PERSONAL DETAILS ‫ﺷﻬﺮت ﻣﮑﻤﻞ‬

Title: Mrs. ‫ ﺧﺎﻧﻢ‬:‫ﻟﻘﺐ‬

Family Name: Niazi ‫ ﻧﯿﺎزی‬:‫اﺳﻢ ﺧﺎﻧﻮادﮔﯽ‬
Give Names: Latifeh ‫ﻟﻄﯿﻔﻪ‬ :‫اﺳﻢ‬
Father’s Full Name: Shir Ali ‫ ﺷﯿﺮ ﻋﻠﯽ‬:‫اﺳﻢ ﻣﮑﻤﻞ ﭘﺪر‬
Grand Father’s Full Name: Imam Niaz ‫ اﻣﺎم ﻧﯿﺎز‬:‫اﺳﻢ ﻣﮑﻤﻞ ﭘﺪر ﮐﻼن‬
Date of Birth (Gregorian): 01/01/1998 ۱۱/۱۰/۱۳٧٦ :(‫ﺗﺎرﯾﺦ ﺗﻮﻟﺪ )ﻫﺠﺮی ﺷﻤﺴﯽ‬
Place of Birth Details: Merkez Kunduz ‫ ﻣﺮﮐﺰ ﮐﻨﺪز‬:‫ﺟﺰﯾﺎت ﻣﺤﻞ ﺗﻮﻟﺪ‬
Country: Afghanistan ‫ اﻓﻐﺎﻧﺴﺘﺎن‬:‫ﻣﻤﻠﮑﺖ‬
Province / State: Kunduz ‫ ﮐﻨﺪز‬:‫وﻻﯾﺖ‬
District / Suburb: # 03 ‫ ﺳﻮم‬:‫ ﻧﺎﺣﯿﻪ‬/ ‫وﻟﺴﻮاﻟﯽ‬
Village: :‫ﻗﺮﯾﻪ‬
Marital Status: :‫ﺣﺎﻟﺖ ﻣﺪﻧﯽ‬
 Single  Engaged 
✔
Married ‫ ﻣﺘﺎﻫﻞ‬
✔
‫ ﻧﺎﻣﺰد‬ ‫ ﻣﺠﺮد‬
 Divorced  Separated  Widow / Widower ‫ ﺑﯿﻮه‬/ ‫ ز�ﺮده‬ ‫ ﺟﺪا ﺷﺪه‬ ‫ ﻃﻼق ﺷﺪه‬

Gender:  Female 
✔
Male  Unknown ‫ ﻧﺎﻣﻌﻠﻮم‬ ‫ ﻣﺬﮐﺮ‬
✔
‫ ﻣﻮﻧﺚ‬ :‫ﺟﻨﺲ‬
Child: (Under 18 Years) 
✔
Yes  No ‫ ﻧﺨﯿﺮ‬ ‫ ﺑﻠﯽ‬
✔ :(۱۸ ‫ﻃﻔﻞ )زﯾﺮ ﺳﻦ‬
Country of Residence: Turkey ‫ﺗﺮﮐﯿﻪ‬ :‫ﻣﻤﻠﮑﺖ ﻣﺤﻞ اﻗﺎﻣﺖ‬
Other Nationalities: ‫ﻧﺪارد‬ :‫ﺗﺎﺑﻌﯿﺖ ﻫﺎی دﯾﮕﺮ‬
Height (cm) 165.0 ١٦٥ :(‫ﻗﺪ )ﺑﻪ ﺳﺎﻧﺘﯽ ﻣﱰ‬

✔
Black  Blonde  Brown ‫ ﺧﺮﻣﺎﯾﯽ‬ ‫ زرد‬ ‫ ﺳﯿﺎه‬ ✔

Hair Color: :‫رﻧﮓ ﻣﻮی‬

 Red  Grey  Brunette ‫ ﻣﺸﮑﯽ‬ ‫ ﺳﻔﯿﺪ‬ ‫ ﴎخ‬
 Blue  Brown  Green ‫ ﺳﺒﺰ‬ ‫ ﺧﺮﻣﺎﯾﯽ‬ ‫ آﺑﯽ‬
Eye Color: :‫رﻧﮓ ﭼﺸﻢ‬
 Grey 
✔
Hazel 
✔
Other ‫ دﯾګﺮ‬ ✔
‫ ﻣﯿﺸﯽ‬
✔
‫ ﺧﺎﮐﺴﱰی‬
Other Distinguishing Remarks: :‫ﻋﻼﺋﻢ ﻓﺎرﻗﻪ دﯾﮕﺮ‬
‫ﻧﺪارد‬

