

Form A
APPLICATION FORM FOR NEW/RENEWAL OF PASSPORT
FOR OFFICE USE ONLY
OLD PASSPORT : NEW PASSPORT :
DATE OF ISSUE : DATE OF ISSUE :
PLACE OF ISSUE: VALID UNTIL :
I, the undersigned, hereby apply for an international passport for
travel
abroad and give the required information below:
Your phone No.( )
1. Name (in full) Mr./Mrs./Ms.
2. Fatherís/Husbandís Name: & Nationality:
3. Profession/Qualification of bearer: /
4. Place / Date of Birth: /
5. Religion(Islam, Christian, Hindu, Parsi, etc.):
6. National I.D. Card No. ,Date/Place of issue /
7. Permanent address in Pakistan (with Police Station):
8. Present address:
9. Visible distinguishing marks:
10. Height: M. Cm. (Please fill out in the ëunit ë asked.)
11. Pakistani National by: Birth ,Descent , Migration , Naturalization
12. If by migration give date of migration:
13. For Subject of Jammu & Kashmir State:
Place & period of continuous residence in Pakistan/Azad Kashmir
of :
1. Applicant:
2. Applicantís Father/Husband:
14. For Children/Wards if to be included in parent/legal
guardianís passport:
Note: A joint passport cannot be used by children/wards if they
travel
unaccompanied by parent/guardian
S.No. Full Name Date of Birth Sex
(1)
(2)
(3)
(4)
15. DECLARATION:
I, declare on solemn affirmation as under:
(1) To the best of my knowledge and belief the information given
in this
application is correct.
(2) I have not previously held or applied for a passport of any
description or been refused passport facilities.
(3) All previous passports granted to me have been surrendered other
than
the passport or travel document noted
below which is now attached, and I have made no other application
for
a passport since the attached passport
or travel document was issued to me:
a. No. of attached Passport/Travel Document:
b. Date / Place of issue: /
Note: If the applicant had a passport which has been lost he/she
should
furnish particulars as per sub para below:
The passport as per details given below has been lost, In the
event of its
coming into possession I undertake to return it to the Regional
Passport
Office or the Issuing Authority (Embassy or Consulate Gen. of
Pakistan).
a. Passport No:
b. Date / Place of issue:
c. Circumstances in which passport was lost or destroyed and
measures
taken to recover it:
d. I have never been repatriated at Government expense.
e. I am /am not a Government servant, an employee of a semi
Government
body, a Municipality, and other local
body, or a State owned industry.
f. I have / have not served in the Armed Forces of Pakistan.
g. I am / am not a reservist in the Armed Forces of Pakistan.
DECLARATION IN CASE OF MUSLIM.
I, s/d/w/of aged
adult Muslim, resident of hereby solemnly declare that:
a. I am a Muslim and believe in the absolute and unqualified
finality of
the Prophethood of Muhammad (peace be
upon him) the last of the prophets.
b. I do not recognize any person who claims to he prophet in any
sense of
the word or of any description
whatsoever after Muhammad (peace be upon him) or recognize such a
claimant as prophet or a religious reformer
as a Muslim.
c. I consider Mirza Ghulam Ahmad Quadiani to be an impostor nabi and
also
consider his followers whether belonging to the Lahori or Quadiani
group,
to be NON-MUSLIM.
16. /
Date Thumb impression / Signature
17. ATTESTATION:
(Applicable in cases of persons who have not attained the age of 18
years
and are not issued with Identity
Card under the National Registration Act, 1973)
I, as Father/Guardian/Attestor hereby attest that the information
given
above is correct to the best of my
knowledge and belief ant that the photograph on page 1 of this
application bears the true likeness of the
applicant.
Date Signature of Father/Guardian/Attestor
Address:
N.I.C.
Date/Place:
18. RIGHT/LEFT THUMB IMPRESSION & SPECIMEN SIGNATURE OF
APPLICANT
(RIGHT FOR FEMALE & LEFT FOR MALE.)
/
THUMB IMP. SIGNATURE
EMBASSY OF PAKISTAN
2315 MASSACHUSETTS AVE. N.W.
WASHINGTON, D.C. 20008
FORM ëAí
APPLICATION FORM FOR NEW/RENEWAL OF PASSPORT
FOR OFFICE USE ONLY
OLD PASSPORT : NEW PASSPORT :
DATE OF ISSUE : DATE OF ISSUE :
PLACE OF ISSUE: VALID UNTIL :
I, the undersigned, hereby apply for an international passport for
travel
abroad and give the required information below:
Your phone No.( )
1. Name (in full) Mr./Mrs./Ms.
2. Fatherís/Husbandís Name: & Nationality:
3. Profession/Qualification of bearer: /
4. Place / Date of Birth: /
5. Religion(Islam, Christian, Hindu, Parsi, etc.):
6. National I.D. Card No. ,Date/Place of issue /
7. Permanent address in Pakistan (with Police Station):
8. Present address:
9. Visible distinguishing marks:
10. Height: M. Cm. (Please fill out in the ëunit ë asked.)
11. Pakistani National by: Birth ,Descent , Migration , Naturalization
12. If by migration give date of migration:
13. For Subject of Jammu & Kashmir State:
Place & period of continuous residence in Pakistan/Azad Kashmir
of :
1. Applicant:
2. Applicantís Father/Husband:
14. For Children/Wards if to be included in parent/legal
guardianís passport:
Note: A joint passport cannot be used by children/wards if they
travel
unaccompanied by parent/guardian
S.No. Full Name Date of Birth Sex
(1)
(2)
(3)
(4)
15. DECLARATION:
I, declare on solemn affirmation as under:
(1) To the best of my knowledge and belief the information given
in this
application is correct.
(2) I have not previously held or applied for a passport of any
description or been refused passport facilities.
(3) All previous passports granted to me have been surrendered other
than
the passport or travel document noted
below which is now attached, and I have made no other application
for
a passport since the attached passport
or travel document was issued to me:
a. No. of attached Passport/Travel Document:
b. Date / Place of issue: /
Note: If the applicant had a passport which has been lost he/she
should
furnish particulars as per sub para below:
The passport as per details given below has been lost, In the
event of its
coming into possession I undertake to return it to the Regional
Passport
Office or the Issuing Authority (Embassy or Consulate Gen. of
Pakistan).
a. Passport No:
b. Date / Place of issue:
c. Circumstances in which passport was lost or destroyed and
measures
taken to recover it:
d. I have never been repatriated at Government expense.
e. I am /am not a Government servant, an employee of a semi
Government
body, a Municipality, and other local
body, or a State owned industry.
f. I have / have not served in the Armed Forces of Pakistan.
g. I am / am not a reservist in the Armed Forces of Pakistan.
DECLARATION IN CASE OF MUSLIM.
I, s/d/w/of aged
adult Muslim, resident of hereby solemnly declare that:
a. I am a Muslim and believe in the absolute and unqualified
finality of
the Prophethood of Muhammad (peace be
upon him)