High Commission of India |
APPLICATION FORM FOR MISCELLANEOUS SERVICES ON INDIAN |
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(Please Delete inapplicable) Payment of fee (to be filled by applicant) |
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1. |
Full Name (firstname, middlename, lastname) |
_________________________________________________ |
2. |
Applicant’s Date of Birth |
_________________ Place of Birth _____________________ |
3. |
Applicant’ s Car Driving Licence No. |
____________ Date & Place of issue ____________________ |
4. |
Residential Address: In India |
_____________________________ Phone: ______________ |
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In Country of domicile |
_____________________________ Phone: ______________ |
5. |
Profession & Business address |
__________________________________________________ |
6. |
Is Applicant registered with the Indian Mission / Post ? If not is he a member of any Indian Organization ? Give Details |
__________________________________________________ |
7. |
Name of Father |
__________________________________________________ |
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Name of Mother |
__________________________________________________ |
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Name of Spouse & his/her Nationality |
__________________________________________________ |
8. |
Current Passport Details |
Passport No. ______________ Valid until _______________ |
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Place of Issue |
_____________________ Date of Issue _______________ |
9. |
Did applicant ever possess or |
_______________________________________________ |
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Note: In case of fresh inclusion or inclusion on a new passport in lieu of lost / damaged passport, enclose (i) birth certificate (s) bearing names of both parents (ii) passports of both parents and (iii) marriage certificate of parents. Children below fifteen years of age can wither apply for inclusion in their parent’s passports, generally mother’s or apply for separate passports. Children above fifteen years must apply for separate passport. |
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Space for additional Information if any you would like to give: ____________________________________________________________________ ____________________________________________________________________ |
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10. |
DECLARATION : |
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Place: ________ |
_____________________________________________ |
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_____________________________________________
_____________________________________________ |
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NOTE : |
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Forms in Hindi can be obtained from High Commission’s office in Wellington. |
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© 2003, Indian High Commission, New Zealand. All rights reserved. |