Passport Noc

SCHEDULE – III FORM – I (See Rule 24 – A) APPLICATION FOR “IDENTITY CERTIFICATE” FOR APPLYING FOR GRANT /RENEWAL OF PASSPORT / AND ‘NO OBJECTION CERTIFICAT’ TO UNDERTAKE FOREIGN TRIP (To be filled by the applicant) Name, Designation, office address and scale of pay (if selection grade or special grade indicate respective ordinary grade scale of Pay) Date of Retirement Name of Countries proposed to visit, and duration,(need not be filled up to obtained passport to seek employment abroad) Purpose of visit Source of funds to meet the cost of the proposed foreign travel State whether any criminal prosecution is contemplated of pending against you and whether your presence as witness would be needed in any criminal case under investigation or trial CERTIFICATE I undertake that I will uphold the honour and dignity of our Nation and will not indulge in any act prejudicial to the integrity and sovereignty of our Country during my travel and stay abroad. SIGNATURE OF THE APPLICANT

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Are the particulars furnished by the applicant correct as per information available with the department Whether the presence of the applicant outside India, may or likely to, prejudice the

friendly relations of India with any foreign country. Whether the applicant at any time during the period of five years immediately preceding the date of his application, been convicted by a court in India for any offence involving moral turpitude and sentenced in respect thereof to imprisonment for not less than two years? Whether any proceedings in respect of an offence alleged to have been committed by the applicant are pending before a criminal court in India. Whether any warrant or summons for the appearance of warrant for the arrest of applicant has been issued by a court under any law for the time being in force or whether an order prohibiting the departure from India of the applicant has been made by any such court. Whether the applicant has been repatriated and