222x Filetype PDF File size 0.08 MB Source: digitalscr.in
APPLICATION FOR NOC Date : / / To, ________________________ Sub: Issue of No Objection Certificate (NOC) for obtaining Passport. ********** The undersigned would like to request your kind authority to Issue a "No Objection Certificate" (NOC) for obtaining Indian Passport. Thanking you, Yours faithfully, ( ) Signature Name:Shri/Smt/Ms._________________ Designation :______________________ Staff No. : ________________________ Department:______________________ Office/Station:____________________ Date: ___________________________ ANNEXURE -I DECLARATION I hereby declare that in the event of issue of "No Objection Certificate" (NOC) for obtaining Indian Passport to me/my spouse/dependant: I. I /my spouse/dependant will not engage outside Indian in any activities prejudicial to the sovereignty and integrity of India. II. My/spouse's/dependant's departure from India will not be detrimental to the security of India. III. My/spouse's/dependant's presence outside India will not prejudice the friendly relation of India with any foreign country. IV. I have/spouse/dependants' has at any time during the period of five years not been convicted by a Court of India for any offence involving moral turpitude and sentenced in respect thereof to imprisonment for not less than two years. V. No proceedings in respect of an offence alleged to have been committed by me/spouse/dependent is pending before a criminal court of India. VI. No warrant or summons for the appearance, or a warrant for the arrest has been issued against me/spouses/dependant by a court under any law for the time being in force or that an order prohibiting the departure from India has been made by any such Court against me/spouses/dependant. Signature:________________________ Name:Shri/Smt/Ms._________________ Designation :______________________ Staff No. : _______________________ Department:______________________ Office/Station:____________________ Date: ___________________________ ANNEXURE –II IN CASE OF APPLYING FOR SELF: 1 Full Name of the employee * (In : Block Letters) 2 Designation : 3 Staff No : 4 Identity Card No : 5 Office/Place of working : 6 Present Grade + G.P. : 7 Rate of Pay + G.P. : 8 Date of Birth : 9 Date of appointment to Railway : Service 10 Date of superannuation : 11 Whether DAR/SPE/Vig. Case : pending 12 Contact number : a. Rly b. (M) 13 Name of Father/Spouse : 14 Present Address with Pincode : 15 Permanent Address with Pincode : * Enclosed 03 Passport size Colour photograph & Attested Xerox copy of Identity card. The employees of Division/W-Shop/Units - Must submit 02 sets to their Controlling Authority & Diyision/W-ShopfUnits will forward 01 set to Headquarter for NOC. B. IN CASE OF APPLYING FOR DEPENDANT MEMBERS: 1 Full Name (In Block Letters) : 2 Date of Birth : 3 Place of Birth : 4 Educational Qualification : 5 Profession (Certificate from the : employer/ bonafide certificate from school/college to be attached) 6 Identification Marks : : 1. 2. 7 Identity Card No. : * enclosed 03 Passport size Colour photograph & Attested Xerox copy of Identity certificate. Signature:________________________ Paste here the Name:Shri/Smt/Ms._________________ recent Designation :______________________ photograph of Staff No. : _______________________ Setif Dependant Department:______________________ (to be attested Office/Station:____________________ by Controlling Date: ___________________________ Officer)
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