Islamic Republic of Afghanistan
نﺎﺘﺴﻧﺎﻐﻓا ﯽﻣﻼﺳا یرﻮﻬﻤﺟ
Passport Application Form
ﻣرﻮﻓترﻮﭙﺳﺎﭘ ﺖﺳاﻮﺧرد
Personal Details
ﻞﻤﮑﻣ تﺮﻬﺷ
Title:
ﺐﻘﻟ:
Family Name:
ﯽﮔداﻮﻧﺎﺧ ﻢﺳا:
Given Names:
ﻢﺳا:
Father’s Full Name:
رﺪﭘ ﻞﻤﮑﻣ ﻢﺳا:
Grandfather’s Full Name:
نﻼﮐرﺪﭘ ﻞﻤﮑﻣ ﻢﺳا:
Date of Birth (Gregorian): DD / MMM / YYYY
ﺪﻟﻮﺗ ﺦﻳرﺎﺗ)ﯽﺴﻤﺷ یﺮﺠه(: زور / ﻩﺎﻣ / لﺎﺳ
Place of Birth details:
تﺎﻴﺋﺰﺟ ﺪﻟﻮﺗ ﻞﺤﻣ
- Country:
-؛ﺖﮑﻠﻤﻣ
- Province / State:
-ﻳﻻو ؛ﺖ
- District / Suburb:
-ﯽﻟاﻮﺴﻟو / ؛ﻪﻴﺣﺎﻧ
- Village:
-؛ﻪﻳﺮﻗ
Marital Status: Single Engaged
Married Separated Widow / Widower
Divorced
دﺰﻣﺎﻧ دﺮﺠﻣ ﯽﻧﺪﻣ ﺖﻟﺎﺣ :
ﻩدﺮﻤﻧز/ﻩﻮﻴﺑ
ﻩﺪﺷ اﺪﺟ ﻞهﺎﺘﻣ
ﻩﺪﺷ قﻼﻃ
Gender: Female Male Unknown
مﻮﻠﻌﻣﺎﻧ ﺮﮐﺬﻣ ﻧﻮﻣ ﺲﻨﺟ:
Child: (Under 18 Years) Yes No
ﯽﻧ ﻠﺑ ﻞﻔﻃ) :ﺮﻳزﻦﺳ 18(
Country of Residence:
ﺖﻣﺎﻗا ﻞﺤﻣ ﺖﮑﻠﻤﻣ:
Other Nationalities:
ﺖﻴﻌﺑﺎﺗﺮﮕﻳد یﺎه :
Height (cm):
ﺪﻗ) ﻪﺑﺮﺘﻣ ﯽﺘﻧﺎﺳ:(
Hair Colour: Black Blonde Brown
Red Grey Brunette
ﯽﻳﺎﻣﺮﺧ درز ﻩﺎﻴﺳ ﮓﻧر ﻮﻣ :
ﯽﮑﺸﻣ
ﺪﻴﻔﺳ خﺮﺳ
Eye colour: Blue Brown Green
Grey Hazel Other
ﺰﺒﺳ ﯽﻳﺎﻣﺮﺧ ﯽﺑﺁ ﻢﺸﭼ ﮓﻧر :
ﺮﮕﻳد ﯽﻗﺪﻨﻓ یﺮﺘﺴﮐﺎﺧ
Other Distinguishing Marks:
ﻼﻋﻢﺋﺮﮕﻳد ﻪﻗرﺎﻓ :
Contact Details
تﺎﻴﺋﺰﺟسﺎﻤﺗ :
Current Address:
ﯽﻠﻌﻓ سردﺁ:
Previous Address:
ﯽﻠﺒﻗ سردﺁ:
Email Address:
ﯽﻗﺮﺑ ﺖﺴﭘ:
Mobile: Work Tel:
ﻤه نﻮﻔﻠﻴﺗﻩاﺮ :رﺎﮐ ﻞﺤﻣ نﻮﻔﻠﻴﺗ :
Home Tel: Fax:
لﺰﻨﻣ نﻮﻔﻠﻴﺗ :ﺲﮑﻓ:
Employment Details
ﻪﻔﻴﻇو تﺎﻴﺋﺰﺟ
Occupation:
ﻞﻐﺷ:
Employer:
ﺎﻣﺮﻓرﺎﮐ:
Employers Address:
ﺎﻣﺮﻓرﺎﮐ سردﺁ:
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Previous Employer:
ﯽﻠﺒﻗ یﺎﻣﺮﻓرﺎﮐ:
Employers Address:
ﺎﻣﺮﻓرﺎﮐ سردﺁ:
Other Details
ﺮﮕﻳد تﺎﺼﺨﺸﻣ
Passport Type: Ordinary Diplomatic Service
ﺖﻣﺪﺧ ﺎﻴﺳ ﯽﺳ یدﺎﻋ ترﻮﭙﺳﺎﭘ عﻮﻧ :
