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Page 1: Present Address _ Apply for Fresh Passport _ Reissue of Passport _ Passport Seva

5/4/13 Present Address : Apply for Fresh Passport / Reissue of Passport | Passport Seva

https://portal1.passportindia.gov.in/AppOnlineProject/secure/applicantpresentAddressaction 1/1

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Passport Seva

Consular, Passport & Visa Division

Ministry of External Affairs, Government of India

[email protected]

Last Login : 02/05/2013 14:26:46 Logout

Form Submission Steps

Passport Type

Applicant Details

Family Details

Present Address

Previous Address1

Previous Address2

Emergency Contact

References

Previous Passport

Other Details

Self Declaration

Present Address

Fields marked with asterisk ( * ) are mandatory Help

Your application form has been saved successfully.

Note: Please submit the complete application form by clicking the Submit Form button available on the last page. Your application will not beentertained until it has been submitted successfully.

Your Application Reference Number is : 13-0005529226

Is your present address out of India? * Yes No

Residing Since (Month-YYYY) *---- Select ----

House No and Street Name *

42 Characters remaining

Village/ Town/ City *

State/ UT * ----- Select -----

District * ----- Select -----

Police Station *

PIN Code *

Mobile Number *

Telephone Number

E-mail ID

Is your permanent address same as present address? * Yes No

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