Application Form E
Application Form E
ISSUED FREE
For office use only
DEPARTMENT OF IMMIGRATION AND EMIGRATION
PLEASE TURN OVERLEAF FOR INSTRUCTIONS. FORM IM 35 C SHOULD BE USED FOR INCLUSION
OR DELETION OF THE NAMES OF CHILDREN.
(ii) Surname
(B) Mark (√ ) in the relevant cage/s only if you want to amend same and furnish information
I certify that the above particulars are true and correct to the best of my knowledge and request that my travel
document be endorsed accordingly.
This form should be correctly filled and forwarded if the validity of a passport should be extended
and the details contained therein be amended or new details be included. Form IM '35' C should
be used for the inclusion or deletion of the names of children below 16 years of age in a travel
document. Please note, that if the signature/photograph is to be changed a new passport should be
applied for. Documents should be produced with photostat copies.
(A) The passport number, name, permanent address should be filled in by the applicant.
(B) (i) If it is necessary to amend the surname or other names in the travel document or
to change the name after marriage, please write the manner in which the
amendment should be made. The certificate of birth /marriage in proof, should be
forwarded.
(ii) Write the manner in which the profession/designation or job description should
be included/amended. Document/certificate in proof should be forwarded.
(iii) If your identity card number is not included in the travel document, or the
number has since changed, write the new identity card number and submit same.
(iv) Write in the cage the number of years for which the period of validity should be
extended. The passport is valid for five years and can be renewed for a maximum
of another 05 years. An identity certificate/emergency certificate is valid for 02
years from the date of issue and can be renewed for a maximum of another 02
years. The fee for renewal is Rs. 200.00 per year.
(v) If a passport has been issued with a restricted endorsement and whenever such
endorsement has to be amended/deleted please submit along with relevant
supporting documents.
(vi) Any other amendments. Please specify.
Fees: The fee for each endorsement except for the extension of the period of validity is Rs.
500.00. Fees are subject to revision. Make payments to the relevant counter and obtain a receipt.
Please retain same for future references.