Islamic Republic of Afghanistan
ﺟﻤﮭﻮری اﺳﻼﻣﯽ اﻓﻐﺎﻧﺴﺘﺎن
Passport Application Form
ﻓﻮرﻣﮫ درﺧﻮاﺳﺖ ﭘﺎﺳﭙﻮرت
Personal Details ﺷﮭﺮت ﻣﮑﻤﻞ
Title : : ﻟﻘﺐ
Family Name: EBADI ﻋﺑﺎدی:اﺳﻢ ﺧﺎﻧﻮادﮔﯽ
Given Names: MUHAMMAD HAMZA ﻣﺣﻣد ﺣﻣزه:اﺳﻢ
Father’s Full Name: MASIHULLAH EBADI ﻣﺳﯾﺢ هللا ﻋﺑﺎدی:اﺳﻢ ﻣﮑﻤﻞ ﭘﺪر
Grandfather’s Full Name: EBADULLAH EBADI ﻋﺑﺎد هللا ﻋﺑﺎدی:اﺳﻢ ﻣﮑﻤﻞ ﭘﺪرﮐﻼن
Date of Birth (Gregorian): 3 December 2019 1398 ﻗوس12 :(ﺗﺎرﻳﺦ ﺗﻮﻟﺪ )هﺠﺮی ﺷﻤﺴﯽ
Place of Birth details: ﺟﺰﺋﻴﺎت ﻣﺤﻞ ﺗﻮﻟﺪ
- Country: TURKEY ﻣﻤﻠﮑﺖ؛ ﺗرﮐﯾﮫ-
- Province / State: ANKARA وﻻﻳﺖ؛ اﻧﻘره-
- District / Suburb: MAMAK ﻧﺎﺣﻴﻪ؛ ﻣﻣﺎک/ وﻟﺴﻮاﻟﯽ-
- Village: EKIN MAHALASI ﻗﺮﻳﻪ؛ اﯾﮑن ﻣﺣﻠﮫ ﺳﯽ-
Marital Status: Single Engaged ﻧﺎﻣﺰد ﻣﺠﺮد :ﺣﺎﻟﺖ ﻣﺪﻧﯽ
Married Separated Widow / Widower
ﺑﻴﻮه/زﻧﻤﺮده ﺟﺪا ﺷﺪﻩ ﻣﺘﺎﻫﻞ
Divorced ﻃﻼق ﺷﺪﻩ
Gender: Female Male Unknown ﻧﺎﻣﻌﻠﻮم ﻣﺬﮐﺮ ﻣﻮﻧﺚ :ﺟﻨﺲ
Child: (Under 18 Years) Yes No ﻧﯽ ﺑﻠﯽ (18 )زﻳﺮ ﺳﻦ:ﻃﻔﻞ
Country of Residence: TURKEY ﺗرﮐﯾﮫ:ﻣﻤﻠﮑﺖ ﻣﺤﻞ اﻗﺎﻣﺖ
Other Nationalities: :ﺗﺎﺑﻌﻴﺖ هﺎی دﻳﮕﺮ
ﺳﺎﻧﺗﯽ ﺳﺎﻧﺗﯽ
Height (cm): 51 51 :(ﻗﺪ )ﺑﻪ ﺳﺎﻧﺘﯽ ﻣﺘﺮ
Hair Colour: Black Blonde Brown ﺧﺮﻣﺎﻳﯽ زرد ﺳﻴﺎه :رﻧﮓ ﻣﻮ
Red Grey Brunette ﻣﺸﮑﯽ ﺳﻔﻴﺪ ﺳﺮخ
Eye colour: Blue Brown Green ﺳﺒﺰ ﺧﺮﻣﺎﻳﯽ آﺑﯽ :رﻧﮓ ﭼﺸﻢ
Grey Hazel Other دﻳﮕﺮ ﻣﻴﺸﯽ ﺧﺎﮐﺴﺘﺮی
Other Distinguishing Marks: :ﻋﻼﺋﻢ ﻓﺎرﻗﻪ دﻳﮕﺮ
Contact Details :ﺟﺰﺋﻴﺎت ﺗﻤﺎس
Current Address: اﻧﻘره/ﻣﻣﺎک،6# ﻣﻧزل،1592 ﺳرک، اﯾﮑن ﻣﺣﻠﮫ ﺳﯽ:ﺁدرس ﻓﻌﻠﯽ
