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					                    HIGH COMMISSION OF INDIA
                         PASSPORT SECTION
                     INDIA HOUSE, ALDWYCH,
                        LONDON, WC2B 4NA.
            TELEPHONE: 020-72401012, 020-72400307, 020-72400334




APPLICATION FOR ISSUE OF DUPLICATE PASSPORT/OTHER TRAVEL
DOCUMENT IN LIEU OF LOST, STOLEN OR DAMAGED PASSPORTS.
The form, duly completed in block letters may be sent to the Passport Section,
High Commission of India, at the above address, or brought in person together
with:
(1)    12 recent full-face photographs of 35mm x 45mm size, one of which should
       be attested by either a G.P./Bank Manager/Postmaster/Solicitor/
       Commissioner of Oaths/Notary Public.
(2)    A strong self-addressed stamped envelope.
(3)    ‘L’ form duly completed.
(4)    Police report in case of lost/stolen passport.
(5)    Affidavit, duly notarised (as per specimen enclosed).
(6)    A letter from the British Home Office stating non-acquisition of British
       Nationality (in case you are not a visitor to this country).
(7)    Photocopy of lost passport/previous cancelled passports/documents proving
       stay in U.K. (N.H.S. card, driving licence, letter from Immigration
       Department, Home Office, bank statements etc.
The fee payable for duplicate passport is £141.00. If application is sent by post, the
fee should be paid through Postal Orders payable to the High Commission of
India. Applications can also be lodged at the Passport Counter, India House,
between 9.30am to 1.00pm. In this case, the fee is accepted only in cash.

=============================================================

WARNING: IT IS AN OFFENCE UNDER THE PASSPORT ACT, 1967 TO
KNOWINGLY FURNISH FALSE INFORMATION OR SUPPRESS MATERIAL
INFORMATION.
APPLICATION FOR DUPLICATE PASSPORT (in lieu of lost, damaged passports)


Note: Please use CAPITAL LETTERS only and write your name in expanded form, initials are NOT acceptable.


A. PARTICULARS OF APPLICANT FOR WHOM THE PASSPORT IS REQUIRED


1.     Surname: _________________________________ Fore Name: ___________________________________


       ________________________________________________________________________________________


2.     Aliases, if any: ___________________________________________________________________________


3.     Maiden name: ___________________________________________________________________________


4.     If you have ever changed your name, write your previous name: _________________________________


5.     Date of birth ___________________ 6.   Place of birth ________________________ 7. Sex __________


8.     Father's name in full ______________________________________________________________________


9.     Mother's name in full______________________________________________________________________


10.    Spouse’s name in full: _____________________________________________________________________


11.    Applicant’s Profession: __________________________________ 12. Height M_________ CM__________


13.    Colour of Eyes: ________________________________ 14. Colour of Hair __________________________


15.    Visible distinguishing marks: _______________________________________________________________


B. APPLICANT’S ADDRESSES:


1. Present Address                   2. Permanent Address                 3.   Address in India




Tel. No. ____________________        Tel. No. ____________________        Tel. No. ____________________
C. PARTICULARS OF THE PASSPORT WHICH HAS BEEN LOST, STOLEN OR DAMAGED.
   (NOTE: Non availability of these details may entail considerable delays)

1.   Passport Number _______________________________ 2. Date of Issue___________________________________

3.   Place of Issue ___________________________________ 4. Valid until____________________________________


Please state briefly the circumstances under which the passport was lost, stolen or damaged. Attach a copy of
police report in case of passport was lost/stolen.
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________

State briefly whether your lost/stolen/damaged passport contained any restrictive observations. If so, give
details thereof:
__________________________________________________________________________________________________
__________________________________________________________________________________________________


D. DECLARATION

     I declare that I have not lost or surrendered my citizenship of India since the above passport was issued to
     me. I further declare that I have no other passport in my possession.


     Date ________________________

     Place ________________________                                       Signature of applicant




NOTE: CHILDREN WHOSE NAMES WERE INCLUDED ON THE LOST, STOLEN OR DAMAGED
      PASSPORTS WILL HAVE TO APPLY FOR FRESH PASSPORTS HEREAFTER. SEPARATE
      APPLICATIONS FOR FREASH PASSPORTS MAY BE SUBMITTED FOR EACH CHILD.




