Affidavits and declarations · Embassy of India, Kyiv

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Affidavits and declarations: choose how to prepare the applicant record, then review and complete your details below.

Photo and signature2 details to complete

PASTE APPLICANT’S RECENT PHOTO HERE (2"x2")RequiredChoose photographSquare JPG or PNG · 2 × 2 inch format
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SignatureRequiredChoose signature imageWide JPG or PNG · signature only
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Applicant details15 details to complete

1. APPLICANT’S NAME AS IN PASSPORT — Surname / Last NameRequired

1. APPLICANT’S NAME AS IN PASSPORT — Given / First NameRequired

2. Full name of fatherRequired

3. Full name of motherRequired

4. Place & country of birth of applicantRequired

5. Date of birth of applicant (dd/mm/yyyy)Required

6. Name and nationality of spouse

7. Permanentaddress in indiaRequired

8. Address in country of residenceRequired

Mobile noRequired

9. Profession & business address

EmailRequired

10. Current passport noRequired

11. Place & date of issueRequired

12. Date of expiryRequired

Confirmation2 details to complete

PlaceRequired

Information given above is correct and false information is an offence under the Passport Act 1967

Power of attorney (no numbered form)4 details to complete

Affidavit (Please specify the purpose)Required

Statement sworn or declared by the applicantRequired

Must the declaration be signed before the Consular Officer?Required

YesNo

Signature matching current valid passportRequiredChoose signature imageWide JPG or PNG · signature only
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