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AppointmentReciept

MinistryofExternalAffairsGovernmentofIndia
OnlineAppointmentReceipt
ApplicantDetails:

PaymentDetails#

ApplicationReferenceNo.
150002782514
(ARN)

TotalFee
(Rs.)

ServiceType

FRESH

PaidFee(Rs.) 1500.00

TypeofApplication

NORMAL

DateandTime 19/03/201510:27AM

GivenName

MANOJKUMAR

TransactionId CP16696429

Surname

SINGH

Father'sName

VINAYKUMARSINGH

AppointmentDetails:

Mother'sName

VANDANASINGH

DateofBirth

27/05/1992

PlaceofBirth

VASUNDHARA,GHAZIABAD,UTTAR
PRADESH

PassportSeva GHAZIABAD,
Kendra
PASSPORTSEVAKENDRA,BLOCKAGROUND
Address
FLOOR,PACIFICBUSINESSPARK,PLOTNO
37/1,SITEIV,SAHIBABADINDUSTRIALAREA,
GHAZIABAD201010

Gender

MALE

MaritalStatus

SINGLE

EmploymentType

NOTEMPLOYED

ApplicationSubmittedDate 03/03/2015
PresentAddress

SECTOR4A/2184BLOCKNO.15
VASUNDHARA,VASUNDHARA,
GHAZIABAD,201012,UTTAR
PRADESH,INDIA

ApplicantsReferencesDetails:

1500.00

Appointment 100005967498114
Id
Appointment
Dateand
20/04/2015&03:30PM
Time
Reporting
Dateand
20/04/2015&03:15PM
Time
Batch

22

FirstReference

O.P.PANDEYSECTOR2B/305
VASUNDHARAGHAZIABADU.P.
201012,9999092567

SequenceNo.

16

SecondReference

KARANRAWATSECTOR4A/2184
VASUNDHARAGHAZIABADU.P.
201012,9868633439

PleaseReadCarefully:
PleasereachPassportSevaKendra(PSK)at03:15PMasmentionedaboveandcarrytheprintedcopyofthisappointmentreceipt.
CheckDocumentAdvisoronwebsite'www.passportindia.gov.in' to know the documents required at PSK.Carry original documents and their
selfattestedphotocopies.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 / Minor
applicants,onepersonfromthefamilymaybeallowedtoaccompanyinsidePSK.
AtPSK,apapertokenwillbeissuedtoyouaftercheckingofdocuments.YourapplicationwillbeprocessedatCounterAfollowedbycounters B
andC.Atallstages,pleasebealertandwatchthetokendisplayscreenstoknowthecounteratwhichyourapplicationwillbeprocessed.Please
collectacknowledgementslipfromtheExitcounterbeforeleavingPSK.Also,youarerequestedtofillthefeedbackformattheexitcounter.
Corrosive substances, explosives, weapons and any sharp objects are not allowed inside the PSK. Please cooperate with security staff for
friskingbeforeentryinPSK.Yoursecurityisourprimaryconcern.
TakecareofyourbelongingsinsidethePSK.
KeepyourmobileinsilentmodeinsidePSK.Alsovideo/photographyisnotallowedinside.
Thanksforshowingyourinterestin'PassportSevaSMSServices'enrolment.PleasepayRs35/(THIRTYFIVEONLY)incashastheEnrolment
ChargesduringyourvisittoPassportSevaKendra.
Balancefee(ifapplicable)aftereditingthesubmittedformwillbepayableincashatthePassportSevaKendra.
ATMfacilityavailableatPSKforallBankCards.
Helpustoserveyoubetter.
#DetailsasperthePaymentDate.Paymentoncemadeforavailingpassportserviceswillnotberefunded.

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ThefollowingtablelistsApplicantCategoriesalongwiththeDocumentstobeSubmitted.TheDocumentNo.mentionedin
DocumentstobeSubmittedcolumnisthereferencegiventothedocumentmentionedinListofDocumentstable.