Ekin Mah. 1592 Sok. No.6/3 Mamak/Ankara /ﻣﻣﺎک،6# ﻣﻧزل،1592 ﺳرک، اﯾﮑن ﻣﺣﻠﮫ ﺳﯽ/ﻣﻣﺎک،6# ﻣﻧزل،1592 رک
Previous Address: وﻻﯾت ﺗﺧﺎر، ﺷﮭر ﺗﺎﻟﻘﺎن،ﮔذر ﻣﻼﻏﻔور :ﺁدرس ﻗﺒﻠﯽ
Mulla Ghafoor district, Taluqan/Takhar وﻻﯾت، ﺷﮭر ﺗﺎﻟﻘﺎن،ﮔذر ﻣﻼﻏﻔور
Email Address:
[email protected] [email protected] :ﭘﺴﺖ ﺑﺮﻗﯽ
Mobile: 05432076204 Work Tel: : ﺗﻴﻠﻔﻮن ﻣﺤﻞ ﮐﺎر05432076204:ﺗﻴﻠﻔﻮن هﻤﺮاﻩ
Home Tel: 05432076204 Fax: : ﻓﮑﺲ05432076204 :ﺗﻴﻠﻔﻮن ﻣﻨﺰل
Employment Details ﺟﺰﺋﻴﺎت وﻇﻴﻔﻪ
Occupation: :ﺷﻐﻞ
Employer: :ﮐﺎرﻓﺮﻣﺎ
Employers Address: :ﺁدرس ﮐﺎرﻓﺮﻣﺎ
Embassy ofGeneral
Afghanistan I.R of Afghanistan in Canberra
Consulate Istanbul
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Previous Employer: :ﮐﺎرﻓﺮﻣﺎی ﻗﺒﻠﯽ
Employers Address: :ﺁدرس ﮐﺎرﻓﺮﻣﺎ
Other Details ﻣﺸﺨﺼﺎت دﻳﮕﺮ
Passport Type: Ordinary Diplomatic Service
:ﻧﻮع ﭘﺎﺳﭙﻮرت ﻋﺎدی ﺳﻴﺎﺳﯽ ﺧﺪﻣﺖ
If Diplomatic Passport or Service Passport, please enter your Job Title:
ﻟﻄﻔﺎ ﻣﻘﺎم ﺧﻮد را درج ﻧﻤﺎﻳﻴﺪ؛،در ﺻﻮرﺗﯽ ﮐﻪ ﭘﺎﺳﭙﻮرت ﺳﻴﺎﺳﯽ ﻳﺎ ﺧﺪﻣﺖ ﺑﺎﺷﺪ
Identification: Identity Card Marriage Certificate Birth Certificate Passport
ﺗﺸﺨﻴﺺ ﻫﻮﻳﺖ: ﮐﺎرت ﻫﻮﻳﺖ ﮔﻮاﻫﯽ ﺗﻮﻟﺪ ﺗﺼﺪﻳﻖ ازدواج ﭘﺎﺳﭙﻮرت
Have you ever had an Afghan passport? Yes No
ﺁﻳﺎ ﮔﺎهﯽ ﭘﺎﺳﭙﻮرت اﻓﻐﺎﻧﯽ داﺷﺘﻪ اﻳﺪ؟ ﺑﻠﯽ ﻧﯽ
If yes, please provide:
ﻟﻄﻔﺂ ﺟﺰﺋﻴﺎت ذﻳﻞ را ﺗﮑﻤﻴﻞ ﻧﻤﺎﺋﻴﺪ؛،اﮔﺮ داﺷﺘﻴﺪ
Previous Passport Number:
؛ ﺷﻤﺎرﻩ ﭘﺎﺳﭙﻮرت ﻗﺒﻠﯽ
Passport Type:
؛ﻧﻮع ﭘﺎﺳﭙﻮرت
Issue Date: Expiry Date:
