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Passport Noc1

This document contains an application for an Indian passport along with supporting documents. The application includes personal details of the applicant such as name, date of birth, address, employment details. It also specifies the purpose and duration of the proposed visit abroad. Supporting documents include declarations from the applicant and a recommendation from the head of office.

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Ershad Shaik
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© © All Rights Reserved
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94 views

Passport Noc1

This document contains an application for an Indian passport along with supporting documents. The application includes personal details of the applicant such as name, date of birth, address, employment details. It also specifies the purpose and duration of the proposed visit abroad. Supporting documents include declarations from the applicant and a recommendation from the head of office.

Uploaded by

Ershad Shaik
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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A PPLICATIO N FO R ISSUE O F NO O BJEC TIO N C ERTIFICATE

FO R O BTA INING INDIA N PA SSPO RT


Nam e ofapplicant
Designati
onwith nam e ofOffice
3. Perm anentaddress

4. Payandscaleofpay

(a) DateofBirth
5. Date ofcommencementofcontinuous
service underGovernment
Place proposed to be visi
t
Purpose ofvisit

8. I
fitjsforseeking employment,whether
a decl
aration to the effectthathe will

eitherresignthisjoborwilltake prior
permission abroad has been attached
9. Exped ed peri
od ofabsence from duty

10. Address ofthe place ofvisitifavailable

11. How theexpenditureforjotlrneyandstayabroad :


12. Mode ofdisbursementofIeave salary

13. W hetherany disciplinarycase is


pending againstthe applicant
14. W hetheranyIiability is outstanding
againstthe applicant

15. W hetherapplicantis underany


contractualobligation bonded ornon
bohded with Governm entis so detai
led
lSolemnlyaffirm thatthe information given are correct
Signature ofthe appli
cant
1,.............-....-.......................................-...................................01fprfpt)jt(1(,1)11,rtrthll,t1hslI
-ll()lltlllrlr)rit)rr)llrryllislpl()r1frl)rrltkl(,
Governmentbefore I
eaving India to abroad.
.

Signature ofthe applicant.

PR O FO R M A REPO RT
(Tobefilled fn by theHeadofOff/ce)

W hetherany discipl
inal proceedings
are pending orcontemplated against
in indi
vidual

2. W hetherany Vigilance case is pending


orcontem pl
ated against him

3. W hetherthere are groundsto believe


thattheappli
cantcouldfigure adversel
y
onthe securi
tyrecordsoftheGovt.

Certi
fiedthattheinformationgivenaboveandthatgiven bytheapplicantSl.No.1to 15areverisedandfoundcorrect.
His application is recommended.

Signature:
Name:

Designation ofthe Officer:

Station:
Date:

DECG RATIO N TO ACCO M PANY THE APPLICATIO N F0 R


O BTAINING NO O BJECTIO N CERTIFICATE T TRAVEL
A BRO A D

Ido hereby declarethatIwillnotenjoy thestayabroadbeyondtheperiodof


leaveshown in my application

2. 1do hereby declare that Iwillnotindulge in m y any work ofpropoganda


whichw illbedeterm entaltotheinterestofnationality.

3. 1dohereby declarethatonly suchjob whichwillnoteffectmy statusasa


(P0st) Of
K eralaGovernm entwillbetnken undertheforeign em ploym ent
.

4. 1do hereby declarethatIw illabidebytherulesand conditionsasperG. 0.(P)

No.274/70Tin.dated,24-9-1970& G.0.(P)No.65/76/Fin.dated,25-2-1976.
Ido hereby declarethat1haveno bonded obligation to sel'
vetheD epartm ent
.

6. 1dohereby declarethatnovigilenceordisciplinary action againstm e

I dp hereby declare that l have not taken any leave for the sam e purpose
previously.

Signature
CountersignatureoftheHead ofOftk e

A N N EX U R E B
AlICentralG overnm entem ployees,State G overnm entem ployees,Em ployees of
Statutory Bodies and Public SectorUndeA kings and theirdependentfam ily
m em bers are required to produce an Identity Cedificate
(Strikeoutprotionnotapplicable)
(To begivenin Duplicateon OriginalStationary)

()fi:11,tthr)lrltlrll Ittrl1)plxhrltt,r'l4)1()54th(,()fttll
-ti(()fflce11(b(1rtliii;)............-......................................................

Ii1/18rtj18(1()r)llrlCl()r!tflhrthilh/rl(,rllL)thrti;)()f1581ri/t;rtlt....................-..-.,.....................................................
andhis/heridentityiscertified.ThisMinistry/Depadment/Organisationhasnoobjectiontohis/her
acquiring IndianPasspod.The undersigned isdulyauthorisedtosi
gnthisIdentityCerti
ficate.Ihave read

the provisionsofSection 6(2)ofthe PassportsAct,1967and certifythatthese are notattracted


in case ofthis applicant. 1recom m end issue ofan Indian Passportto him /her.ltis cedified thatthis

organizationis a central/State Government/PublicSector/undedaking/Statutorybody.TheIdentity

Ref.No & Date:

Applicant's
photo to be
adested by
certifying
authority

Nam e and Designation,Address &

A N N EXU RE C

INTIM ATIO N BY A N EM PLOYEE TO H I5 EM PLO YER O F H IS

INTqNTION TO APPW FO R A PASSPO RT


(ForAIICentralGovernmentemployees,StateGovernmentemployees,EmployeesofStatutoryBodiesand
PublicSectorUndelakingswhoarenotproducingaNoObjectionCerl/#cale)
(on Off/c/alStationa)

m y intention to apply fora passpod.

Signature& Seal.
The Head ofOffice
(i
n acknowledgementofthe
receiptofthesai
di
ntimation)

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