ApplicantCategories

DocumentstobeSubmitted

OrdinaryCase(CitizenofIndiabybirth)

1,2,3(iftheapplicantiseligibleforNonECR)

CitizenofIndiabyDescent(BorntoIndianparent(s)outsideIndia)

(i)1,2,3(iftheapplicantiseligibleforNonECR)
(ii)4or5or6

CitizenofIndiabyRegistration/Naturalization(GrantedcitizenshipbyMHA)

1,2,3(iftheapplicantiseligibleforNonECR),7

ApplicantsrepatriatedfromabroadatGovernmentcost

1,2,3(iftheapplicantiseligibleforNonECR),5(ifavailable),8,9

ApplicantsdeportedtoIndia/EmergencyCertificatecases

1,2,3(iftheapplicantiseligibleforNonECR),5(ifavailable),8(ifany),9

Government/PublicSector/Statutorybodyemployees

(i)1,2
(ii)21(ifNoPoliceVerificationisrequired)or20(ifPostPoliceVerificationis
required)

DependentfamilymembersofGovernment/PublicSector/Statutorybody
employees(ForJ&Kchildreninagegroup1015yearsarecovered.Forrestof
Indiachildreninagegroup1821arecovered)

1,2,3(iftheapplicantiseligibleforNonECR),21(ofdependent)and24ifNo
PoliceVerificationisrequired

Retiredgovernmentofficials

1,2,10(ifPostPoliceVerificationisrequired)

(i)1,2,11(12ifsurrendercertificateisnotavailable)
ApplicantshavingDiplomatic/OfficialPassportandapplyingforordinaryPassport
(ii)21or20ifapplicantisGovernment/PublicSector/Statutorybodyemployee
whileinservice
Note:Incasetheapplicantsubmits"12","2"isnotrequired
DependentfamilymembersofDiplomatic/OfficialPassportholderswhoarenot
governmentservants(ForJ&KChildreninagegroup1015yearsarecovered)

1,2,3(iftheapplicantiseligibleforNonECR),26

Owner,partnersanddirectorsofCompanieswhicharemembersofCII,FICCI&
ASSOCHAM.

(i)1,2
(ii)24and25ifPostPVisrequired

Minorchangeinname

1(innewname),2(inoldname),3(iftheapplicantiseligibleforNonECR
Documentsinoldnameareallowed),23

Majorchangeinname

1(innewname),2(inoldname),3(iftheapplicantiseligibleforNonECR
Documentsinoldnameareallowed),13,23

Change/Additioninsurnameduetomarriage

(i)1,2,3(iftheapplicantiseligibleforNonECR)
(ii)14or22

ChangeinnameincaseofGovernment/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),17,18

SeniorCitizens(ForJ&K:Men65+years,Women60+yearsForrestofIndia
65+years)

1,2,3(iftheapplicantiseligibleforNonECR),19(ifPostPoliceVerificationis
required)

Document
No.

ListofDocuments
ProofofPresentAddress.ForProofofAddressattachoneofthefollowingdocuments:

1.

a. Waterbill/Telephone(landlineorpostpaidmobilebill)/Electricitybill(atleast2billsarerequiredOnebillshouldofbeoflastyearandthe
otherbillofcurrentyear)
b. PhotopassbookofrunningBankAccount(ScheduledPublicSectorBanks,ScheduledPrivateSectorIndianBanksandRegionalRural
Banksonly)
c. IncomeTaxAssessmentOrder
d. ElectionCommissionPhotoIDcard
e. Gasconnectionbill
f. CertificatefromEmployerofreputedandwidelyknowncompaniesonletterhead(Onlypubliclimitedcompaniescangiveaddressproofon
companyletterheadalongwithseal.Computerisedprintoutsshallnotbeentertained)
g. Spouse'spassportcopy(Firstandlastpageincludingfamilydetails),(providedtheapplicant'spresentaddressmatchestheaddress
mentionedinthespouse'spassport)
h. Applicant'scurrentandvalidrationcard
NOTE1:Ifanyapplicantsubmitsonlyrationcardasproofofaddress,itshouldbeaccompaniedbyonemoreproofofaddressoutofthe
givencategories.
i. Parent'spassportcopy,incaseofminors(Firstandlastpage)
j. AadhaarLetter/Card(IfaadhaarcardissuancedateislessthanayearfrompassportapplicationprocessingdateatPSK,itshouldbe
accompaniedbyonemoreproofofaddressoutofthegivencategories)
k. RegisteredRentAgreement(foraperiodofmorethanoneyear)
ProofofDateofBirth.ForProofofDateofBirthattachoneofthefollowingdocuments:

