Form-A Urgent / Ordinary
EMBASSY OF PAKISTAN
APPLICATION FOR NEW PASSPORT / ADDITION COPY
Documents/Requirements: (i) Original CNIC/NICOP or RG-lI with a photocopy (ii) Four latest Passport size photograph |
(front pose) with light blue background (iii) personal appearance of applicant or authorized person with an authority
letter (iv) Thumb impression and signature within the 03 boxes.
|, the undersigned hereby apply for an international passport for travel abroad and give the required information
below:-
1 Name in full (Block letters)
2. Complete National identity Card No. (or RG~ 1) “LL
3. Father / Husband's Name
4, Father / Husband's National Identity
Card No. (in case of wife / minor child) = =
5. Place of Birth (City/Country, 6 Date of birth I I,
7. Profession 8 Religion
9. Name of children to be entered on this passport.
Name Date of birth Sex Place of birth
10. Address in Pakistan
11. Address in Saudi Arabia
| declare on solemn affirmation that DECLARATION .
a All previous passports granted to me have bee surrendered other than the passport noted below which is now
attached and that | have made no other application for a passport since the attached passport issued to me
b. Number of Attached Passport Date of Issue J I
Place of Issue Valid upto I. J
Number of previous Passpot_— ate of Issue
Place of Issue Valid upto I I
d. Ihave never been repatriated at Government expenses
| consider Mirza Ghulam Ahmad Qadiani to be an imposter Nabi and also consider his
followers whether belonging to the Lahori or Qadiani group to be non-Muslim
(Specimen Signature « Thumb Impression)
(Specimen Signature ef Thum6 Impression)
Specimen Signature ef Thumb Impression)