If Diplomatic Passport or Service Passport, please enter your Job Title:
ﺗرﻮﺻ رد ؛ﺪﻴﻳﺎﻤﻧ جرد ار دﻮﺧ مﺎﻘﻣ ﺎﻔﻄﻟ ،ﺪﺷﺎﺑ ﺖﻣﺪﺧ ﺎﻳ ﯽﺳﺎﻴﺳ ترﻮﭙﺳﺎﭘ ﻪﮐ
Identification: Identity Card Marriage Certificate Birth Certificate Passport
ترﻮﭙﺳﺎﭘ ﺪﻟﻮﺗ ﯽهاﻮﮔ جاودزا ﻖﻳﺪﺼﺗ ﺖﻳﻮه ترﺎﮐ : ﺺﻴﺨﺸﺗ ﺖﻳﻮه
Have you ever had an Afghan passport? Yes No
ﯽﻧ ﯽﻠﺑ ﯽهﺎﮔ ﺎﻳﺁ ﻧﺎﻐﻓا ترﻮﭙﺳﺎﭘ ﺘﺷاد ا ؟ﺪﻳ
If yes, please provide:
ﺂﻔﻄﻟ ،ﺪﻴﺘﺷاد ﺮﮔاتﺎﻴﺋﺰﺟ ار ﻞﻳذ ﻞﻴﻤﮑﺗ؛ﺪﻴﺋﺎﻤﻧ
Previous Passport Number:
ﯽﻠﺒﻗ ترﻮﭙﺳﺎﭘ ﻩرﺎﻤﺷ ؛
Passport Type:
ترﻮﭙﺳﺎﭘ عﻮﻧ؛
Issue Date:
روﺪﺻ ﺦﻳرﺎﺗ؛
Expiry Date:
ﺎﻀﻘﻧا ﺦﻳرﺎﺗ؛
Place of Issue (In English and Dari):
روﺪﺻ ﻞﺤﻣ ؛)ﯽﺴﻴﻠﮕﻧا و یرد ﻪﺑ(
Do you have a criminal record? Yes No
ﯽﻧ ﯽﻠﺑ ؟ ﺪﻳراد ﯽﻳﺎﻨﺟ ﻪﻘﺑﺎﺳ ﺎﻳﺁ
If Yes, please provide details: (attach separate sheet i more
room is required
f
)
ﺂﻔﻄﻟ ،ﻦﺘﺷاد ترﻮﺻ رد؛ﺪﻴهد ﺢﻳﺮﺸﺗ ) ﯽﻓﺎﮐ یﺎﺟ ﺮﮔا رد ﺖﺴﻴﻧ
و ﻪﺘﺷﻮﻧ ﻪﻧﺎﮔاﺪﺟ قروﺪﻴﻳﺎﻤﻧ ﻪﻤﻴﻤﺿ (
Purpose of Travel: Business Convention / Conference Education Employment
رﺎﮐ ﻞﻴﺼﺤﺗ ﺲﻧاﺮﻔﻧﺎﮐ / نﻮﻴﺴﻨﻳﻮﻧﺎﮐرﺎﺠﺗ تتﺮﻓﺎﺴﻣ فﺪه
Exhibition Visiting Friends / Family Holiday Other
نﺎﺘﺳود ﺎﺑ راﺪﻳد ﯽﺘﺼﺧر نﺪﻧارﺬﮔ ﺮﮕﻳد/ﻩﺎﮕﺸﻳﺎﻤﻧ ﻩداﻮﻧﺎﺧ
I declare that:
- to the best of my knowledge and belief I am an Afghan Citizen
- the statements made in this application are true and correct
ﻞﻣﺎﮐ ﯽهﺎﮔا ﺎﺑﻪﮑﻨﻳا مراﺪﻴﻣ راﺮﻗا:
- ﻢﺘﺴه نﺎﻐﻓا ﺪﻧوﺮﻬﺷ ﮏﻳ ﻦﻣ
-ﻦﻣ تارﺎﻬﻇا ﺪﺷﺎﺒﻴﻣ ﺖﺳرد و ﺖﺳار ﺖﺳاﻮﺧرد ﻦﻳرد
Signature:
(please sign within the box)
)تﺎﮐﻮﭼ ﻞﺧاد رد ﺂﻔﻄﻟﺪﻴﺋﺎﻤﻧ ﺎﻀﻣا ﻞﻳذ ( ﺎﻀﻣا
Date: DD / MMM / YYYY
ﺦﻳرﺎﺗ لﺎﺳ / ﻩﺎﻣ / زور :
Passport Photograph:
ترﻮﭙﺳﺎﭘ ﺲﮑﻋ
Note: The photograph must comply with guidelines.
تﻮﻧ :ﺪﺷﺎﺑ ﺎه دﻮﻤﻨهر ﻪﺑ ﻖﺑﺎﻄﻣ ﺪﻳﺎﺑ ﺲﮑﻋ .
