REGIONAL PASSPORT OFFICE
BANGALORE

 

APPLICATION FORM FOR CORRECTION(S) IN PASSPORTS RECENTLY ISSUED

(Passport to be enclosed with this Application !)

 

 

 

PASSPORT No. :  _____________        Date of Issue :  _____________

 

Name :

 

Contact Tel. No. :                               E-mail: _____________________________________________________________

 

DETAILS OF MISTAKES IN THE PASSPORT (in block capitals)

 

1.

2.

3.

4.

________________________________________________________

                                  CORRECTION  REQUIRED (in capitals)

 

1.

2.

3.

4.

 

Date                                                                      Signature of the applicant

____________________________________________________________

 

FOR OFFICE USE ONLY

Reference No. :    98/ X

 

Remarks :

 

 

                                                                   (I/C Correction Desk)

Countersignature of granting Superintendent: