Passport : Concierge Service (Personal Info Form)
This form is to advise Visa And More that you are requesting the Passport documentation. In order to properly process your request, please submit this form and submit your other documents as per the check list. The applicant do solemnly and sincerely declare that the particulars stated here are true, and the applicant make this solemn declaration conscientiously believing the same to be true.

Visa And More Concierge Service provides you a Concierge Specialist to manage the entire application process including document preparation and review, upgraded shipping, priority submission and more beginning within 4 business hours of your request. It's a complicated world out there. Let us simplify it for you.

From start to finish, you are assigned a Concierge Specialist, making sure all complications are minimized and that every document is prepared correctly. Concierge Specialist ensures that every step of the process is being watched and that you can go about your day with confidence that your passport and/or visa request is in the best possible hands. Once a request is made, Visa And More's Concierge Service begins by assigning a dedicated Specialist who will reach out to you to discuss your needs and make the process as simple, quick and hassle free.

Additional Concierge Service Highlights:

Assistance with document preparation and review to minimize any rejections or delays;
Application forms completed and delivered for signature;
Secondary personal review of all documents prior to submission;
Review and recommendation of most appropriate visa and service level based on needs;
Personalized updates during all phases of the process via preferred method of contact;
Visa And More Concierge Service — Additional fee per traveler: $195 in addition to US State Department/foreign consular fees. $75 per additional destination/service.

For questions : Call 832-413-3669 OR Email : services@thevisaandmore.com

Email address *
1. Are you applying as *
1.1 Have you ever applied for Asylum? *
1.2 Marital status *
4. Have you ever applied for Asylum?
Addition/Deletion of Spouse Name
5. Do you want to add/delete spouse's name? *
Applicant's Information
6. Full Name (As per current passport) *
Your answer
6.1 Aliases/Previous Name, if any
Your answer
7. Gender *
8. Place of Birth (As on current passport) *
Your answer
8.1 District/Country of Birth
Your answer
8.2 Date of Birth *
MM
/
DD
/
YYYY
9. Present Passport Number *
Your answer
9.1 Date of Issue of Passport *
MM
/
DD
/
YYYY
9.2 Place of Issue of Passport *
Your answer
9.3 File No (See the last page of your passport) *
Your answer
9.4 Date of Expiry of Passport *
MM
/
DD
/
YYYY
10. Proof of legal status in USA *
11. Are any criminal proceedings pending against you in any court in India or in the USA? *
11.1 Are you a Refugee?
12. Mobile Number *
Your answer
13.Profession/Occupation (What do you do?)
14. Visible Marks (if you do not have any, Type "None") *
Your answer
13. Service Desired *
14. Qualification *
15. Date of Leaving India *
MM
/
DD
/
YYYY
16. Residing at present address in USA since *
MM
/
DD
/
YYYY
17. Period of Stay Abroad (Years and Months) *
Your answer
19. Full Name of Applicant's Father *
Your answer
20. Full Name of Applicant's Mother *
Your answer
21. Full Name of Spouse
Your answer
22. Current Address in USA *
Your answer
22.1 Permanent Address in India *
Your answer
22.2 Address to be printed on Passport (Address proof required)
23. Name and address of FIRST relative/friend in India *
Your answer
23.1 Name and address of SECOND relative/friend in India *
Your answer
24. Name and address of travel agent involved in sending the individual abroad (Write "NONE" if not applicable)
Your answer
25. My appearance has changed
26. My signature has changed
27. Height (in centimeters) *
Your answer
27.1 Color of Eyes *
Your answer
27.2 Color of Hair *
Your answer
28. Nationality of Spouse
Your answer
29. Father's Country of Birth *
Your answer
29.1 Father's Nationality at the time of applicant's Birth *
Your answer
30. Mother's Country of Birth *
Your answer
30.1 Mother's Nationality at the time of Applicant's Birth *
Your answer
31. Name and Address of person to be intimated in the event of death or accident *
Your answer
32. Driving License No
Your answer
32.1 Date of Issue of Driving License
MM
/
DD
/
YYYY
32.2 Place/State of issue of Driving License
33. When was applicant in India last? *
MM
/
DD
/
YYYY
34. Present Emigration Status
35. Business/Work Address with Phone No *
Your answer
36. If citizen of India by *
37. Did applicant ever possess any other nationality or travel document of any other country? If so please give details
Your answer
38. Was applicant ever refused an Indian Passport? *
39. Was applicant’s passport ever impounded/revoked? If so, details please. *
40. NAME and ADDRESS of FIRST friend/relative in USA *
Your answer
40.1 NAME and ADDRESS of SECOND friend/relative in USA *
Your answer
41. Is applicant in Govt. Service/PUS/SBS of India? If so, Please give details and enclose‘No objection Certificate’ from your employer in original
Your answer
42. Are any criminal proceedings pending against applicant in any court in India? If so, please give details
Your answer
42.1 Has applicant ever been repatriated from abroad to India at the expenses of the Govt. of India ? If so, details please
Your answer
In case applying In Lieu of Damaged/Lost Passport
43. No. of lost/damaged passport
Your answer
43.1 Place of issue
Your answer
43.2 Date of issue
MM
/
DD
/
YYYY
43.3 Valid until
MM
/
DD
/
YYYY
43.4 Briefly state circumstances of loss/theft/damage of passport on a plain paper and attach copy of report lodged with local police in case of loss/theft
Your answer
43.5 Give details of restriction, if any, put on applicant’s damaged/lost passport.
Your answer
43.6 Did applicant avail transfer of residence, foreign travel scheme facility on lost/damaged passport? If so ,details please
Your answer
44. Is applicant registered with Indian Mission/Post ? If not, is he/she a member of any Indian Organisation ?
In case requesting passport service for minor, following passport particulars of both parents must be given:
45. Particulars of children, if any, to be deleted (Name, Place & Date of Birth, Male/Female)
Your answer
45.1 Mother's Passport No
Your answer
45.2 Mother's Passport Date of Issue
MM
/
DD
/
YYYY
45.3 Mother's Passport Place of Issue
Your answer
45.4 Father's Passport No
Your answer
45.5 Father's Passport Date of Issue
MM
/
DD
/
YYYY
45.6 Father's Passport Place of Issue
Your answer
45.7 If parents have applied for a passport, please give File No & date of Mother's Passport
Your answer
45.8 If parents have applied for a passport, please give File No & date of Father's Passport
Your answer
46. Declaration of Parents or Guardian if passport is for minor : (To be signed by both Parents or Guardian)We affirm that the particulars given above are in respect of (Name)Son / daughter of Smt………………………………….Sh……………………………………………..of whom we are the Parents / Guardian.We undertake the entire responsibility for his/her expenses.We solemnly declare that he/she has not lost,surrendered or been deprived of his/her citizenship of India and that the information given in respect of him/her in this application is true. It is also certified that the name of the child mentioned is not included in passport of either parent
47. I confirm that the particulars given above are true and correct to the best of my knowledge and belief. *
Upload Documents
Please send the following documents to services@thevisaandmore.com separately:
Today's Date *
MM
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