؛ﺗﺎرﻳﺦ ﺻﺪور ؛ﺗﺎرﻳﺦ اﻧﻘﻀﺎ
Place of Issue (In English and Dari):
(؛ ﻣﺤﻞ ﺻﺪور )ﺑﻪ دری و اﻧﮕﻠﻴﺴﯽ
Do you have a criminal record? Yes No
ﺁﻳﺎ ﺳﺎﺑﻘﻪ ﺟﻨﺎﻳﯽ دارﻳﺪ ؟ ﺑﻠﯽ ﻧﯽ
If Yes, please provide details: (attach separate sheet if more ﻟﻄﻔﺂ ﺗﺸﺮﻳﺢ دهﻴﺪ؛) اﮔﺮ ﺟﺎی ﮐﺎﻓﯽ ﻧﻴﺴﺖ در،در ﺻﻮرت داﺷﺘﻦ
room is required) (ورق ﺟﺪاﮔﺎﻧﻪ ﻧﻮﺷﺘﻪ و ﺿﻤﻴﻤﻪ ﻧﻤﺎﻳﻴﺪ
Purpose of Travel: Business Convention / Conference Education Employment
هﺪف ﻣﺴﺎﻓﺮت ﺗﺠﺎرت ﮐﺎﻧﻮﻳﻨﺴﻴﻮن/ﮐﺎﻧﻔﺮاﻧﺲ ﺗﺤﺼﻴﻞ ﮐﺎر
Exhibition Visiting Friends / Family Holiday Other
ﻧﻤﺎﻳﺸﮕﺎه ﺧﺎﻧﻮاده/دﻳﺪار ﺑﺎ دوﺳﺘﺎن ﮔﺬراﻧﺪن رﺧﺼﺘﯽ دﻳﮕﺮ
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
:ﺑﺎ اﮔﺎهﯽ ﮐﺎﻣﻞ اﻗﺮار ﻣﻴﺪارم اﻳﻨﮑﻪ
ﻣﻦ ﻳﮏ ﺷﻬﺮوﻧﺪ اﻓﻐﺎن هﺴﺘﻢ-
اﻇﻬﺎرات ﻣﻦ درﻳﻦ درﺧﻮاﺳﺖ راﺳﺖ و درﺳﺖ ﻣﻴﺒﺎﺷﺪ-
Passport Photograph:
ﻋﮑﺲ ﭘﺎﺳﭙﻮرت
Note: The photograph must comply with guidelines.
Signature: (please sign within the box)
. ﻋﮑﺲ ﺑﺎﻳﺪ ﻣﻄﺎﺑﻖ ﺑﻪ رهﻨﻤﻮد هﺎ ﺑﺎﺷﺪ: ﻧﻮت
)ﻟﻄﻔﺂ در داﺧﻞ ﭼﻮﮐﺎت ذﻳﻞ اﻣﻀﺎ ﻧﻤﺎﺋﻴﺪ( اﻣﻀﺎ Guarantor must
endorse the photo
ﺿﻤﺎﻧﺖ ﮐﻨﻨﺪه ﺑﺎﯾﺪ در ﻋﮑﺲ
ﺗﺼﺪﯾﻖ ﻧﻤﺎﯾﺪ
Please Attach This is a true photo of:
Photo Here ------------------------------
(name of applicant)
ﻟﻄﻔﺎ ﻋﮑﺲ را درﯾﻦ
ﺟﺎ اﻟﺼﺎق ﻧﻤﺎﯾﯿﺪ ------------------------------
Date: 12/09/2019 (signature of guarantor)
)اﻣﻀﺎ )ﺿﻤﺎﻧﺖ ﮐﻨﻨﺪه
ﺗﺎرﻳﺦ : 1398/09/18
Embassy
AfghanistanofGeneral
I.R ofConsulate
Afghanistan in Canberra
Istanbul
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