.

Signature of applicant

Dated

Particulars of child/children below the age of fifteen accompanying: —

2Tame Date of birth Sex

SCHEDULE III

(See rule 5)

FORM EA(P) 6 Application for the Renewal of a Passport or Travel document

NOTI.—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) Husband's/late husband's nationality, name and place of

b i r t h ——

•

7. Purpose for which 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 lull details)

6. Educational qualifications — —— —

7 Number, date and place of issue of passport/travel

document held and date upto which it is valid •—— — -• • G. Countries for which valid —* —

9. Country/countries for which additional

endorsement now required

10. Reasons for additional endorsement aaked for —— — —

11. Amount of fee, if any, paid and particulars thereof — —

Dated —

Signature of applicant.

SCIIBDULE III

(See rule 5)

FORM EA(P) 8

Aitpllcation for miscellaneous services

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. Nature of service required

„„___

6. Amount of fee, if any, paid and particulars thereof ——

Date — — —

Signature of applicant

SCHBDULB III

(Sec rule 3)

FORM EA(P) 0

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 are used up.

1. Full name —

2. Father'fl/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

SCHKDULE I II

(See rule 5)

FORM EA(P1 lu

Application )or the issue o\ a duplicate passport or travel document in lieu of the passport or trnvel dorvmpnt which has been lost, stolen or damaged. To be wade

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, II 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. In 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/Female 14. Address

Date

Signature of the applicant.

Place

W.B.—The application should be accompanied by three copies of passport size photographs-

Specimen signature.

SCHEDULE IV

(Sec rule 6)

FORM OF GUARANTEE

(To be executed on non-judicial stamp paper)

Whereas — ——— —— wife/son/daughter

is desirous ol 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 during the period the travelling expenses of the said 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 hte/her/their repatriation to India.

In 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 lor her/his/their burial /cremation.

And it is hereby further agreed by me/us jointly and severally.--

(I) That the Government oi 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 s>uch case referred to above shall rest exclusively with the Government ot 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

Address —on the

• — day oi -19

-—— — — —— —— In the presence of:—•

Place of execution of guarantee

(1)

Address- — • ——

(ii> __ _—

Address —-—

'''Here insert the names of wife nnd/or wife and children, If a joint passport is to be issued.

W.B.—This form mus>t be 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 h i s / h e r / t h e ir credit at the time of h i s / h e r / t h e ir signing the guarantee and the period during which this amount has been at h i s / h e r / t h e ir credit; or (,iii) if t he signatory/signatories has/have a regular fixed income/ incomes, a certillcate from the head of h i s / h e r / t h e ir department, firm, etc , giving his/her7(Their monthly income.

(2) Wordt/Phrases not applicable in the form should not be reproduce! in the guarantee.

(3) T he value of the non-Judicial stamp paper will be as specified in the Stamp Act in fom in a State when the Bond fa executed.

SCHEDULE V

(See rule 7)

Schedule of fees payable in respect of applications for passports and travel

documents

Scale of fees l.No.

Particulars of application

( i)

(3)

CO

i O r d i n a ry Passport

R s. 1 5 /-

2 Renewal of O r d i n a ry Passport , . . . .,

R B. 6 /- for t h r ee years or R s. 2 /- p er year or part of a year.

Duplicate Passport in lieu of t he O r d i n a ry Passport which has been

3

lost, stolen or damaged

R s. i s '-

E m e r g e n cy Certificate . . . . . . ..

Rs. i!-

4

Re. i-

Renewal of Hmorgency Certificate . . . . ..

5

6 Duplicate E m e r g e n cy Certificate in h cu of t he E m e r g e n cy Certi-

ficate t h at has been lost, stolen or damaged.

Rs- li-

Ro. io/-

Certificate of Identity

7

H

Rs. 2/- per year or part Renewal of Certificate of Identiiv . . . ..

of a year.

o Duplicate Certificate of Identity in lieu ol" the Certificate of Identity

Re. io -

t h at has b e en lost, stolen or d a m a g ed .

10 Additional endorsements on an Ordinary Passport, E m e r g c no

Certificate, Certificate of I d e n t i t y. . ..

Rs. 2.,'-

SCHEDULE Vl

(See rule 9)

FORM OF DIPLOMATIC PASSPORT/OFFICIAL PASSPORT/ORDINARY PASSPORT

(Front Cover)

DIPJ,OMATIC 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 and protertlon of

SEC. 3(J)] THE GAZETTE Ol' INDU fcX rRAOJUHN.SRY 231

which he or she may stand in need.