PLEASE GIVE TWO SPECIMEN SIGNATURES OR THUMB IMPRESSION (RIGHT THUMB IF
FEMALE, LEFT THUMB IF MALE) IN THE BOXES PROVIDED BELOW
                                                                                                                FORM ‘L’
                                           HIGH COMMISSION OF INDIA
                                            INDIA HOUSE, ALDWYCH
                                               LONDON WC2B 4NA

 __________________________________________________________________________________________

PLEASE STATE IF THE LOST PASSPORT WAS RENEWED OR ENDORSED OR OTHERWISE SECRVICED BY
THIS MISSION AT ANY TIME IN THE PAST: ___________________________________________________________

___________________________________________________________________________________________________

1. Surname ______________________________________ First Name ________________________________________
2. Father's Name______________________________________ Mother’s Name _________________________________
3. Husband's/wife's Name ______________________________________________________________________________
4. Place of Birth ______________________________________ Date of Birth____________________________________
5. Profession__________________________________________
6. Particulars of passport Lost/Damaged (NOTE: Non-availability of these details may entail considerable delays)
  i) Passport No. _________________ Place of issue _______________________ Date of Issue_____________________
7. When and where lost/damaged, and under what circumstances_______________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
8. When and where the loss has been reported to the police ____________________________________________________
___________________________________________________________________________________________________
(If not yet reported, please do so immediately under intimation to the High Commission )
9. Address in India____________________________________________________________________________________
___________________________________________________________________________________________________
10. Passport facilities required (i) A fresh Passport ________ (2) Emergency Certificate for travelling to India___________
11. When did you enter the United Kingdom ______________________ (Date)
12. Did the U.K. Immigration authorities place any restrictive
   endorsements on your passport at any time of your entry? _____________________________________Yes/No
   If yes, please indicate the details of the restrictive endorsement _____________________________________________
    ________________________________________________________________________________________________


13. Name and complete addressees of two of your relatives in India.
   (i) ___________________________________________               (ii) ___________________________________________
        ___________________________________________                   ___________________________________________
        ___________________________________________                   ___________________________________________
        ___________________________________________                   ___________________________________________
    Date __________________________
    Place __________________________                                    Signature _________________________________


Present Address _____________________________________________________________________________________

_______________________________________________________________ Tel No.____________________________
                                      THIS IS A SPECIMEN ONLY
                                     THE AFFIDAVIT SHOULD BE
                                  EXECUTED ON A SEPARATE PAPER

                         AFFIDAVIT TO BE SWORN IN THE PRESENCE OF A
                                       NOTARY PUBLIC


I, ______________________________________________________________ SON/DAUGHTER/WIFE

OF_____________________________________________________________________________________

and presently residing at__________________________________________________________________

_______________________________________________________________________________________

do solemnly and sincerely declare that I have neither acquired nor applied for any other nationality nor

do I hold any other travel document of any description. I continue to remain a citizen of India since the

date of my arrival in this country.

             I further declare that my previous passport No.____________________________________

dated ____________________ issued at_____________________ has been lost on __________________

             I make this declaration conscientiously believing the same to be true and by virtue of the

provisions of the Statutory Declarations Act, 1835.


Declared at______________________

Date ___________________________                              (Signature of applicant)

in the presence of




(Sign and Seal of the Notary Public)
                              CONSENT LETTER




To
THE UNDER SECRETARY OF STATE
HOME OFFICENATIONALITY DIVISION
3RD FLOOR
INDIA BUILDING
WATER STREET
LIVERPOOL L2 0QN

Dear Sir

I have applied to the High Commission of India, London for a new / Renewal of my
passport in lieu of my expired/lost passport. They would like to know whether I have
acquired British Nationality or not to process my application. I shall be grateful if you
could provide the requisite information to the High Commission of India as soon as
possible.


Yours faithfully


__________________________

Date:-

PERSONAL PARTICULARS

     1) NAME AND SURNAME                   :
     2) FATHER’S NAME                      :
     3) HUSBAND’S NAME                     :
     4) DATE OF BIRTH                      :
     5) PLACE OF BIRTH                     :

				
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