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7/25/2015 AppointmentReciept
https://portal1.passportindia.gov.in/AppOnlineProject/secure/openPdfForApplReciept 1/4
MinistryofExternalAffairsGovernmentofIndia
OnlineAppointmentReceipt
ApplicantDetails:ApplicationReferenceNo.(ARN) 150007850104
ServiceType FRESHTypeofApplication NORMALGivenName SUKHDEVSurname SINGHFather'sName LALLUSINGHMother'sName RAJWALADateofBirth 05/11/1990PlaceofBirth PASIYAPURA
VILLAGE,MORADABAD,UTTARPRADESH
Gender MALEMaritalStatus SINGLEEmploymentType SELFEMPLOYEDApplicationSubmittedDate 23/06/2015PresentResidentialAddress
139,PASIYAPURA,MORADABAD,244402,UTTARPRADESH,INDIA
ApplicantsReferencesDetails:
FirstReferenceLALLUSINGH,139,PASIYAPURAPS.BHAGATPUR,MORADABAD,9627793184
SecondReferenceSUKHWINDERSINGH,139,PASIYAPURAPS.BHAGATPUR,MORADABAD,9536102886
PaymentDetails#
TotalFee(Rs.)
1500.00
PaidFee(Rs.) 1500.00DateandTime 23/06/201503:57PMTransactionId 37958340
AppointmentDetails:PassportSevaKendraAddress
BAREILLY,RADHAKRISHNATOWER,CC146/A,PLOTNO.317/1KHA,JAGATPURLALABEGUM,PILIBHITBYPASSROAD,BAREILLY243001,UTTARPRADESH
AppointmentId 100006850269715
AppointmentDateandTime
28/07/2015&03:15PM
ReportingDateandTime
28/07/2015&03:00PM
Batch 21
Barcode SequenceNo. 16
PleaseReadCarefully:PleasereachPassportSevaKendra(PSK)at03:00PMasmentionedaboveandcarrytheprintedcopyofthisappointmentreceipt.CheckDocumentAdvisoronwebsite 'www.passportindia.gov.in' toknowthedocumentsrequiredatPSK.Carryoriginaldocumentsand theirselfattestedphotocopies.FinaldecisionwithregardtodocumentsrequiredisatthediscretionofRPOstaffatPSK.Incaseofminorapplicants(below4yearsofage),carrytherecentpassportsizephotograph(4.5X3.5cm)withwhitebackground.Only applicant is allowed inside the PSK. However, in case of exceptions such as Senior Citizen / Physically Challenged / Illiterate / Minorapplicants,onepersonfromthefamilymaybeallowedtoaccompanyinsidePSK.AtPSK,apapertokenwillbeissuedtoyouaftercheckingofdocuments.YourapplicationwillbeprocessedatCounterAfollowedbycountersBandC. At all stages, please be alert andwatch the token display screens to know the counter atwhich your applicationwill be processed.Please collect acknowledgement slip from the Exit counter before leaving PSK. Also,you are requested to fill the feedback format the exitcounter.Thanksforshowingyourinterestin'PassportSevaSMSServices'enrolment.PleasepayRs35/(THIRTYFIVEONLY)incashastheEnrolmentChargesduringyourvisittoPassportSevaKendra.Balancefee(ifapplicable)aftereditingthesubmittedformwillbepayableincashatthePassportSevaKendra.ATMfacilityavailableatPSKforallBankCards.Helpustoserveyoubetter.
#DetailsasperthePaymentDate.Paymentoncemadeforavailingpassportserviceswillnotberefunded.
7/25/2015 AppointmentReciept
https://portal1.passportindia.gov.in/AppOnlineProject/secure/openPdfForApplReciept 2/4
7/25/2015 AppointmentReciept
https://portal1.passportindia.gov.in/AppOnlineProject/secure/openPdfForApplReciept 3/4
ThefollowingtablelistsApplicantCategoriesalongwiththeDocumentstobeSubmitted.TheDocumentNo.mentionedinDocumentstobeSubmittedcolumnisthereferencegiventothedocumentmentionedinListofDocumentstable.
