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M in CAPITAL LETTERS using blue/ black ink ball point pen only. Furnishing of incorrect information/ suppression of information would lead to rejection of the application and would attract penal provisions as prescribed under the Passports Act, 1967. Please produce your original documents at the time of submission of the form. Passport Number Date of Issue (DD-MM-YYYY) - - Date of Expiry (DD-MM-YYYY) - - Place of Issue Signature/ Left Hand Thumb Impression of Illiterate Applicant and Minor.

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