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Shorar

This form is used to request changes or corrections to information in a passport. It requires the applicant's name, passport details, the required correction, and signatures. Relevant documents should be attached.

Uploaded by

alamgir80
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
95 views2 pages

Shorar

This form is used to request changes or corrections to information in a passport. It requires the applicant's name, passport details, the required correction, and signatures. Relevant documents should be attached.

Uploaded by

alamgir80
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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MbcÖRvZš¿x evsjv‡`k miKvi wW. AvB.

wc dig-2 (webvg‡~j¨ cÖvc¨)


ewnivMgb I cvm‡cvU© Awa`ßi
wiBmy¨/Z_¨ cwieZ©b/ms‡kvab Av‡e`b dig
Reissue/Information Alteration/Correction Application Form

G digwU cvm‡cv‡U©i †gqv` DË©xY, cÖ`wk©Z Z_¨ cwieZ©b/g`yªYRwbZ fj


z ms‡kvab msµvšÍ wel‡q e¨eüZ n‡e|
This form will be used to reissue, to change the information/rectify the printing errors of passport.
wb‡`©kbv t digwU Bs‡iwR‡Z (CAPITAL LETTERS) ci~Y Kiæb Ges AbMyÖn ce~©K Avcbvi Av‡e`‡bi mg_©‡b Dch³
y cÖgvYvw` msh³
y Kiæb|
Instruction : Pleasefill up the form in ENGLISH (CAPITAL LETTERS) and attach relevant papers in favour of your
application.
AvÂwjK cvm‡cvU© Awdm/wgk‡bi bvg Name of Regional Passport Office/Mission cvm‡cvU© weZi‡Yi cÖKw…Z
Type of delivery
mvaviY Riæix
Regular Express

Av‡e`bKvixi bvg (evsjvq) wd cÖ`vb msµvšÍ Z_¨


Payment of Fees
Name of Applicant (In Bangla)
wd’i cwigvY($/US$)
Av‡e`bKvixi bvg (Bs‡iRx‡Z)
Amount of Fee ($/US$)
Name of Applicant (in English)
e¨vsK/wgk‡bi bvg
Bank/Mission
Mn„xZ cvm‡cv‡U©i Z_¨
Received Passport’s Details kvLv
Branch
cvm‡cvU© b¤^i Passport No. Bm¨yi ¯’vb I ZvwiL
Place & Date of Issue iwk` bs
Receipt No.
†gqv` DËx‡Y©i ZvwiL Date of Expiry
ZvwiL
Date

PvwnZ ms‡kvab Required Correction

cvm‡cv‡U© eZ©gv‡b cÖ`wk©Z Z_¨ cwiewZ©Z/ms‡kvwaZ Z_¨


Information presently shown in the passport Changed/Corrected information

ZvwiL
Date

Av‡e`bKvixi/Awffve‡Ki (Av‡e`bKvix AcÖvßeq¯‹ n‡j) ¯^v¶i


Applicant’s/Guardian’s (if the applicant is a minor) Signature
mshwy³mgny Enclosures

1. 6.

2. 7.

3. 8.

4. 9.

5. 10.

Awd‡mi e¨env‡ii Rb¨ For Official Use

1. Z_¨ msMÖnKvix (Acv‡iUi) Gi bvg AvBwW ¯^v¶i


2. Av‡e`b MªnYKvix Awdmv‡ii bvg AvBwW ¯^v¶i
3. cvm‡cvU© Bmy¨/Aby‡gv`bKvix Kg©KZ©vi bvg AvBwW ¯^v¶i
4. Bmy¨KZ
… cvm‡cvU© b¤^i ZvwiL
5. cvm‡cvU© Bm¨y Kvix Awdmv‡ii bvg AvBwW ¯^v¶i
6. Av‡e`bKvixi cvm‡cvU© MÖn‡bi ZvwiL ¯^v¶i

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