| Have you ever been charged with criminal proceedings or is any arrest warrant/ summon pending before a court in India? |
Select Yes, if you have been charged with criminal proceedings before a court in India, else select No. |
| Name of Court and Place |
Enter name and location of the court in which the case against you is pending. |
| Case/ FIR/ Warrant Number |
Enter the case number. |
| Law and Section(s) |
Enter the law and sections under which you are being prosecuted. |
| Have you at any time during the period of 5 years immediately preceding the date of this application been convicted by a court in India for any criminal offence and sentenced to imprisonment for two years or more? |
Select Yes, if you have at any time during the period of 5 years immediately preceding the date of this application been convicted by a court in India for any criminal offense and sentenced to imprisonment for two years or more, else select No. |
| Name of Court and Place |
Enter name and location of the court in which the case against you is pending. |
| Case/ FIR/ Warrant Number |
Enter the case number. |
| Law and Section(s) |
Enter the law and sections under which you are being prosecuted. |
| Have you ever been refused/denied passport? |
Select Yes, if you have ever been refused or denied a passport, else select No. |
| Provide reason |
Enter the reason for denial or refusal of passport. |
| Has your passport ever been impounded or revoked? |
Select Yes, if your passport has ever been impounded (seized and retained in legal custody) or revoked (cancelled), else select No. |
| Passport Number |
Enter Passport Number. |
| Provide the reason for impounding/revocation. |
Enter the reason for impounding or revocation of your passport. |
| Have you ever applied for or been granted political asylum to/by any foreign country? |
Select Yes, if you have ever applied for/been granted political asylum to/by any foreign country, else select No. |
| Enter the name of country if you have ever applied for/ been granted political asylum by any foreign country. |
Enter name of the country, if you have ever applied for/been granted political asylum to/by any foreign country. |
| Have you ever returned to India on Emergency Certificate (EC) or were ever deported or repatriated? |
Select Yes, if you have ever returned to India on Emergency Certificate (EC) or were ever deported (expelled from a country), or repatriated (returned to the country of birth), else select No. |
| EC No. |
Enter number of the Emergency Certificate issued to you when you were deported/ repatriated. |
| Date of Issue (DD/MM/YYYY) (in case exact day is not known, enter as 01/MM/YYYY) |
Enter date (DD/MM/YYYY) on which the EC was issued. You can also select date from the calendar. Note: If you do not remember the exact date, enter the date in the 01/MM/YYYY format. |
| Issuing Authority |
Enter name of the authority that issued the EC. |
| Country from where deported/repatriated |
Enter name of the country from where you were deported/ repatriated. |
| Reason for repatriation/deportation |
Enter reason for repatriation/ deportation. |