2.

a. BirthcertificateissuedbyaMunicipalAuthorityoranyofficeauthorizedtoissueBirthandDeathCertificatebytheRegistrarofBirths&
Deaths
b. Schoolleavingcertificate/SecondarySchoolleavingcertificate/CertificateofRecognizedBoardsfromtheschoollastattendedbythe
applicantoranyotherrecognizededucationalinstitution
c. AffidavitswornbeforeaMagistrate/Notarystatingdate/placeofbirthasperthespecimeninAnnexure"A"byilliterateorsemiilliterate
applicants(Lessthan5thclass).
Forapplicantsbornonorafter26.01.89,onlyBirthCertificateissuedbytheMunicipalAuthorityoranyofficeauthorizedtoissueBirthandDeath
CertificatebytheRegistrarofBirths&Deathsisacceptable.TheBirthCertificateshouldordinarilycontainthenameofchild,nameoffatherand

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AppointmentReciept
mother,dateofbirth,placeofbirth,sex,registrationnumberanddateofregistration.IftheBirthCertificatedoesn'tcontainthenameofchild,a
declarationonplainpapersignedbyparents,isrequiredtobesubmittedspecifyingthenameofthechild.
3. DocumentaryproofforanyoneoftheNonECR(previouslyECNR)categories,ReferColumn2.15underSectionBofpassportinstructionbooklet
4. BirthRegistrationCertificateissuedbyEmbassy/HighCommission/ConsulateofIndia
5.

OldPassportinoriginalwithselfattestedphotocopyofitsfirsttwoandlasttwopages,includingECR/NonECRpage(previouslyECNR)andthepage
ofobservation(ifany),madebyPassportIssuingAuthorityandvalidityextensionpage,ifany,inrespectofshortvaliditypassport

6.

Passportofparentsinoriginalwithselfattestedphotocopyofitsfirsttwoandlasttwopages,includingECR/NonECRpage(previouslyECNR)and
thepageofobservation(ifany),madebyPassportIssuingAuthorityandvalidityextensionpage,ifany,inrespectofshortvaliditypassport

7. CitizenshipCertificateissuedbyMinistryofHomeAffairs
8. Proofofrefundofrepatriation/deportationcost(ifany)toMinistryofExternalAffairs
9. OriginalEmergencyCertificate/SeizureMemoissuedbyAirportImmigrationAuthoritiesonapplicant'sarrivalinIndia
10. PensionPaymentOrder
11. ProofofsurrenderorcancellationofDiplomatic/officialPassport
12. CancelledPassport(ifsurrendercertificateisnotavailable),withaletterexplainingwhysurrendercertificateisnotavailable
13.

Paperclippingoftwoleadingdailynewspapersinoriginal(onedailynewspapershouldbeoftheareaofApplicant'sPermanentAddressandtheother
atCurrentAddressornearbyarea)

14. AnattestedcopyofmarriagecertificateissuedbyRegistrarofMarriage
15. GazetteNotificationchangingnameinapplicant'sdepartment
16. FreshIDCertificateinchangedname
17. StudentIdentityCardissuedbyGovernmentRecognizedEducationalInstitutions,inrespectoffulltimecourses
18. BonafideLetterfromauthorizedsignatoryofcollege(OnofficialletterheadofUGCrecognizedCollege)
19. Copyofchild's(Age>18)Passport,whoisstayingabroad(withpagehavingparent'sname)
20. NoObjectionCertificate(NOC)(asperAnnexure'M')
21. "IdentityCertificate"inoriginalasperAnnexure"B"
22.

Ajointaffidavitfromhusbandandwifealongwithajointphotograph,(SpecimenatAnnexure"D")Whenjointaffidavitisnotpossibletheaffidavit
shouldindicatethereasonforit.Ifapplyingforpassportforthefirsttime,thisaffidavitisrequiredonlyifthereisachangeinthefirstname.

23. Deedpoll/swornaffidavitasperAnnexure"E"
24. StandardAffidavitasperAnnexure"I"
25. VerificationCertificateasperAnnexure"J"
26. PhotocopyofDiplomatic/OfficialPassport

Note:Thelistofdocumentsprovidedinthetableaboveisindicative.ThedecisionofAPO/RPOshallbeconsideredfinal.

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