[Form 'B']
For persons below 12 years.
Latest four
Photographs
2 x 2

I, the undersigned, hereby apply for an international passport on behalf of my minor child/ward for travel abroad and give the required information below :

1. Name
First
Middle
Surname
Mr./Mrs./Miss
      
day
month
year
  
2. Date of Birth             (in words)
3. Place of Birth
Vill/Town
Tehsil
District
Province
Country
           

4. Sex: Male Female 5. Nationality: 6. Profession: 7. Regligion:

8. Whether Pakistani
(Tick the box applicable)		 By Birth By Descent By migration
on (date)...................		 By registration/naturalisation
No...................

9. RG-2 Number      
-
    
-
            

10. Place of Issue: 11. Date of Issue:

12. Permanent Address ................................................................................................................................................................................................................
..........................................................................................................................................................................................................................................................
13. Present Address .....................................................................................................................................................................................................................
.........................................................................................................................................................................................................................................................
PARTICULARS OF CHILD'S /WARD'S FATHER/LEGAL GUARDIAN
14.
15.
16.
17. 		Name (block letters)
Address
Profession
Place of Birth
Father
(a) .....................................................................
(a) .....................................................................
(a) .....................................................................
(a) .....................................................................
Legal guardian
(b) .....................................................................
(b) .....................................................................
(b) .....................................................................
(b) .....................................................................
18. Whether Paksitan National
(a)
(b)
  by birth   by birth
  by descent   by descent
  by migration on (date ..................................)   by migration on (date ..................................)
  by registration/naturalisation   by registration/naturalisation
No .............................................
19. FOR SUBJECT OF JAMMU & KASHMIR
Place & period of continuous residence in Pakistani/Azad Kashmir of Father/Legal guardian ......................................................................

FOR OFFICIAL USE ONLY
i) In person/A/L..........................................
ii) P.V./Exempted.........................................
iii) N.I.C. seen and punched/already punched.....
(photocopy attached)
iv) Int/appear to be Pak National..............


Authority
Name		  
Signature & thumb impression




DECLARATION

20. I declare on solemn affirmation as under :-  
  (1) To the best of my knowledge and belief the information given in this application is correct.
  (2) I have not previously held or applied for a passport of any description or been refused passport facilties.
  (3) All previous passports granted to me have been surrendered other than the passport or travel document noted below which is now attached and that I have made no other application for a passport since the attached passport or travel document was issued to me.
    (a) No. of the attached passport/travel document ................................................
(b) Date of Issue......................................... (c) Place of Issue: ................
Note:   If the applicant had a passport which has been lost, he should furnish particulars as per sub para (4) below.
21. (4) The passport as per details given below has been lost. In the event of its coming again into possession I undertake to return it to the Regional Passport Office.
  (a) Passport No: .................................................... (b) Date of Issue: ...............................
  (c) Place of Issue:............................................................
  (d) Circumstances in which passport was lost or destroyed and measures taken to recover it ....................
  (5) I have never been repatriated at Government expenses.
  (6) I am/am not a Government servant, an employee of a semi-Government body a municipality, any other local body or a State-owned Industry.
  (7) I have/have not served in the Armed Forces.
  (8) I am/am not reservist in the Armed Forces.
   

DECLARATION IN CASE OF MUSLIMS

I, ................................................................. S/o ............................................................... Aged .........
years, adult Muslim, Resident of ................................................................................................ hereby solemnly declare
that :-
(i) I am Muslim and believe in the absolute and unqualified finality of the prophethood of Muhammad (peace be upon him) the last of the prophets.
(ii) I do not recognise any person who claims to be a prophet in any sense of the word or of any description whatsoever after Muhammad (peace be upon him)
or recognise such a claimant as prophet or a religious reformer as a Muslim.
(iii) I consider Mirza Ghulam Ahmad Quadiani to be an imposter nabi and also consider his followers whether belonging to the Lahore or Quadiani group to be
non-Muslim.


Date: ........................
Siganture & thumb impression (with name in block
letters of applicant in indelible ink)

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

ATTESTATION

Applicable in cases of persons who have not attained the age of 18 years and are not issied with Identity Card under the National Registration Act, 1973.
I, as Father/Guardian/Attestor hereby attest that the information given above is correct to the best of my knwledge and belief that the photograph on page 1 of this application bearsthe true like of the applicant.

Signature of Father/Guardian/Attestor
Address: ...................................................
Identity Card No......................................
Date............................................................
Place of issue............................................

FOR OFFICIAL USE ONLY
1. No. of Passport issue.............................................
2. Date of issue ..........................................................
3. Date upon which Passport is valid............................

Authority....................................................................
Name .......................................................................