Identity Certificate Form

Please submit one copy of each of the following documents, preferably in the same order:
Proof of Address in India
Proof of Date of Birth
Registration Certificate issued by FRRO/ FRO to the parents in case of minor applicants
Registration Certificate issued by FRRO/ FRO to the applicant
Recommendation Letter from the Bureau of His Holiness the Dalai Lama (HHDL), New Delhi in case of applicants who are Tibetan Refugees
IC Application Form duly filled and signed in ink
Documents Required
Please paste a coloured photograph (4.5 cm X 3.5 cm) with white background in the box provisioned for photograph in the printed application form.
Stateless people residing in India need to apply at the passport office within whose jurisdiction they currently reside in.
Tibetan Refugees residing in India need to apply at RPO Delhi.
Please read the following instructions related to documentary requirements and other details for Identity Certificate applications:
Identity Certificate (IC) is normally issued to Tibetan Refugees residing in India, from the Regional Passport Office, Delhi (RPO Delhi) on recommendation by the Bureau of His Holiness the Dalai Lama (HHDL), New Delhi. In addition to Tibetan refugees, Stateless people residing in India may also apply for Identity Certificate at the Passport Office within whose jurisdiction they are currently residing. IC issuance is subject to clearance by Ministry of External Affairs (Consular, Passport and Visa (CPV) PV-III division). In addition, clearance by State Government (Department of Home Affairs / Police) / FRRO is also required for grant of No Objection to Return to India (NORI) to be stamped on the Identity Certificate.
How to Apply for Identity Certificate
Where to Apply
Photograph
Note: Passport Office may demand additional documents relevant to your specific case, if required.
File Number (For Office Use Only)
GOVERNMENT OF INDIA, MINISTRY OF EXTERNAL AFFAIRS
IDENTITY CERTIFICATE FORM
Please fill this form in CAPITAL LETTERS using blue/ black ink ball point pen only. Furnishing of incorrect information/ suppression of information would lead to rejection of the application and would attract penal provisions as prescribed under the Passports Act, 1967. Please produce your original documents at the time of submission of the form.
1. Service Required
1.1 Applying for
Fresh Identity Certificate
Re-issue of Identity Certificate
1.2 If re-issue, specify reason(s)
Validity Expired within 3 years/ Due to Expire
Validity Expired more than 3 years ago
Change in Existing Personal Particulars
Exhaustion of Pages
Lost Passport
Damaged Passport
1.3 If change in existing personal particulars, specify reason(s)
Appearance
Date of Birth
Others, Please specify
Signature
Spouse Name
Given Name
Address
Surname
Please paste your unsigned recent colour photograph with white background of size 4.5cm X 3.5cm
Signature/ Left Hand Thumb Impression of Illiterate Applicant and Minors who cannot sign
2. Applicant Details
No
Yes
2.2 Are you known by any other name (alias)?
2.1 Applicant's Given Name (Given Name means First name followed by Middle name (If any))(Initials not allowed)
Surname
Alias Name, Given Name
If Yes, provide details below
Alias Name, Surname
Yes
If Yes, provide details below
No
2.3 Have you ever changed your name?
Previous Name, Given Name
Previous Name, Surname
Male
Female
2.4. Gender
Married
Single
2.11. Marital Status
Divorced
Widow/ Widower
Separated
2.15. Employment Type
Self Employed
Others
Homemaker
Not Employed
Retired-Private Service
Private
Student
Between 6th and 9th Standard
5th pass or less
2.16. Educational Qualification
10th pass and above
Graduate and above
2.5. Date of Birth (DD-MM-YYYY)
-
-
2.6. Place of Birth
Village/Town/City
District (If born in India)
State/UT (If born in India)
Country (If born abroad)
2.12. Place/Country of Origin
2.10. Visible Distinguishing Mark
Black
2.9. Colour of Hair
Brown
Grey
White
Others (Specify)
Others (Specify)
Green
Blue
Brown
Black
2.8. Colour of Eyes
3. Family Details
Surname
2.7. Height of applicant ( in cm )
2.13. Registration Certificate (RC) Number
Mother's/ Legal Guardian's RC Number
Father's/ Legal Guardian's RC Number
(For minors only)
(For minors only)
3.1 Father's Given Name (Given Name means First name followed by Middle name (If any))(Initials not allowed)
2.14. Aadhaar Number

3.5 If applicant is minor, provide following details
Parent's Identity Certificate (IC) Details
(If IC has been applied for but not received, give File Number)
Father/ Legal Guardian's IC/ File Number Mother/ Legal Guardian's IC/ File Number
4. Present Residential Address Details (Where applicant presently resides)
3.6 Period of Stay in India
Surname
Surname
Surname
Since birth
Others (specify)
Years
Months
Village or Town or City
Police Station
District (If born in India)
State/UT (If born in India)
PIN
Mobile Number
Telephone Number
E-mail ID
House No. and Street Name
3.2. Mother's Given Name (Given Name means First name followed by Middle name (If any))(Initials not allowed)
3.3 Legal Guardian's Given Name (If applicable) (Initials not allowed) allowed)
3.4 Spouse's Given Name (Given Name means First name followed by Middle name (If any))(Initials not allowed)

5. Is Permanent address same as present address?
If No, provide details in Column 5.1 below
No
Yes
5.1 Permanent Residential Address Details
Telephone Number
PIN
State/UT
Police Station
District Village or Town or City
Country
6. Countries for which Identity Certificate is required
6.1 Purpose of Visit
Study
Others (Specify)
Employment
Pilgrimage
Tourism
Business
Name and Address (Mention address only if different from present residential address)
7. Emergency Contact Details
5.2 Permanent Address Abroad
House No. and Street Name
Mobile Number
Telephone Number
E-mail ID
(iv)
(ii)
(iii)
(i)
Page 6 of 6
8.1 Details of latest held/ existing/ lost/ damaged Identity Certificate
8. Previous Identity Certificate/ Application Details
-
-
-
-
Date of Expiry (DD-MM-YYYY)
Date of Issue (DD-MM-YYYY)
Identity Certificate Number
Place of Issue
8.2 Have you ever applied for Identity Certificate, but not issued?
If Yes, provide the following details below
No
Yes
9. Fee amount in (Rs)
Name of passport office where applied
-
Month and Year of applying
File Number
(viii)
(x)
(v)
(ix)
(iv)
(iii)
(vii)
(ii)
(vi)
(i)
10. Enclosures
11. Self Declaration
(i) I am
Stateless
Nationality.
/ of
(ii) I have not obtained an Indian/ Foreign travel document before because
(iii) The information given by me in reply to the questions in this form is true.
I am aware of the terms and conditions of issue of Identity Certificate and if I do not return to India before final expiry of the validity of the Certificate of Identity, I shall lose my claim to obtain any Indian travel documents and I shall approach the country of any residence for obtaining travel documents on the grounds that I have shifted my residence from India to that country.
Place
-
-
Date (DD-MM-YYYY)
Signature/ Left Hand Thumb Impression of Applicant (If applicant is minor, either parent to sign)
I solemnly declare that :-