CONTACT DETAILS ‫ﺟﺰﺋﯿﺎت ﻤﺗﺎس‬

Current Address: :‫آدرس ﻓﻌﻠﯽ‬
‫ﻣﺮﮐﺰ ﺷﻬﺮ اوﺷﺎک‬
Aybey Mah 1.inci Meltem Sk N0 16 Merkez Usak
Previous Address: :‫آدرس ﻗﺒﻠﯽ‬
‫ﻣﺮﮐﺰ ﺷﻬﺮ اوﺷﺎک‬

Email Address: :‫آدرس اﻟﮑﱰوﻧﯿﮑﯽ‬

Mobile: Work Telephone: ‫ﺗﯿﻠﻔﻮن ﻣﺤﻞ ﮐﺎر‬ ‫ﺗﯿﻠﻔﻮن ﻫﻤﺮاه‬

05354108099 05378338871 ۰۵۳۷۸۳۳۸۸۷۱ ۰۵۳۵۴۱۰۸۰۹۹

Home Telephone: Fax: ‫ﻓﮑﺲ‬ ‫ﺗﯿﻠﻔﻮن ﻣﻨﺰل‬

EMPLOYMENT DETAILS: :‫ﺟﺰﺋﯿﺎت وﻇﯿﻔﻪ‬

Occupation: ‫ ﺧﺎﻧﻢ ﺧﺎﻧﻪ‬:‫ﺷﻐﻞ‬
Employer :‫ﮐﺎرﻓﺮﻣﺎ‬
Employers Address: :‫آدرس ﮐﺎرﻓﺮﻣﺎ‬

Islamic Republic of Afghanistan – Passport Application Form

http://go.mfa.af/passport-form
Previous Employer: :‫ﮐﺎرﻓﺮﻣﺎی ﻗﺒﻠﯽ‬
:‫آدرس ﮐﺎﻓﺮﻣﺎی ﻗﺒﻠﯽ‬
Previous Employer Address:

OTHER DETAILS ‫ﻣﺸﺨﺼﺎت دﯾﮕﺮ‬

Passport Type: :‫ﻧﻮع ﭘﺎﺳﭙﻮرت‬

✔
Ordinary  Diplomatic  Service  Special  Travel Document ‫ ﺳﻨﺪ ﻣﺴﺎﻓﺮت‬ ‫ ﺧﺎص‬ ‫ ﺧﺪﻣﺖ‬ ‫ﺳﯿﺎﺳﯽ‬ ‫ ﻋﺎدی‬ ✔

Note: If Diplomatic or Service Passport, Please write your Job Title: :‫ ﻟﻄﻔﺎً ﻣﻘﺎم ﺧﻮد را درج �ﺎﺋﯿﺪ‬،‫ در ﺻﻮرﺗﯽ ﮐﻪ ﭘﺎﺳﭙﻮرت ﺳﯿﺎﺳﯽ ﯾﺎ ﺧﺪﻣﺖ ﺑﺎﺷﺪ‬:‫ﻧﻮت‬
Position: :‫ﻣﻘﺎم‬

Identification: ‫ﺗﺸﺨﯿﺺ ﻫﻮﯾﺖ‬


✔
ID Card  Marriage Certificate  Birth Certificate  Passport ‫ ﭘﺎﺳﭙﻮرت‬ ‫ ﺳﻨﺪ ﺗﻮﻟﺪ‬ ‫ ﺗﺼﺪﯾﻖ ازدواج‬ ‫ ﮐﺎرت ﻫﻮﯾﺖ‬
✔

Have ever had an Afghan Passport?  Yes 

✔
No ‫ ﻧﺨﯿﺮ‬
✔
‫ ﺑﻠﯽ‬ ‫آﯾﺎ ﮔﺎﻫﯽ ﭘﺎﺳﭙﻮرت اﻓﻐﺎﻧﯽ داﺷﺘﻪ اﯾﺪ؟‬
If Yes, Please provide Details: :‫ ﻟﻄﻔﺎً ﺟﺰﺋﯿﺎت ذﯾﻞ را ﺗﮑﻤﯿﻞ �ﺎﺋﯿﺪ‬،‫اﮔﺮ داﺷﺘﯿﺪ‬
Previous ‫ﺗﺎرﯾﺦ اﻧﻘﻀﺎء‬ ‫ﺗﺎرﯾﺦ ﺻﺪور‬ ‫ﺷ�ره ﭘﺎﺳﭙﻮرت ﻗﺒﻠﯽ‬ ‫ﻧﻮع ﭘﺎﺳﭙﻮرت ﻗﺒﻠﯽ‬
Passport Type Issue Date Expiry Date
Passport #
Ordinary ‫ﻋﺎدی‬

