Select the jurisdiction for your state. Enter Surname as your Family name and Given Name as your First name and/or Middle name as in the

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1 NOTE: Government Online Passport application form must be accurately and completely filled. Information must be identical as available in supporting documents. Mistakes on the form may lead to rejection or delay in application processing. Select the jurisdiction for your state. Enter Surname as your Family name and Given Name as your First name and/or Middle name as in the Enter marks like mole/ beauty spot/ birth mark, etc. or None if no marks present. Enter India or USA address which will be printed on the passport, need document proof for the same. Note the Temporary ID for future reference. Click if you wish to continue to fill the application form. Click to save the details and exit in case you wish to fill the form later. Note your Temporary ID.

2 Enter your current residing address if it is not the same as the address which will be printed on the passport. Enter your valid phone number, mobile number and address which will be point of contact in case of document related enquiry. Enter your Father s and Mother s Name, Country and Nationality. Enter your latest (or expired) Passport Details as it is mentioned in the Passport. Click if you wish to continue to upload your documents. Click to save the details and exit in case you wish to fill the form later. Note your Temporary ID.

3 Click to browse and upload your photo Upload your scanned image as per the following instructions- Upload your Image in (jpg/jpeg) format. Image Should Be Square (Height&Width should be Equal). Size of image must not greater than 300 kb. Click if you wish to continue to upload the documents. Selected image is displayed on the screen. Click here to change the uploaded image. Click here to confirm the image upload.

4 Uploaded image is displayed on screen. Click to browse and upload your photo Upload your scanned image as per the following instructions- Upload your Image in (jpg/jpeg) format. Image Should Be Square (Height&Width should be Equal). Size of image must not greater than 300 kb. Click if you wish to continue to generate PDF of your application form. Note the Web reference number for future reference. Click Generate PDF, take a printout of the form and fill the rest of the form. Click to exit in case you wish to fill the form later. Note the Web reference number for future reference.

5 Affix photograph (view photograph specification) on the space provided. Don t staple. Enter Amount of Fees excluding the CKGS fees. Applicant needs to sign here. In case of minor, thumb print as per specification is required. Question no. 3: Permanent address (a) and (b) must be different from each other. You must provide both India and USA addresses Fill the form with blue/ black pen from point 7 to 29 and if any of the questions is not applicable, please write N/A in the corresponding space. Please enter name and address of relative or friend residing in India or USA. Enter USA driving licence number. Enter date when you visited India previously. Enter the approximate date when you left India for the first time to go to USA and not any other country other than USA.

6 Enter the total duration (months/ years) you have lived continuously in USA. In between, if you have visited/ resided in location other than USA then exclude that period. Example If you have stayed in US for 3 years and visited Dubai for 4 months then enter duration as 2 years 8 months. Passports with endorsement ECR means Emigration check is required (check 2 nd or 3 rd page of the passport, select ECR if it specifies ECR). Passports with endorsement ECNR means Emigration check not required (check 2 nd or 3 rd page of the passport, select ECNR if it specifies ECNR or if nothing is specified). Enter USA and India reference address. Enter details if you are part of any Consulate or Embassy. Enter details of child/children to be removed from your existing passport. Applicant s signature/ in case of minor, thumb print as per specification. Your current city and current date. Provide both parents details in case of Minor applicant only. In case of minor, thumb print as per specification is required.

7 In case of Minor applicant, both parents signature is mandatory. Write your current city and current date. Applicant (minor as well) needs to sign inside the boxes.