Consulate General of India Guangzhou

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CONSULATE GENERAL OF INDIA

GUANGZHOU
 
Tel: 00‐86‐20‐85501501‐05 
Fax: 00‐86‐20‐85501510/85501513 
Email: cons.guangzhou@mea.gov.in 
 
 
TO BE FILLED UP BY APPLICANTS WHOSE PASSPORTS ARE ISSUED BY  
OTHER PASSPORT ISSUING AUTHORITIES  
 
1. Name: _______________________________________________________ 

S/O, D/O, W/O _________________________________________________ 
Affix one
2. Date of Birth: ______________ Place of Birth: ______________________   Passport size
  photo here
3. Permanent Address: ___________________________________________ 

_______________________________________________________________ 
 
4. Address in China with Tel. No. : ________________________________________ 
 
5. Passport No. ____________________                     Date of Issue: _______________  
 
    Place of Issue: _______________                                 Valid until: _______________ 
 
6. Service Required: ‐ (Please put tick mark) 
 
(a)      Re‐issue of Passport in lieu of Final Validity expired Passport.  
(b)      Re‐Issue of Passport due to change in appearance / Name  
(c)       Extension of Validity of Passport 
(d)       PCC / Change of Address  

(Signature of the applicant)


 
 
FOR OFFICE USE ONLY 
 
No. Guan/Cons/405/  /2008         Date: _______________ 
 
Forwarded to RPO / El/ HCI / CGI ______________________________ with the 
request to confirm the passport particulars and communicate your objection, if any, in 
rendering the required service.  
 
 

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