Passport Application (Fresh / Reissue / Tatkal) Form

Fill in your details below and upload required documents. Your request will be directly sent to our team at achyutbarik25@gmail.com.

1 Applicant Contact & Personal Details

Full Name *

Phone Number *

WhatsApp Number

Email Address *

Full Postal Address & Pin Code

2 Specific Requirements for Passport Service

Passport Application Type *

Given Name (First & Middle Name) *

Surname / Last Name

Father's Full Name *

Mother's Full Name *

Date of Birth *

Educational Qualification (For Non-ECR) *

Existing Passport No. (If Renewal)

3 Required Document Uploads for Passport Service

Upload clear photos or scans (JPG, PNG, PDF up to 10MB per file).

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Aadhaar Card Copy *

Address & Identity Proof

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10th Marksheet / Degree Certificate *

Non-ECR Category Proof

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Passport Size Photo *

Recent Passport Photo

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Old Passport Copy (If Renewal)

First & Last Page of Old Passport

4 Specific Instructions / Special Notes

Choose How You Want to Proceed:

💬 2. Instant Inquire via WhatsApp

🔒 Submit Button sends form & uploaded documents to achyutbarik25@gmail.com.
💬 WhatsApp Button instantly connects you with our coordinator.