Microsoft Word - Misc Form2
Microsoft Word - Misc Form2
Microsoft Word - Misc Form2
Paste a recent
Photograph(2x2)
Form MS-2
Fee: $10
APPLICATION FOR CHANGE IN PASSPORT ENTRY
ICWF: $3
Please specify the service required:
First
Middle
Last
1.Applicant's Name
2.Date of Birth
(DD/MM/YYYY)
8.US Address
10.Mobile Number
11.Passport Number
12.Place and Date of Issue
13.Date of Expiry
(DD/MM/YYYY)
(DD/MM/YYYY)
I solemnly affirm that: (i) I owe allegiance to the sovereignty and integrity of India; (ii) The information given above is correct and
nothing has been concealed and I am aware that it is an offence under Passport Act 1967 to knowingly furnish false information or
suppress material information; (iii) I have not lost, surrendered or been deprived of my Indian citizenship; (iv) I have not voluntarily
acquired citizenship of any other country and I have no other passport or travel document in my possession. [This declaration has
to be notarized by Notary Public in case of an applicant whose passport expired not more than six months before the date of
submission of this application]
Place :
Date:
Signature