(.iiven tit -• -- -- -— '••— •- -— Hit —— ————-—~ dnv

By order of the President of the Republic ol India

(Pagu 1>

TTQs Passport contains

32 pages

DIPLOMATIC PASSPORT/OFFICIAL, PASSPORT ' ORDINARY PASSPORT INDIA

. ..

No. of; Passport Name of Bearer .. Accompanied by his wife

(Maiden name)

AND

t H1LDREN

NATIONAL STATUS

Description

Profession . . . . . .. . .

. ..

Place and date of birth . . . . . .

DomiciJc

Height

M C m. M. C m. Colour of eyes . . . . .

Colour of hair

Visible distinguishing marks

CH1LDH1IN

Name

Date ol Birth M")e/J;cmelc

t,Page 31

PHOTOGRAPH Ol- BHARbR

PHOTO

Signature of bearer

WIFE

iignaturL- ot wife

PHOTO

(Page 4)

Countries for which this passport Is valid

Unless renewed, the validity ot fhis Passport expires on

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

l Pages 30 and 31,

1OREIGN EXCHANGE FOR TRAVELLING EXPENSES

Nn entries to be made 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 1 upee equivalent to nearest £ or Re.)

!

i.Pagc 32.

NOTE: 1. The colour of the cover o£ the Diplomatic Passport booklet shall be maroon with the words "Diplomatic Passport" inscribed on the front cover.

NOTE; 2. The colour of the cover of the Official passport booklet shall be grey with the words "Official Passport" inscribed on the front cover.

NOTE : 3. The colour of 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 EMERGENCY 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

(Page 2)

No.

Description

.,

(a) Profeusion (b) National Status (c) Father's/Husband's name (d) Place and date of birth (e) Address in India (f) Visible dlstlnjtulshing marks, if any (g) Height (h) Colour of hair (i) Colour of eyes

(Page 3)

No.

Tlit.- holder is accompanied by a child/ (children whose particular* are given below:

Particulars of child/children.

Sex S. No. Nam? Date of birth

\.

o

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 ^ •••:::.n:i'•-...:' . _—_ .

(Page 53

Np.

Visas

(Page 61

Np.

Vias

MK—The possession of this Emergency Certificate does not exempt the holder rmmcomDllince with any immigration regulations in force in the country of destination or from the necessity of obtaining a visa whea required.

SCHEDULE VI (Sec rule 9) FORM OF CERTIFICATE OF IDENTITY (.Front cover) GOVERNMENT OF INDIA. (Emblem)

CERTIFICATE OF IDENTITY

(Inside front cover,'

Hindi version

IDENTITY CERTIFICATE

This certificate is issued for the sole purpose of providing the holder with ' identity napers in lieu of a national passport. It is without prejudice to and in no way affects the national status of the holder. If the holder obtains a national paas- Dort thlfl certificate ceases to be valid and must be surrendered to the nearest Passport Authority in India or an Indian Mission or Post outside India.

This certificate is valid for travel to Countries mentioned at page 6 and its validity expires on

(Signature and seal of Passport

authority)

Place

Date

(Page 1)

This Certificate of identity

contains 13 pages

CERTIFICATE OF IDENTITY

INDIA

No. of Certificate of Identity

Name of holder

Nationality of origin

,

(Page 2)

No

Personal Description

Profession

Date of birth

Place of birth

Name oi father husband . . ..

N;i-n(" ot mother

Height

Colour of hair

Colour of eyes

(Page 3)

ITO.

ViMhle distinguishing marks ...

Pv^pnt oirupatlon

Last permanpnt Address .

abroad

Present addies* . ..

(Pa"e 4)

Nb.

T hf h o lo f f oc-conpanied by a c h i ' J/ . , . , c h i l d r en w h ow p o r U c u i am a r" given b e l ow J*

Particulars of Children

S. No, Name Date of birth SM

I

2

3

4

0

Signature of holder

PHOTOGRAPH 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, 11.1 S. BIKRAM SHAH, J t, Secy

~

\

PRINTED IN INDIA BY THE GENERAL MANAGER, GOVERNMENT JW INDIA PHEBB, NEW DELHI AND PUBLISHED BY THE MANAGER Ot FUBLrATIQNS• ^ DELHI, 1 9 67