Online Passport Registration Form
  Online Passport Application for Passport Office  
     
Note: Columns marked with * are compulsory to fill in.
Passport Office*
District*
Service Desired*
Surname 
First Name* 
 (Names should be in full. Initials & titles such as Mr, Mrs, Dr etc. are not allowed)
   if you have ever changed your name click the box and indicate Previous Name(s) in full   
Previous Name  
Sex* 
               
 Date of Birth*
 (DD/MM/YYYY) 
Place of Birth*
District or Country*
If Born in India,write name of the District.Otherwise write Name of Country Of birth
Qualification  
Write NIL if You Are Uneducated
Profession 
Employee Of Govt and PSU should write GOVT SERVICE/PSU SERVICE ,Others Should Write their Profession ,if Any
Visible Mark*
If you don't have any visible mark write NIL in textbox
Height (cms)*
  
Present Address*
(At Least First Two Address Lines are to be filled)
 Permanent Address*
   
   
   
  
Please give the Date since residing at the Present Address*
(DD/MM/YYYY)
Phone No 
Mobile No  
Email Address 
    
   Applicant's Family Information ( All Names should be in full (including surname if any). Initials and titles are not allowed)
Marital Status*
Spouse's Name 
Father's Name*
Mother's Name*
  If you are not residing at the Present Address for the last one year, click on this box and furnish addresses of the other place(s) of residence in the last one year along with the duration(s) of living there.                 
From 
From
 To   
 To  
Address 1   
Address 2    
   
   
 
    If you have a Demand Draft, click on this box  and fill the details below:
DD No  
   
DD Date  
 (DD/MM/YYYY) 
Bank Name 
 If you have held a passport or hold a passport at present, click on this box and fill the details below:
Old/Existing Passport No 
Issue Date  
 (DD/MM/YYYY)   
Place of Issue 
File Number 
Date Of Expiry 
 (DD/MM/YYYY)   
Access Code 
   Access Code: c35566 Develped by NIC, New Delhi
Enter Access Code*