ApplicantCategories DocumentstobeSubmittedOrdinaryCase(CitizenofIndiabybirth) 1,2,3(iftheapplicantiseligibleforNonECR)
CitizenofIndiabyDescent(BorntoIndianparent(s)outsideIndia) (i)1,2,3(iftheapplicantiseligibleforNonECR)(ii)4or5or6CitizenofIndiabyRegistration/Naturalization(GrantedcitizenshipbyMHA) 1,2,3(iftheapplicantiseligibleforNonECR),7ApplicantsrepatriatedfromabroadatGovernmentcost 1,2,3(iftheapplicantiseligibleforNonECR),5(ifavailable),8,9ApplicantsdeportedtoIndia/EmergencyCertificatecases 1,2,3(iftheapplicantiseligibleforNonECR),5(ifavailable),8(ifany),9
Government/PublicSector/Statutorybodyemployees(i)1,2(ii)21(ifNoPoliceVerificationisrequired)or20(ifPostPoliceVerificationisrequired)or27(ifPrePoliceVerificationisrequired).
DependentfamilymembersofGovernment/PublicSector/Statutorybodyemployees(ForJ&Kchildreninagegroup1015yearsarecovered.ForrestofIndiachildreninagegroup1821arecovered)
1,2,3(iftheapplicantiseligibleforNonECR),21(ofdependent)and24ifNoPoliceVerificationisrequired
Retiredgovernmentofficials 1,2,10(ifPostPoliceVerificationisrequired)
ApplicantshavingDiplomatic/OfficialPassportandapplyingforordinaryPassportwhileinservice
(i)1,2,11(12ifsurrendercertificateisnotavailable)(ii)21or20or27ifapplicantisGovernment/PublicSector/StatutorybodyemployeeNote:Incasetheapplicantsubmits"12","2"isnotrequired
DependentfamilymembersofDiplomatic/OfficialPassportholderswhoarenotgovernmentservants(ForJ&KChildreninagegroup1015yearsarecovered) 1,2,3(iftheapplicantiseligibleforNonECR),26
Owner,partnersanddirectorsofCompanieswhicharemembersofCII,FICCI&ASSOCHAM.
(i)1,2(ii)24and25ifPostPVisrequired
Minorchangeinname 1(innewname),2(inoldname),3(iftheapplicantiseligibleforNonECRDocumentsinoldnameareallowed),23
Majorchangeinname 1(innewname),2(inoldname),3(iftheapplicantiseligibleforNonECRDocumentsinoldnameareallowed),13,23
Change/Additioninsurnameduetomarriage (i)1,2,3(iftheapplicantiseligibleforNonECR)(ii)14or22ChangeinnameincaseofGovernment/PublicSector/Statutorybodyemployees 1,2,15,16,23
NagalandResidents 1,2,3(iftheapplicantiseligibleforNonECR)Note:AdditionalPVrequiredfromGuwahatithroughMHA.
NagaoriginsresidingoutsideNagaland 1,2,3(iftheapplicantiseligibleforNonECR)Note:AdditionalPVrequiredfromGuwahatithroughMHA.JammuandKashmirResidents 1,2,3(iftheapplicantiseligibleforNonECR)JammuandKashmirResidentsstayingoutsideJ&Kformorethanfiveyears 1,2,3(iftheapplicantiseligibleforNonECR)Studentsstayingawayfromtheirparent'scurrentresidence 1,2,3(iftheapplicantiseligibleforNonECR),17,18SeniorCitizens(ForJ&K:Men65+years,Women60+yearsForrestofIndia65+years)
1,2,3(iftheapplicantiseligibleforNonECR),19(ifPostPoliceVerificationisrequired)
Document
No. ListofDocuments
1.
ProofofPresentAddress.ForProofofAddressattachoneofthefollowingdocuments:
a. Waterbill/Telephone(landlineorpostpaidmobilebill)/Electricitybill(atleast2billsarerequiredOnebillshouldofbeoflastyearandtheotherbillofcurrentyear)
b. PhotopassbookofrunningBankAccount(ScheduledPublicSectorBanks,ScheduledPrivateSectorIndianBanksandRegionalRuralBanksonly)
c. IncomeTaxAssessmentOrderd. ElectionCommissionPhotoIDcarde. Gasconnectionbillf. CertificatefromEmployerofreputedandwidelyknowncompaniesonletterhead(Onlypubliclimitedcompaniescangiveaddressproofon
companyletterheadalongwithseal.Computerisedprintoutsshallnotbeentertained)g. Spouse'spassportcopy(Firstandlastpageincludingfamilydetails),(providedtheapplicant'spresentaddressmatchestheaddress
mentionedinthespouse'spassport)h. Applicant'scurrentandvalidrationcard
NOTE1:Ifanyapplicantsubmitsonlyrationcardasproofofaddress,itshouldbeaccompaniedbyonemoreproofofaddressoutofthegivencategories.
i. Parent'spassportcopy,incaseofminors(Firstandlastpage)j. AadhaarLetter/Card(IfaadhaarcardissuancedateislessthanayearfrompassportapplicationprocessingdateatPSK,itshouldbe
accompaniedbyonemoreproofofaddressoutofthegivencategories)k. RegisteredRentAgreement(foraperiodofmorethanoneyear)
2.
