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INDIA PERIOD OF STAY ABROAD DATE OF LOSS OF PASSPORT NAME ADDRESS OF TWO RELATIVES / FRIENDS AT THE PLACE OF PERMANENT RESIDENCE IN 15. NAME ADDRESS OF TRAVEL AGENT INVOLVED IN SENDING THE INDIVIDUAL ABROAD INDIA Given In Sr. 8 Above NOTE Please Complete all entries Legibly and fully Incomplete Information will only lead to delay in the process of issuing passport. FULL NAME 2. ALIASES IF ANY 3. a FULL NAME OF FATHER b FULL NAME OF MOTHER c FULL NAME OF SPOUSE 4. DATE AND PLACE OF BIRTH...

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