Passport Annexure A — Identity Certificate (Govt/PSU Employees) — Goa

PASSPORT ANNEXURE A

(Identity Certificate)

(On plain paper — No stamp paper/notarisation required)

Date: 5 April 2026

Certified that Mr./Ms. ________, Designation ________, Date of Birth ________, is employed in ________.

Permanent Address: ________

This Identity Certificate is issued for the purpose of passport application. On the basis of this certificate, the applicant is exempted from pre-issue police verification.

Name of Officer: ________

Designation: ________

Department: ________

Office Address: ________

(Seal & Signature of Gazetted Officer / Head of Department)

Note: This certificate is only for Central/State Government employees, PSU employees, and their family members. As per 2020-21 reforms, no stamp paper or notarisation is required.