To DDE office

APPLICATION FOR NO OBJECTION CERTIFICATE FOR OBTAINING INDIAN PASSPORT

 

1. Name of applicant    :        
   
2. Date of birth    :    
   
3. Designation with name of office    :
   
4. (a) Pay and scale of pay    :    
   

   (b) Weather regular or temporary    :
   

   5.    Date of commencement of continuous service    :
   

   6.     Father's name    :
   

   7.     Permanent residential or home address    :
   

   
    

   
    

5. Place proposed to be visited    :
   
6. purpose of visit    :
   
7. If it is for seeking employment, weather a declaration
   

   to the effect that he will either resign his job or will
   

   take prior permission from Govt. before leaving
   

   abroad has been attached.    :
   

8. Address at the place of visit
   
9. Whether any disciplinary action is pending or contemplated against the individual.        :
   
10. Whether any vigilance case is pending or contemplated against him                                                 
    
11. Whether there are grounds to believe that the applicant could figure adversely on the security of Government.    :
    
12. Whether any liabilities including loans and advances paid to the applicant from Govt. are pending for settlement, if so the details    :
    
13. Whether the applicant is under any contractual obligation, bonded or not bonded with Government, if so details.    
    

    
     

    
     

    I solemnly affirm that the information given above is correct to the best of my knowledge and belief.
    

    Place:
    

    Date:                    Signature of applicant.
    

    
     

    Certified that the above given information are verified and found correct. The application is recommended.
    

    
     

    Place:
    

    Date:            
    

    
     

         Signature of Head of office with Designation