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C:\Documents and Settings\Administrator.DTE\Desktop\F14_ForeignNOC_2.doc 1

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GOVERNMENT OF INDIA

MINISTRY OF EXTERNAL AFFAIRS

CPV DIVISION, DELHI

ANNEXURE ‘I’ AFFIDAVIT

(To be executed on appropriate non-judicial stamp paper and attested by a Notary Public)

(One original and one self-attested photocopy) I, name),________________Son of _________________________residing at ______________________Date of Birth______ being an applicant for issue of passport, do hereby solemnly affirm and state as follows: 1. That the names of my parents and spouse are as follows: (i) Father : (ii) Mother : (iii) Wife/Husband : 2. That I am continuously resident at the above mentioned address from………………………. 3. That I am citizen of India by birth/descent/registration/naturalization and that I

have neither acquired the citizenship of another country nor have surrendered or been terminated/deprived of my citizenship of India.

4. That I have not, at any time during the period of five years immediately preceding the date of this affidavit, been convicted by any court in India for any offence involving moral turpitude and sentenced in respect thereof to imprisonment for not less than two years;

5. That no proceedings in respect of any criminal offence alleged to have been committed by me are pending before any criminal court in India;

6. That no warrant or summons for my appearance, and no warrant for my arrest, has been issued by a court under any law for the time being in force, and that my departure from India has not been prohibited by order of any such court;

7. That I have never been repatriated from abroad back to India at the expense of Government of India/I was repatriated from abroad back to India at the expense of Government of India, but reimbursed expenditure incurred in connection with such repatriation.

8. That I will not engage outside India in activities prejudicial to the sovereignty and integrity of India.

9. That my departure from India will not be detrimental to the security of India. 10. That my presence outside India will not prejudice the friendly relations of India

with any foreign country. Place: Date :

DEPONENT VERIFICATION

Verified on…..(date) at …………. (place) that the contents of the above mentioned affidavit are true and correct and nothing material has been concealed.

DEPONENT


GOVERNMENT OF INDIA

MINISTRY OF EXTERNAL AFFAIRS

CPV DIVISION, DELHI

ANNEXURE ‘B’

ALL CENTRAL GOVERNMENT EMPLOYEES STATE GOVERNMENT EMPLOYEES, EMPLOYEES OF STATUTORY BODIES AND PUBLIC SECTOR UNDERTAKINGS AND THEIR DEPENDENT FAMILY MEMBERS ARE REQUIRED TO PRODUCE A

IDENTITY CERTIFICATE (STRIKE OUT PORTION NOT APPLICABLE)

(To be given in Duplicate on Original Stationery)

Certified that SHRI/SHRIMATI/KUM …………. Son/Wife of Shri ………………… of is a

temporary/permanent employee of this (office address) ……………. from ……. (date) …….

and is at present holding the post of ……………….. Shri/Smt./Miss/Mst. ……………….is/are

a dependent family member(s) of Shri/Smt…………………………. and his/her identity is

certified. This Ministry/Department/Organization has no objection to his/her acquiring

Indian Passport. The undersigned is duly authorized to sign this Identity Certificate. I

have read the provisions of Section 6(2) of the Passports Act, 1967 and certify that

these are not attracted in case of this applicant. I recommend issue of an Indian

Passport to him/her. It is certified that this organization is a central / State

Government / Public Sector / undertaking / statutory body. The Identity Card Number

of Shri/Smt (employee)…………………………is…………………

Ref. No. &

Date …………….. Name, Designation, address & Tel No.


�માણપ�

આથી �ુ ં ................................................................, સરકાર� ઇજનેર� કોલેજ / પોલીટ�કનીક

..................................................... ખાતે તાર�ખ .........................થી ફરજ બ��ુ ં�.ં આથી �ુ ં

�મા�ણત ક�ંુ � ંક� મારા િવદ�શ �વાસનો હવાઇ �સુાફર�નો તથા અન્ય ખચર્ કોઇ સગા-સબંધંી ક�

ખાનગી સસં્થા �ારા �ાયો�જત નથી અને આ �ગે �ટક�ટ તેમજ રહ�વા �ગેનો તમામ ખચર્ માર�

સ્વ-બચતમાથંી / ........................... કરવાનો છે. િવદ�શ �વાસ દરમ્યાન મા�ંુ સરના�ુ ં નીચે

�જુબ છે.

........................................................

........................................................

.........................................................

.........................................................

ઉપરોક્ત મા�હતી માર� �ણ અને માન્યતા અ�સુાર સાચી છે.

સ્થળ : સહ�

તાર�ખ :


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