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PCC

PCC APPLICATION FORMS

Please read the Passport Instruction Booklet carefully before filling the form. Fill this form in CAPITAL LETTERS. Furnishing of incorrect information/ suppression of information would lead to rejection of the application and would attract penal provisions as prescribed under the Passports Act, 1967. Please produce your original documents at the time of submission of the form. All fields marked with (*) are mandatory to fill.

Passport Number *
Field is required!
Date of Issue (DD/MM/YYYY) *
Field is required!
Date of Expiry (DD/MM/YYYY) *
Field is required!
Place of Issue *
Field is required!
Country for which PCC is required *
  • Afghanistan
  • Albania
  • Algeria
  • America
  • Andorra
  • Angola
  • Antigua
  • Argentina
  • Armenia
  • Australia
  • Austria
  • Azerbaijan
  • Bahamas
  • Bahrain
  • Bangladesh
  • Barbados
  • Belarus
  • Belgium
  • Belize
  • Benin
  • Bhutan
  • Bissau
  • Bolivia
  • Bosnia
  • Botswana
  • Brazil
  • British
  • Brunei
  • Bulgaria
  • Burkina
  • Burma
  • Burundi
  • Cambodia
  • Cameroon
  • Canada
  • Cape Verde
  • Central African Republic
  • Chad
  • Chile
  • China
  • Colombia
  • Comoros
  • Congo
  • Costa Rica
  • Croatia
  • Cuba
  • Cyprus
  • Czech
  • Denmark
  • Djibouti
  • Dominica
  • East Timor
  • Ecuador
  • Egypt
  • El Salvador
  • Emirate
  • England
  • Eritrea
  • Estonia
  • Ethiopia
  • Fiji
  • Finland
  • France
  • Gabon
  • Gambia
  • Georgia
  • Germany
  • Ghana
  • Great Britain
  • Greece
  • Grenada
  • Grenadines
  • Guatemala
  • Guinea
  • Guyana
  • Haiti
  • Herzegovina
  • Holland
  • Honduras
  • Hungary
  • Iceland
  • India
  • Indonesia
  • Iran
  • Iraq
  • Ireland
  • Israel
  • Italy
  • Ivory Coast
  • Jamaica
  • Japan
  • Jordan
  • Kazakhstan
  • Kenya
  • Kiribati
  • Korea
  • Kosovo
  • Kuwait
  • Kyrgyzstan
  • Laos
  • Latvia
  • Lebanon
  • Lesotho
  • Liberia
  • Libya
  • Liechtenstein
  • Lithuania
  • Luxembourg
  • Macedonia
  • Madagascar
  • Malawi
  • Malaysia
  • Maldives
  • Mali
  • Malta
  • Marshall
  • Mauritania
  • Mauritius
  • Mexico
  • Micronesia
  • Moldova
  • Monaco
  • Mongolia
  • Montenegro
  • Morocco
  • Mozambique
  • Myanmar
  • Namibia
  • Nauru
  • Nepal
  • Netherlands
  • New Zealand
  • Nicaragua
  • Niger
  • Nigeria
  • Norway
  • Oman
  • Pakistan
  • Palau
  • Panama
  • Papua
  • Paraguay
  • Peru
  • Philippines
  • Poland
  • Portugal
  • Qatar
  • Romania
  • Russia
  • Rwanda
  • Samoa
  • San Marino
  • Sao Tome
  • Saudi Arabia
  • Scotland
  • Scottish
  • Senegal
  • Serbia
  • Seychelles
  • Sierra Leone
  • Singapore
  • Slovakia
  • Slovenia
  • Solomon
  • Somalia
  • South Africa
  • South Sudan
  • Spain
  • Sri Lanka
  • St Kitts
  • St Lucia
  • Sudan
  • Suriname
  • Swaziland
  • Sweden
  • Switzerland
  • Syria
  • Taiwan
  • Tajikistan
  • Tanzania
  • Thailand
  • Tobago
  • Togo
  • Tonga
  • Trinidad
  • Tunisia
  • Turkey
  • Turkmenistan
  • Tuvalu
  • Uganda
  • Ukraine
  • United Kingdom
  • United States
  • Uruguay
  • USA
  • Uzbekistan
  • Vanuatu
  • Vatican
  • Venezuela
  • Vietnam
  • Wales
  • Welsh
  • Yemen
  • Zambia
  • Zimbabwe
Field is required!
Purpose for which PCC is required*
  • Citizenship/Nationality Application
  • Education/Research
  • Employment Visa/Work Permit
  • Immigration Purposes Other Than Citizenship
  • Long Term Visa/Stay
  • Residence Permit
  • Tourist Visa
  • Others
Field is required!
If others, then state the purpose clearly *
Field is required!

