Annexure F for Verification Certification - Passport Issuance Under Tatkaal Scheme
(On official stationery of verifying authority)

(To be given in Duplicate* along with the Standard Affidavit as at Annexure "I"
Reference Number

Applicant's Photo


Verification Certificate issuing officer should attest the photograph of the applicant with his/her signature and rubber stamp in such a way that half the signature and stamp appear on the photograph and half on the certificate).

Verification Certificate

This is to certify that Sh./Smt./Kum. ........... son of/wife of/daughter of ........ whose personal particulars are given below has good moral character and reputation and that after having read the provisions of Section 6(2) of the Passports Act, 1967. I certify that these provisions are not attracted in case of this applicant and I, recommend issue of an Indian Passport to him/her. Applicant has been staying at his/her address continuously for the last one year.

Date of Birth
..........................
Place of Birth
..........................
Educational Qualification
..........................
Profession (Govt./Private Service/Others)
..........................
Permanent Address
..........................
Present Address
..........................

Place

Office Address with location

Date:
Signature ..................

Office

Seal


 
Full Name ..................
 
Designation ..................
 
I Card No ..................

(Enclose a photocopy of I Card)
 
Telephone No. (O) ............. (R) ..........
 
Mobile No ..................