application passport noc

8/9/2019 Application Passport NOC

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APPLICATION FOR NO OBJ ECTION CERTIFICATE FOR

OBTAINING INDIAN PASSPORT

PART - A

1. Name of Applicant

(In Block Letters) :

2. Designation :

3.

Pay and Scale of Pay :

4.

Name of Institution in which working :

5. Whether Officiating/Temporary through

Employment Exchange/Regular/Permanent :

6.

Date of Birth :

7.

Date of Commencement of Continuous

Service Under Govt. :

8.

Name of entry post :

9. Permanent Home Address :

10.

Countries proposed to be visited by the

Applicant. :

11. Purpose of visit :

12.

Duration of Visit :

13.

Whether the NOC requested is for fresh

Passport or for renewing existing Passport :

I hereby affirm that the particulars furnished above are correc t.

Place:

Date: SIGNATURE OF

APPLICANT


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PART - B

(To be filled by the Head of the Institution)

1.

Name & Designation of the Applicant. :

2.

Whether the applicant is under any contractual :or bonded obligation to serve the Government.

(If so give details)

3.

Whether any liabilities, including loan & advance :

such as House Building Advance, Motor CycleAdvance, Computer Advance, Marriage Advance

etc., pa id to the applicant from the Govt. Funds

are pending, outstanding. (If so, give details)

4.

Whether any disciplinary proceedings is pending :

or contemplated against the applicant.

5. Whether any vigilance case is pending or :

contemplated against the applicant.

6.

Whether there are grounds to believe that the :

applicant could figure adversely on the security

records of the Govt.

Certified that the details furnished by the applicant in item (1) to (8)

in

PART – A are correc t. His/her application is recommended/not

recommended for

the following reasons.

Station:Date: Signature with Name &

Designation


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DECLARATION

(As per GO (P) 780/83/Fin dated 16/12/1983)

I here by declare that I will not indulge in any work or propaganda

which will

detrimental to the interest of our nationality.

I………………………………………………………………………….………………

……………..here by

dec lare that I am willing to abide by the conditions that the leave

period for

employment at abroad will not count for any service benefits /

Pension/

Pay fixation /etc.

I……………………………………………………………………………………………

……………here by

dec lare that the details furnished by me in items 1 to 6 in part A are

correct.

Place:

Date: Signature of the

applicant

Place:

Date: Counter signed


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ANNEXURE ‘B’

ALL CENTRAL GOVERNMENT EMPLOYEES, STATE GOVERNMENT

EMPLOYEES,

EMPLOYEES OF STATUTORY BODIES AND PUBLIC SECTOR UNDERTAKINGS.

THEIRSPOUSE AND CHILDREN UPTO THE AGE OF 18 YEARS ARE REQUIRED TO

PRODUCE

AN IDENTITY CERTIFICATE (STRIKE OUT OPTIONS THAT ARE NOT APPLICABLE).

(To be given in Duplicate on Original Stationery)

Certified that Shri/Smt/Miss………………………………………..…….…………..…….………

Son/Wife/Daughter of

Shri …………………………………………………………………………..……………….….. who

isan Indian national, is a

temporary/ Permanent employee of (Office

Address…………………………………………….…………….

……………………………………………………………….from (date)

……………………………………….…..… and is

at present holding the post of

…………………………………………………………………Shri/Smt/Miss/Mst

……………….….who is also an Indian national, is/are a dependent family

member(s) of Shri/Smt

….…………………………………….…. and his/her identity is certified. This

Ministry/ Department/

Organization has no objec tion to his/ her acquiring Indian Passport. I, the

undersigned,

am duly authorized to sign Identity Certificate. I have read the provisions of

Section 6(2)


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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 Sec tor Undertaking /Statutory body. TheIdentity Card

Number of Shri /Smt/Miss (employee) ..……………………….............. is

..…………………………………………….

Ref. No & Date………………………………………..

Name, Designation, Address

& Tel No.

To

Sri/Smt.

Applicant’s

Photo to be

attested

application passport noc

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