Please of Issue (in English): :(‫ﻣﺤﻞ ﺻﺪور )ﺑﻪ دری‬

‫ ﻧﺨﯿﺮ‬
✔
‫ ﺑﻠﯽ‬ ‫آﯾﺎ ﺳﺎﺑﻘﻪ ﺟﺮﻣﯽ دارﯾﺪ؟‬
Do you have criminal record?  Yes 
✔
No
If Yes, please provide details; (attach separate sheet if more room is required) (‫ )اﮔﺮ ﺟﺎی ﮐﺎﻓﯽ ﻧﯿﺴﺖ در ورق ﺟﺪاﮔﺎﻧﻪ ﻧﻮﺷﺘﻪ و ﺿﻤﯿﻤﻪ �ﺎﯾﯿﺪ‬،‫ ﻟﻄﻔﺎً ﺗﴩﯾﺢ دﻫﯿﺪ‬،‫در ﺻﻮرت داﺷﻦﺘ‬

Purpose of Travel: :‫ﻫﺪف ﻣﺴﺎﻓﺮت‬

 Business  Convention / Conference  Education  Employment ‫ ﮐﺎر‬ ‫ ﺗﺤﺼﯿﻞ‬ ‫ ﮐﻨﻮاﻧﺴﯿﻮن‬/ ‫ ﮐﻨﻔﺮاﻧﺲ‬ ‫ ﺗﺠﺎرت‬
 Exhibition  Visiting Family / Friends  Holiday 
✔
Other ‫دﯾﮕﺮ‬
✔
‫ ﮔﺬاراﻧﺪن رﺧﺼﺘﯽ‬ ‫ ﺧﺎﻧﻮاده‬/ ‫ دﯾﺪار ﺑﺎ دوﺳﺘﺎن‬ ‫ �ﺎﯾﺸﮕﺎه‬

I declare that: :‫ﺑﺎ آګﺎﻫﯽ ﮐﺎﻣﻞ اﻗﺮار ﻣﯿﺪارم اﯾﻨﮑﻪ‬

- to the best of my knowledge and belief I am an Afghan citizen ‫ ﻣﻦ ﯾﮏ ﺗﺒﻌﻪ اﻓﻐﺎن ﻫﺴﺘﻢ‬-
- the statements made in this application are true and correct .‫ اﻇﻬﺎرات ﻣﻦ در اﯾﻦ درﺧﻮاﺳﺖ ﺣﻘﯿﻘﺖ و درﺳﺖ ﻣﯿﺒﺎﺷﺪ‬-
Signature (please sign within the box) (‫)ﻟﻄﻔﺎ در داﺧﻞ ﭼﻮﮐﺎت ذﯾﻞ اﻣﻀﺎ �ﺎﯾﯿﺪ‬ ‫اﻣﻀﺎء‬ Passport Photography ‫ﻋﮑﺲ ﭘﺎﺳﭙﻮرت‬

Guarantor must endorse

the photo
‫ﺿ�ﻧﺖ ﮐﻨﻨﺪه ﺑﺎﯾﺪ در ﻋﮑﺲ‬
‫ﺗﻘﺼﺪﯾﻖ �ﺎﯾﻨﺪ‬
Please attach Photo Here
‫ﻟﻄﻔﺎ ﻋﮑﺲ را در اﯾﻦ ﺟﺎ‬ This is a true photo of:
(name of Application)

(signature of guarantor)
(‫)اﻣﻀﺎ ﺿ�ﻧﺖ ﮐﻨﻨﺪ‬

Note: The Photograph must comply with Guidelines

‫ ﻋﮑﺲ ﺑﺎﯾﺪ ﻣﻄﺎﺑﻖ ﺑﻪ رﻫﻨﻤﻮد ﻫﺎ ﺑﺎﺷﺪ‬:‫ﻧﻮت‬

Date: :‫ﺗﺎرﯾﺦ‬ ‫ﺑﺮای درﯾﺎﻓﺖ رﻫﻨﻤﻮد ﺗﺼﻮﯾﺮ ﺑﻪ ﻟﯿﻨﮏ زﯾﺮ ﻣﺮاﺟﻌﻪ ﻓﺮﻣﺎﺋﯿﺪ‬
18-Mar-2021 http://go.mfa.af/photo-guidelines

Islamic Republic of Afghanistan – Passport Application Form

http://go.mfa.af/passport-form