

APPLICATION FOR ADDITION/EXTENSION/AMENDMENT IN A PASSPORT.
I, the undersigned, hereby apply for the following facilities in
my
international Passport No.
dated issued at valid until
for the purpose of .
1. Renewal for years.
2. Deletion of the particulars of my Child/Children/Ward(s) named below:
Name Date of Birth Sex Fatherís Nationality
3. Addition and/or endorsement of the following:
a. Countries:
b. Names of my Child/Children 12 years of age or under 12 years as
per:
Name Date of Birth Sex Fatherís Nationality
4. Other Changes:
5. I declare on solemn affirmation that:
a. To the best of my knowledge and belief, the information given in
this
application is correct. I am fully aware that by making a
statement
which is not true, I will render
myself liable to prosecution under the law.
b. I have not lost the status of Pakistan national/subject of the
State
of Jammu & Kashmir
c. I have/ have not served in the Armed Forces.
d. I am/ am not a reservist in the Armed Forces.
Address in Pakistan Present Address
Phone: Phone:
Date:
/
Signature Thumb Imp.
Note: No fee is required if the temporary passport was issued.