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GSR 570 DTD 25.08.93 PDF

The document is an undertaking form for a passport applicant. It requests information about the applicant's name, mother's name, present address, and passport number if available. It also asks the applicant to provide details of any pending criminal cases against them, including the case number, name of court, and investigating agency details. The applicant must undertake to appear before the relevant court if required during the validity period of the issued passport.

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0% found this document useful (0 votes)
421 views1 page

GSR 570 DTD 25.08.93 PDF

The document is an undertaking form for a passport applicant. It requests information about the applicant's name, mother's name, present address, and passport number if available. It also asks the applicant to provide details of any pending criminal cases against them, including the case number, name of court, and investigating agency details. The applicant must undertake to appear before the relevant court if required during the validity period of the issued passport.

Uploaded by

mayank.dce123
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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UNDERTAKING

(to be submitted on plain paper as per provisions of GSR. 570(E) dated 25.03.1993)

I am applying/have applied for passport with the following


details:

(a) Name

(d) Mother's Name :


(e) Present Address :

(if available)

2. The criminal case(s) with following details is/ are pending


against me:

(a) Case No
(b) Name of Court
(c) Details of Investigating
Agency
(Please provide details of Police
Station/ Investigating Officer, etc.)
(d) Last date of hearing

3. I
hereby undertake that I shall, if required by the court
concerned, appear before it at any time during the continuance in
force of the passport so issued.

(Signature of the Passport applicant)


Name
Contact no.:
Date:
Place:

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