ProofofDateofBirth.ForProofofDateofBirthattachoneofthefollowingdocuments:
a. BirthcertificateissuedbyaMunicipalAuthorityoranyofficeauthorizedtoissueBirthandDeathCertificatebytheRegistrarofBirths&Deaths
b. Schoolleavingcertificate/SecondarySchoolleavingcertificate/CertificateofRecognizedBoardsfromtheschoollastattendedbytheapplicantoranyotherrecognizededucationalinstitution
c. AffidavitswornbeforeaMagistrate/Notarystatingdate/placeofbirthasperthespecimeninAnnexure"A"byilliterateorsemiilliterateapplicants(Lessthan5thclass).
Forapplicantsbornonorafter26.01.89,onlyBirthCertificateissuedbytheMunicipalAuthorityoranyofficeauthorizedtoissueBirthandDeath
7/25/2015 AppointmentReciept
https://portal1.passportindia.gov.in/AppOnlineProject/secure/openPdfForApplReciept 4/4
CertificatebytheRegistrarofBirths&Deathsisacceptable.TheBirthCertificateshouldordinarilycontainthenameofchild,nameoffatherandmother,dateofbirth,placeofbirth,sex,registrationnumberanddateofregistration.IftheBirthCertificatedoesn'tcontainthenameofchild,adeclarationonplainpapersignedbyparents,isrequiredtobesubmittedspecifyingthenameofthechild.
3. DocumentaryproofforanyoneoftheNonECR(previouslyECNR)categories,ReferColumn2.15underSectionBofpassportinstructionbooklet4. BirthRegistrationCertificateissuedbyEmbassy/HighCommission/ConsulateofIndia
5. OldPassportinoriginalwithselfattestedphotocopyofitsfirsttwoandlasttwopages,includingECR/NonECRpage(previouslyECNR)andthepageofobservation(ifany),madebyPassportIssuingAuthorityandvalidityextensionpage,ifany,inrespectofshortvaliditypassport
6. Passportofparentsinoriginalwithselfattestedphotocopyofitsfirsttwoandlasttwopages,includingECR/NonECRpage(previouslyECNR)andthepageofobservation(ifany),madebyPassportIssuingAuthorityandvalidityextensionpage,ifany,inrespectofshortvaliditypassport7. CitizenshipCertificateissuedbyMinistryofHomeAffairs8. Proofofrefundofrepatriation/deportationcost(ifany)toMinistryofExternalAffairs9. OriginalEmergencyCertificate/SeizureMemoissuedbyAirportImmigrationAuthoritiesonapplicant'sarrivalinIndia
10. PensionPaymentOrder11. ProofofsurrenderorcancellationofDiplomatic/officialPassport12. CancelledPassport(ifsurrendercertificateisnotavailable),withaletterexplainingwhysurrendercertificateisnotavailable
13. Paperclippingoftwoleadingdailynewspapersinoriginal(onedailynewspapershouldbeoftheareaofApplicant'sPermanentAddressandtheotheratCurrentAddressornearbyarea)14. AnattestedcopyofmarriagecertificateissuedbyRegistrarofMarriage15. GazetteNotificationchangingnameinapplicant'sdepartment16. FreshIDCertificateinchangedname17. StudentIdentityCardissuedbyGovernmentRecognizedEducationalInstitutions,inrespectoffulltimecourses18. BonafideLetterfromauthorizedsignatoryofcollege(OnofficialletterheadofUGCrecognizedCollege)19. Copyofchild's(Age>18)Passport,whoisstayingabroad(withpagehavingparent'sname)20. NoObjectionCertificate(NOC)(asperAnnexure'M')21. "IdentityCertificate"inoriginalasperAnnexure"B"
22. Ajointaffidavitfromhusbandandwifealongwithajointphotograph,(SpecimenatAnnexure"D")Whenjointaffidavitisnotpossibletheaffidavitshouldindicatethereasonforit.Ifapplyingforpassportforthefirsttime,thisaffidavitisrequiredonlyifthereisachangeinthefirstname.23. Deedpoll/swornaffidavitasperAnnexure"E"24. StandardAffidavitasperAnnexure"I"25. VerificationCertificateasperAnnexure"J"26. PhotocopyofDiplomatic/OfficialPassport27. PriorIntimationLetter(PI)(asperAnnexureN)
Note:Thelistofdocumentsprovidedinthetableaboveisindicative.ThedecisionofAPO/RPOshallbeconsideredfinal.