Scribd
Upload
34 views

NOC for Passport

This document is an application form for obtaining a No Objection Certificate (NOC) for a passport. It includes personal details of the applicant, an undertaking regarding compliance with relevant laws, and a list of required enclosures. The form must be verified by a controlling officer before being forwarded for action.

Uploaded by

dkaeassy
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
34 views

NOC for Passport

This document is an application form for obtaining a No Objection Certificate (NOC) for a passport. It includes personal details of the applicant, an undertaking regarding compliance with relevant laws, and a list of required enclosures. The form must be verified by a controlling officer before being forwarded for action.

Uploaded by

dkaeassy
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
You are on page 1/ 1

APPLICATION FOR APPLYING ‘NOC’ FOR PASSPORT

PASTE YOUR
RECENT PASSPORT
To, SIZE PHOTOGRAPH
The CPO/CLW.

(Thro’ Proper Channel)


Sir, To be Attested by the
Controlling Officer
Sub: Request for issue of “No-Objection Certificate” for Passport.

I wish to obtain a Passport for visiting (Country & Address) ____________________/future tour Purpose.
I request that I may kindly be granted ‘No Objection Certificate’. My details are given below:-

1. Name:
2. Father’s Name:
3. Designation: 4. T/No.:

5. D.O.B: 6. D.O.A:
7. Cont. No.: 8. Shop/Office:
9.Bill Unit No.: 10. Dept.:
11. Under whom working(Dy.HOD): 12. Reason for obtaining Passport:

13.Previous Passport (if any): 13(a)Passport No: 13 (b) Date of Isuue: 13(c) Date of Expiry:
(Give details and attach photocopy)

14. An undertaking by the employee for obtaining the Passport.


(a) I will abide by the provision of Indian Passport Act, Indian Custom Act and any other Act of the Government of India.
(b) I will not request for release of foreign exchange from Railways and will make my own arrangement for foreign exchange
required for the trip.
(c) I understood that issue of passport will be subject to the clearance from Civil Authorities and the Income Tax Department.
(d) I will not pursue any study, training or employment while aboard without prior permission of the Administration.
(e) I will not indulge in any activity which might be prejudicial to the interests of India or any other foreign country and that the
activities during my stay at abroad will not affect the friendly relations between India and any other country/countries.
(f) I will get the approval and sanction of leave from the appropriate competent authority every time before proceeding abroad.
(g) I will abide by the general conditions as laid down by the Government of India from time to time.
(h) I have read the provisions under section 6 (2) of Passport Act 1967and certify that these are not attracting in my case. There is
nothing under the provision of said act which can debar me for obtaining a passport.
Encl: (i) Photocopy of Valid Railway Identity Card (both side).
(ii) Photocopy of recent Pay-Slip. (iii) Photocopy of previous passport (if any, in case of re-issuance)
(iv) Separate Unattested Five (05) Nos. recent Passport size photograph. (Same as affixed in application form)
Note: Please check the enclosure from (i) to (iv) before submission of the application to avoid rejection.

15. Contact/Phone Number of Employee: 16.Signature of Employee


17. I.D Card No.: 18. I.D Card Date of Issue: 19. Place:
/ /20 20. Date: / /20

FOR OFFICIAL USE ONLY


1. The particulars have been duly filled in by the employee and the same is verified.
2. No DAR case is pending against the above named employee.

_________________________________
(Signature of the Estt. Controlling Officer
with Designation & Stamp)
Forwarded to CPO/CLW for necessary action. Date: _____/____/20____

You might also like