Applicant Details

Applicant's Given Name (Given Name means First name followed by Middle name (if any))(Initials not allowed) *
Field is required!
Surename
Field is required!
Date of Birth (DD/MM/YYYY) *
Field is required!
Gender *
  • Male
  • Female
  • Transgender
Field is required!
Employment Type *
  • Select Option
  • Government
  • Homemaker
  • Not employed
  • Others
  • Owners, Partners & Directors of companies which are members of CII, FICCI & ASSOCHAM
  • Private
  • PSU
  • Retired Government Servant
  • Retired- Private Service
Field is required!
Organisation Name *
Field is required!
PAN (If available)
Field is required!
Voter ID(If available)
Field is required!
Village or Town or City *
Field is required!
Marital Status *
  • Single
  • Married
  • Divorced
  • Widow/ Widower
  • Separated
Field is required!
Citizenship of India by *
  • Birth
  • Descent
  • Registration/ Naturalization
Field is required!
Educational Qualification *
  • Select option
  • 7th pass or less
  • Between 8th and 9th standard
  • 10th pass and above
  • Graduate and above
Field is required!
Aadhaar Number
Field is required!

I, the holder of above mentioned Aadhaar Number , hereby give my consent to Passport Seva to obtain my Aadhaar Number, Name and Fingerprint/Iris for authentication with UIDAI. I have no objection using my identity and biometric information for validation with Aadhaar (CIDR) database only for the purpose of authentication

I agree
Field is required!

Family Details (Father/Mother/Legal Guardian details; at least one is mandatory.) *

Father's Given Name (Given Name means First name followed by Middle name (if any))(Initials not allowed)
Field is required!
Surename
Field is required!
Mother's Given Name (Given Name means First name followed by Middle name (if any))(Initials not allowed)
Field is required!
Surename
Field is required!
Legal Guardian's Given Name (Given Name means First name followed by Middle name (if any))(Initials not allowed)
Field is required!
Surename
Field is required!
Spouse's Given Name (If applicable) (Initials not allowed) *
Field is required!
Surename
Field is required!

Present Residential Address Details

House No and Street Name *
Field is required!
Village or Town or City *
Field is required!
State/ UT *
  • - select a option -
  • Andhra Pradesh
  • Arunachal Pradesh
  • Assam
  • Bihar
  • Chhattisgarh
  • Goa
  • Gujarat
  • Haryana
  • Himachal Pradesh
  • Jammu and Kashmir
  • Jharkhand
  • Karnataka
  • Kerala
  • Madhya Pradesh
  • Maharashtra
  • Manipur
  • Meghalaya
  • Mizoram
  • Nagaland
  • Odisha
  • Punjab
  • Rajasthan
  • Sikkim
  • Tamil Nadu
  • Telangana
  • Tripura
  • Uttar Pradesh
  • Uttarakhand
  • West Bengal
Field is required!
District *
Field is required!
Police Station *
Field is required!
Pin *
Field is required!
Mobile Number *
Field is required!
Telephone
Field is required!
Email ID *
Field is required!
Do you have a Permanent Address? *
Field is required!
Is permanent address same as present address? *
Field is required!
House No and Street Name *
Field is required!
Village or Town or City *
Field is required!
State/ UT *
  • - select a option -
  • Andhra Pradesh
  • Arunachal Pradesh
  • Assam
  • Bihar
  • Chhattisgarh
  • Goa
  • Gujarat
  • Haryana
  • Himachal Pradesh
  • Jammu and Kashmir
  • Jharkhand
  • Karnataka
  • Kerala
  • Madhya Pradesh
  • Maharashtra
  • Manipur
  • Meghalaya
  • Mizoram
  • Nagaland
  • Odisha
  • Punjab
  • Rajasthan
  • Sikkim
  • Tamil Nadu
  • Telangana
  • Tripura
  • Uttar Pradesh
  • Uttarakhand
  • West Bengal
Field is required!
District *
Field is required!
Police Station *
Field is required!
Pin *
Field is required!
Mobile Number *
Field is required!
Telephone
Field is required!
Email ID *
Field is required!

Other Details

Any criminal proceedings pending against you before any court in India? *
Field is required!

Self Declaration

I owe allegiance to the sovereignty , unity & integrity of India, and have not voluntarily acquired citizenship or travel document of any other country. I have not lost, surrendered or been deprived of the the citizenship of India and I affirm that the information given by me in this form and the enclosures is true and I solely responsible for its accuracy, and I am liable to be penalized or prosecuted if found otherwise. I am aware that under the Passport Act, 1967 it is a criminal offence to furnish any false information or to suppress any material information with a view to obtaining passport or travel document.
Field is required!
Place *
Field is required!
Date (DD/MM/YYYY) *
Field is required!