APPENDIX “A”
APPLICATION FOR OBTAINING DEPARTMENTAL ‘NO OBJECTION CERTIFICATE’
FOR TAKING AN INDIAN PASSPORT TO VISIT FOREIGN COUNTRIES
01. NO.: --------------------- 02. Rank-------- 03. Name: ---------------------------
04 Date of birth: --------------- 05. Date of Apptt. ------------------
06. Place of birth: ----------------- 07. Religion: ---------------------
08. Nationality: ------------------ 09. Married / Single: ----------------
10. No. of children: --------------------
11. Present Home address: ------------------------------------------------------------- --------------------
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12. Next of kin and address: ---------------------------------------------------------------------------------
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13. Identity Card No. ----------------------- (Copy to be enclosed)
Parentage Details
Father Mother
14. Name
15 Date of birth:
16 Place of Birth:
17 Religion:
18 Nationality
19 Profession:
20 Address:
Others details
21. Name of Country / island proposed to visit: ------------------------
22. Purpose of visit: ------------------------------
23. Period of stay: ---------------------------------
24. When proposed to return: ---------------
25. With whom proposed to stay: ----------------------------------------------
26. i) Relationship: ----------------------
ii) Profession: --------------------------
iii) Address: -----------------------------------------------------------------------
::2::
26. Approximate expenses in connection with the visit and how these expenses would
be met.
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27. Has the applicant visited any foreign country earlier? If so, name(s) of the country(s)
visited purpose of visit and duration. :
I hereby declare that the above particulars are true to the best of my knowledge and
belief.
Place: CISF UNIT MBPT MUMBAI
Signature of the applicant
Date: / /2021
CERTIFICATE
“Certified that no enquiry is pending against Shri -------------------------------------------
Rank : -------------------------- of CISFUnit MbPT Mumbai and that he is not required as a
witnesses in any Court or Court of enquiry”
Recommended / Not recommended
Signature of Unit Commander