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PAKISTANI APPLICATION FORM

Staple your Following Documents are required. Four Recent Photograph 1:- Renewal of Passport. (a) Original and Photocopies of and National Identity Card for Here (NICOP) (b( Four passport size photographs. (c) along with photocopy and two photograph of each child for endorsement on mother’s passport. (d) Marriage certificate for changing marital status. (e) Form B or NICOP for children under 18 years age. 2:- Loss Passport. Type of Application (a) Passport form and Loss Passport application form. (b) Six photographs (one to be attested). (c) Police report with passport number. Normal (d) Personal interview. Urgent (f) NICOP Original/Photocopy Loss of Passport In both cases Plz bring Copy of Spanish Residence & Copy of Empadronamiento

Note. (1) Form Should be signed/thumb impression to be affixed by the applicant (2) All fields are compulsory to be filled with black ink and in capital letters.

FOR OFFICIAL USE ONLY:- Passport No...... Date of Issue...... Valid for......

Personal Details:- Applicant’s Full Name(First, Middle, Last) Leave space between names. 1 Applicant’s Father Name(First, Middle, Last) Leave space between names. 2 Applicant’s Spouse Name(First, Middle, Last) Leave space between names. 3

Date of Birth (dd-mm-yy) Place of Birth(District) Applicant’s 4 5 6 Pakistani National Identity Card Number(with out dashes) Religion 7 8 Pakistani National/Citizen( Tick appropriate) 9 By Birth 10 By Registration 11 By Descent 12 By Permanents Address( In )

13

Present Address(in )Provide Phone number with area code

14

Child Name in case of endorsement Date of Birth (i.e.dd-mm-yy) City of Birth Gender Male Female

15 Male Female

Male Female

Applicant’s Signature Left Thumb Impression Applicant’s Signature Left Thumb impression Designed by Y.Jamal ATTESTATION (For the 1stTime and Lost Passport aplicants only) I, the undersigned, hereby declare that I personally know Mr/Mrs/Miss______to be a Pakistani National and to the best of my knowlege the information given in this application form is correct and photograph attached with this application form bears true likeness of the applicant.

DECLARATION IN CASE OF MUSLIM APPLICANT I______S/o, W/o, D/o______aged______years, adult Muslim resident of______Declare:- (i) I am a Muslim and belive in the absolute and unqualified finality of the prophethood of Muhammad (Peace be upon Him) as the last of the Prophets. (ii) I do not recognizw any person who claims to be a prophoet in any sense of the word or of any description whatsoever after Muhammad (peace be upon Him) or recognize s uch a claimant as a prophet or a religious reformer as or a Muslim. (iii) I consider Quadiani to be an imposter Nabi and also consider his followers whether belonging to the Lahori or Quadiani group to be non-Muslim Signature of Applicant:-______GENERAL DECLATATION FOR ALL APPLICANTS 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 have ever been refused passport facilities. 3. All previous Passport granted to me have been surrendered other than the passport or document noted below which is now attached, and that I have made no other application for a Passport since the attached Passport was issued to me. The details are as follows:- Passport Number______date of Issue______Place of Issue______4. The Passport as per details given below has been lost. In the event of its comming again into my posession, I undertake to return it to the nearest Pakistani Embassy / :- Passport Number______date of Issue______Place of Issue______5. I have never been repatriated on expenses. 6. I am not a government servent, an employee of a semi-government body, a municipality, any other body or a state owned industry.

Signature of Applicant:-______PASSPORT FEES & TIMINGS Fee will be accepted in cash. The fee is non-refundable. Normal Passport 35.00 Urgent Passport 60.00 Normal 1st Time Lost Passport 70.00 Urgent 1st Time Lost Passport 120.00 Normal 2nd Time Lost Passport 140.00 Urgent 2nd Time Lost Passport 240.00 Submission of Applications From Monday to Friday 09:00 am to 01:30pm.

Embassy of Pakistan, Madrid - Calle Pedro de Valdivia 16, 28006 Madrid Tele:- 913 458 995 - 913 458 986 Fax:- 913 458 158 www.embajada-Pakistan.org email addres: [email protected] Consulate General of Pakistan Ronda General Mitre 126 Floor 6 08021Barcelona. Tele:- 934 510 343 - 934 512 756 Fax:- 934 510 709 www.pakconsulatebcn.com Email:- [email protected]