This document is a passport application form from the Government of India Ministry of External Affairs. It requests information to process an application for a fresh passport, re-issue of passport, or to make changes to an existing passport. The form requests details about the applicant such as name, date of birth, citizenship, family, address, references, and previous passport information. It outlines the documents required and fees to submit with the application. The applicant must declare they owe allegiance to India and affirm the information provided is accurate under the terms of the Passports Act.