Please Attach
Photo Here
ﺎﺟ ﻦﻳرد ار ﺲﮑﻋ ﺎﻔﻄﻟ
ﺪﻴﻳﺎﻤﻧ قﺎﺼﻟا
Guarantor must
endorse the photo
(
ﺲﮑﻋ رد ﺪﻳﺎﺑ ﻩﺪﻨﻨﮐ ﺖﻧﺎﻤﺿ
ﺪﻳﺎﻤﻧ ﻖﻳﺪﺼﺗ
This is a true photo of:
ﻳاﯽﻌﻗاو ﺲﮑﻋ ﺖﺳا
------------------------------
(name of applicant)
)ﻩﺪﻨﻨﮐ ﺖﺳاﻮﺧرد ﻢﺳا
------------------------------
(signature of guarantor)
)ﺪﻨﻨﮐ ﺖﻧﺎﻤﺿ ﺎﻀﻣا(
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Islamic Republic of Afghanistan
نﺎﺘﺴﻧﺎﻐﻓا ﯽﻣﻼﺳا یرﻮﻬﻤﺟ
Passport Application Form
ترﻮﭙﺳﺎﭘ ﯽﺘﺳاﻮﺧرد مرﻮﻓ
OFFICE USE ONLY
ﯽﻤﺳر ﻩدﺎﻔﺘﺳا یاﺮﺑ
RECEIVING OFFICE:
ﻩﺪﻧﺮﻴﮔ ﺮﺘﻓد
PROOF OF IDENTITY
ﺖﻳﻮه ﺖﻴﺒﺜﺗ
TYPE:
عﻮﻧ
DOCUMENT NUMBER:
ﺪﻨﺳ ﻩرﺎﻤﺷ
ISSUED BY:
ﻩﺪﻨﻨﮐ ردﺎﺻ
 Certified Copy Supplied
ﻩﺪﺷ ﻖﻳﺪﺼﺗ ﯽﭘﺎﮐ ﺪﺷ ﺖﻓﺎﻳرد
 Original Document Sighted
ﺪﺷ ﻩﺪﻳد ﯽﻠﺻا ﺪﻨﺳ
PROOF OF RESIDENCY:
ﺖﻣﺎﻗا ﻞﺤﻣ ﺖﻴﺒﺜﺗ
 Supplied
ﺪﺷ ﺖﻓﺎﻳرد
Authorising Body:
ﻊﺟﺮﻣﻩﺪﻨﻨﮐ ﺐﻳﻮﺼﺗ
INTERVIEW
ﻪﺒﺣﺎﺼﻣ
BY:
ﻂﺳﻮﺗ
LOCATION:
ﻞﺤﻣ
Comments:
تﺎﺤﻴﺿﻮﺗ
Signature of Interviewer:
ﻩﺪﻨﻨﮐ ﻪﺒﺣﺎﺼﻣ ﺎﻀﻣا
Date:
ﺦﻳرﺎﺗ
Islamic Republic of Afghanistan
نﺎﺘﺴﻧﺎﻐﻓا ﯽﻣﻼﺳا یرﻮﻬﻤﺟ
Passport Application Form
ترﻮﭙﺳﺎﭘ ﯽﺘﺳاﻮﺧرد مرﻮﻓ
PASSPORT ISSUED: Yes No
ﯽﻧ ﯽﻠﺑ ﻳدﺮﮔ ردﺎﺻ ترﻮﭙﺳﺎﭘ
PASSPORT NUMBER:
ترﻮﭙﺳﺎﭘ ﻩرﺎﻤﺷ
ISSUED BY:
ﻂﺳﻮﺗ ﺪﻳدﺮﮔ ردﺎﺻ
ISSUING OFFICE:
ﻩﺪﻨﻨﮐ ردﺎﺻ ﺮﺘﻓد
DATE:
ﺦﻳرﺎ
COLLECTED BY:
ﻂﺳﻮﺗ ﺪﺷ ﺖﻓﺎﻳرد
(Note, if collected by someone other than the applicant, written authorisation must be provided by
the applicant and retained on file)
)ﻮﺷ ﻢﻴﻠﺴﺗ ﺪﻨﻨﮐ ﺖﺳاﻮﺧرد زا ﯽﮔﺪﻨﻳﺎﻤﻧ ﻪﺑ ار ترﻮﭙﺳﺎﭘ ﺪﻧاﻮﺘﺑ یﺮﮕﻳد ﺺﺨﺷ ﻪﮑﻧﺁ ﺮﻃﺎﺨﺑ ،ﺖﺷاددﺎﻳ زا ﯽﺒﺘﮐ ﻪﻣﺎﻧ ﻩزﺎﺟا ﺪﻳﺎﺑ ،د
دراﺪﺑ ﻪﻳارا ﻩﺪﻨﻨﮐ ﺖﺳاﻮﺧرد .ددﺮﮕﻴﻣ ﻪﻃﻮﺑﺮﻣ ﻪﻴﺳود ﺪﻴﻗ ًا ﻪﻣﺎﻧ ﻩزﺎﺟا.