Application form for Issuance of RAP/PAP

for

Government Officials

Instructions

Applicants can view the guidelines for the application by clicking on 'Guidelines for Application of RAP/PAP' on the top right corner of the application form.

Applicants can obtain photo and signature in .JPG format with size between 10-40 KB by using MS Paint or MS Office Picture Manager. Scanned photograph and signature in any format can be saved in .JPG format by using ‘Save As’ option in the File menu and size can be made between 10-40 KB by using crop and then resize option(resize 320 pixels width x 240 pixels height) in the ‘Image’ menu.

Applicants have to scan images of their photograph and signature in .JPG format, each of which should be between 10-40 KB in size and dimensions (320 pixels width x 240 pixels height).

Application Processing Location and Travel Details

Date of Journey *

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No. of Travellers *

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Date of Return *

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No. of Children *

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Select Route *

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1. Traveller Details

Full Name *

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Age *

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Gender *

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Male

Female

Transgender

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Local Address / Hotel's Name and Address *

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Permanent Address *

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Nationality *

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Mobile Number *

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Relative's Mobile Number *

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Passport Size Photo *

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---pendingEnd---

2. Traveller Details

Full Name *

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Age *

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Gender *

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Male

Female

Transgender

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Local Address / Hotel's Name and Address *

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Permanent Address *

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Nationality *

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Mobile Number *

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Relative's Mobile Number *

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Passport Size Photo *

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3. Traveller Details

Full Name *

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Age *

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Gender *

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Male

Female

Transgender

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Local Address / Hotel's Name and Address *

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Permanent Address *

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Nationality *

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Mobile Number *

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Relative's Mobile Number *

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Passport Size Photo *

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---pendingEnd---

4. Traveller Details

Full Name *

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Age *

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Gender *

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Male

Female

Transgender

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Local Address / Hotel's Name and Address *

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Permanent Address *

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Nationality *

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Mobile Number *

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Relative's Mobile Number *

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Passport Size Photo *

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---pendingEnd---

5. Traveller Details

Full Name *

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Age *

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Gender *

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Male

Female

Transgender

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Local Address / Hotel's Name and Address *

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Permanent Address *

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Nationality *

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Mobile Number *

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Relative's Mobile Number *

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Passport Size Photo *

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---pendingEnd---

6. Traveller Details

Full Name *

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Age *

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Gender *

---pendingNotExist---

Male

Female

Transgender

---pendingEnd--- ---pendingExist--- ---pendingEnd---

Local Address / Hotel's Name and Address *

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Permanent Address *

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Nationality *

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Mobile Number *

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Relative's Mobile Number *

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Passport Size Photo *

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---pendingEnd---

7. Traveller Details

Full Name *

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Age *

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Gender *

---pendingNotExist---

Male

Female

Transgender

---pendingEnd--- ---pendingExist--- ---pendingEnd---

Local Address / Hotel's Name and Address *

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Permanent Address *

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Nationality *

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Mobile Number *

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Relative's Mobile Number *

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Passport Size Photo *

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---pendingEnd---

8. Traveller Details

Full Name *

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Age *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Gender *

---pendingNotExist---

Male

Female

Transgender

---pendingEnd--- ---pendingExist--- ---pendingEnd---

Local Address / Hotel's Name and Address *

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Permanent Address *

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Nationality *

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Mobile Number *

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Relative's Mobile Number *

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Passport Size Photo *

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---pendingEnd--- ---pendingExist---

---pendingEnd---

9. Traveller Details

Full Name *

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Age *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Gender *

---pendingNotExist---

Male

Female

Transgender

---pendingEnd--- ---pendingExist--- ---pendingEnd---

Local Address / Hotel's Name and Address *

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Permanent Address *

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Nationality *

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Mobile Number *

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Relative's Mobile Number *

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Passport Size Photo *

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---pendingEnd---

10. Traveller Details

Full Name *

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Age *

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Gender *

---pendingNotExist---

Male

Female

Transgender

---pendingEnd--- ---pendingExist--- ---pendingEnd---

Local Address / Hotel's Name and Address *

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Permanent Address *

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Nationality *

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Mobile Number *

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Relative's Mobile Number *

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Passport Size Photo *

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---pendingEnd---

11. Traveller Details

Full Name *

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Age *

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Gender *

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Male

Female

Transgender

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Local Address / Hotel's Name and Address *

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Permanent Address *

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Nationality *

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Mobile Number *

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Relative's Mobile Number *

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Passport Size Photo *

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---pendingEnd---

12. Traveller Details

Full Name *

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Age *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Gender *

---pendingNotExist---

Male

Female

Transgender

---pendingEnd--- ---pendingExist--- ---pendingEnd---

Local Address / Hotel's Name and Address *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Permanent Address *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Nationality *

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Mobile Number *

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Relative's Mobile Number *

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Passport Size Photo *

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---pendingEnd--- ---pendingExist---

---pendingEnd---

13. Traveller Details

Full Name *

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Age *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Gender *

---pendingNotExist---

Male

Female

Transgender

---pendingEnd--- ---pendingExist--- ---pendingEnd---

Local Address / Hotel's Name and Address *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Permanent Address *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Nationality *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Mobile Number *

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Relative's Mobile Number *

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Passport Size Photo *

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---pendingEnd---

14. Traveller Details

Full Name *

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Age *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Gender *

---pendingNotExist---

Male

Female

Transgender

---pendingEnd--- ---pendingExist--- ---pendingEnd---

Local Address / Hotel's Name and Address *

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Permanent Address *

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Nationality *

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Mobile Number *

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Relative's Mobile Number *

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Passport Size Photo *

---pendingNotExist---

---pendingEnd--- ---pendingExist---

---pendingEnd---

15. Traveller Details

Full Name *

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Age *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Gender *

---pendingNotExist---

Male

Female

Transgender

---pendingEnd--- ---pendingExist--- ---pendingEnd---

Local Address / Hotel's Name and Address *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Permanent Address *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Nationality *

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Mobile Number *

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Relative's Mobile Number *

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Passport Size Photo *

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---pendingEnd---

1. Child Details

Full Name *

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Gender *

---pendingNotExist---

Male

Female

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Age *

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Permanent Address *

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Guardian's Full Name *

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Guardian's Mobile Number *

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Passport Size Photo

2. Child Details

Full Name *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Gender *

---pendingNotExist---

Male

Female

---pendingEnd--- ---pendingExist--- ---pendingEnd---

Age *

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Permanent Address *

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Guardian's Full Name *

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Guardian's Mobile Number *

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Passport Size Photo *

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---pendingEnd--- ---pendingExist---

---pendingEnd---

3. Child Details

Full Name *

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Gender *

---pendingNotExist---

Male

Female

---pendingEnd--- ---pendingExist--- ---pendingEnd---

Age *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Permanent Address *

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Guardian's Full Name *

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Guardian's Mobile Number *

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Passport Size Photo *

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---pendingEnd---

Driver and Vehicle Details

Driver's Full Name *

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Driver's Driving License No. *

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Vehicle Type *

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Vehicle Registration No. *

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Declaration

I hereby solemnly affirm and declare that to the best of my knowledge and belief :

I have not concealed or suppressed any information, the disclosure of which would make me disentitled for this permit.

I shall be held responsible for any misrepresentation or false information given by me while applying for this permit.

I Agree *

Note: The permit may be cancelled in case of :

Poor weather condition
Poor road condition
Invalid or forged documents