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1 of 2 10/29/2010 12:19 PM
Online Passport Registration Form https://passport.gov.in/nri/OnlineRegistration.jsp
New Registration
Note: Columns marked with * are compulsory to fill in.
Indian Mission* Select Office
Surname .
Given Name/s*
(Names should be in full. Initials and 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
Qualification Profession
Address to be Printed in
Other Address *
Passport*
(At Least First Two Address Lines are to be ---
filled)
Phone No Mobile No
Email Address
Applicant's Family Information(All Names should be in full. Initials and titles such as Mr, Mrs, Dr etc. are not allowed.)
Spouse's Name
Spouse's Nationality
If you have / had valid or expired passport, please click on this box and fill the details below:
Old/Existing Passport No Issue Date (DD/MM/YYYY)
2 of 2 10/29/2010 12:19 PM
APPLICATION FOR EXTENSION OF A
SHORT VALIDITY PASSPORT
Consulate General of India
Consular Wing
540 Arugello Blvd. San Francisco CA 94118
Tel: (415) 668-0662/0683 Fax: (415) 668-9764
http://www.indiaconsulate-sf.org
Note: This application can be used at the Embassy of India, Washington, DC or at any other Consulate
Generals of India provided the applicant resides in states of Embassy/Consulate’s jurisdiction.
There is no fee for renewal of short validity passport.
PLEASE PRINT IN BLOCK LETTERS ONLY
I, the undersigned
Telephone No. hereby apply for the extension of validity for a further period of
issued to me at on
DECLARATION BY THE APPLICANT
I solemnly declare that:
I. I have not voluntarily acquired the citizenship of another country.
II. I have not lost/surrendered or been deprived of my citizenship of India, and I have no other Indian or another passport in my possession
and
III. The information given by me on this application is true to the best of my knowledge.
PARTICULARS OF APPLICANT
1. FULL NAME
2. FATHER’S NAME
5. PROFESSION
Father’s Name
Husband’s Name
7. NATIONALITY OF HUSBAND / LATE HUSBAND