12B

PLEASE FILL IN DUPLICATE

(To be filled in duplicate by the applicant)

(For change in appearance from turban to non turban and vice versa)

SWORN AFFIDAVIT

I ___________________________________________________ aged ____________ years

presently residing at __________________________Post Box No._______________ Holder of

Indian Passport No.____________________ issued at___________________ On_____________

hereby make an oath and State as follows:

I used to wear turban earlier. Presently I have discontinued using Turban. I would like to get my

Passport without turban. This affidavit is being given for issuance of new passport without the

Turban.

OR

Earlier, I was not using the turban. Presently I am using turban, I would like to get my passport

with the turban. This affidavit is for getting a new passport with the turban.

(Strike out whichever is not applicable)

I further solemnly affirm that this affidavit is true, that it conceals nothing and no part of it False.

(SIGNATURE)

Sworn at the Consulate General of India, Dubai, this day the________________________200___

By Shri ______________________________________who made his signature before me at

Dubai. He has been identified by his Passport No. _____________________________ issued at

______________________ Issued on ________________.

MOBILE NO; _____________________________.

THE CONSULATE GENERAL OF INDIA, DUBAI TAKES NO RESPONSIBILITY FOR

THE CORRECTNESS OF THE ABOVE STATEMENT.