CKGS Application Centre

CKGS Order Form (Passport)

(Applicants applying for passport need to fill out and attach this form with supporting documents. Only one Order Form per applicant. Application without this form duly filled and signed cannot be processed)

Name of the Applicant:

Passport No: Nationality: _

Email: Telephone: _

CKGS Center (circle one):

Sharq Fahaheel Jleeb Al Shuwaikh Please tick the appropriate boxes below

Application for Passport processing service

I hereby place my order with CKGS to process my Passport application. The service agreement is governed by the general terms and conditions of CKGS on www.kw.ckgs.in. I have read the terms and conditions, have understood them and hereby agree to them. CKGS is not responsible for the grant or rejection of my Passport application.

Category (Please tick only one):

New Passport for 10 Years (after expiry of the term of the old passport)

Jumbo Passport (60 pages)

New Passport for Minor below 18 years New Passport in Lieu of Damage/Lost Passport

New Passport + OPR + SW.AFF New Passport with any type of change in appearance including Pagadi (Major)

Passport for New Born Baby + Birth Cert. + Birth Registration

New Passport with Change of Name (Minor)

New Passport with Change of Name ( Adult) Old Passport Renewal

Change of Address Addition of Spouse’s Name

Miscellaneous Services Emigration Check Not Required (ECNR)

Police Clearance Certificate Birth Certificate

Non-Resident Indian Certificate Non-Resident Indian Status Certificate

No-Objection Certificate Miscellaneous Certificates based on Passport

Application Form for Emergency Certificate

Passport Fees Review fees at http:/kw.ckgs.in/passport/processing-fees.shtml

A. Passport fee

KWD

B. CKGS Service fee KWD 1.200 C.. Total primary fees applicable = A+B KWD

* There will be no refund of the application fee and service charges by the Embassy/ Consulate or CKGS in case of withdrawal of application/passport by the applicant post its submission.

Value Added Services

□ D. Application for return of documents byCourier Service

KWD 1.250 for Indian passports KWD 4.500 for Foreign passports

I hereby place my order with CKGS to send documents by courier to the address mentioned below. The service agreement is

governed by the general terms and conditions of CKGS standard terms and conditions. I have read the terms and conditions, have

understood them and hereby agree to them.

*Please print your complete postal address where you need the completed application to be

returned with other documents pertaining to your application to avoid delay and submit it

with CKGS.

Address:

___________________________________________________ Zip Code _

□ E. Application for SMS service KWD 0.400

I hereby place my order with CKGS to inform me the status of my passport application by SMS. The service agreement is governed by the general terms and conditions of CKGS. I have read the terms and conditions have understood them and hereby agree to them. CKGS is not responsible for the delay or malfunction in the sending of the SMS due to technical problems of the external service provider or due to defective or improper mobile devices used by the applicant.

Mobile:

□ F. Application for Photocopy Service

KWD 0.100 per page

Number of copies:

□ G. Application for Photo booth

KWD 2.750 for 4 Photos

□ H. Application for Assisted Form Filling

KWD 1.000 for Indian Nationals KWD 3.000 for Foreign Nationals

□ I. Application for use of Internet Kiosk

KWD 1.000

J = Total Fees payable: C+D+E+F+G+H+I KWD

Application Payment for the total amount mentioned above in ‘J’.

Note: Payment will be accepted only in Cash or Card (debit or credit). Date:

Signature: