AppointmentReciept
MinistryofExternalAffairsGovernmentofIndia
OnlineAppointmentReceipt
ApplicantDetails:
PaymentDetails#
ApplicationReferenceNo.
150007850104
(ARN)
TotalFee
(Rs.)
ServiceType
FRESH
PaidFee(Rs.) 1500.00
TypeofApplication
NORMAL
DateandTime 23/06/201503:57PM
GivenName
SUKHDEV
TransactionId 37958340
Surname
SINGH
Father'sName
LALLUSINGH
AppointmentDetails:
Mother'sName
RAJWALA
DateofBirth
05/11/1990
PlaceofBirth
PASIYAPURA
VILLAGE,MORADABAD,UTTAR
PRADESH
PassportSeva BAREILLY,
Kendra
RADHAKRISHNATOWER,CC146/A,PLOT
Address
NO.317/1KHA,JAGATPURLALABEGUM,
PILIBHITBYPASSROAD,BAREILLY243001,
UTTARPRADESH
Gender
MALE
MaritalStatus
SINGLE
EmploymentType
SELFEMPLOYED
ApplicationSubmittedDate 23/06/2015
PresentResidential
Address
139,PASIYAPURA,MORADABAD,
244402,UTTARPRADESH,INDIA
ApplicantsReferencesDetails:
FirstReference
LALLUSINGH,139,PASIYAPURAPS.
BHAGATPUR,MORADABAD,
9627793184
SecondReference
SUKHWINDERSINGH,139,
PASIYAPURAPS.BHAGATPUR,
MORADABAD,9536102886
1500.00
Appointment 100006850269715
Id
Appointment
Dateand
28/07/2015&03:15PM
Time
Reporting
Dateand
28/07/2015&03:00PM
Time
Batch
SequenceNo.
21
Barcode
16
PleaseReadCarefully:
PleasereachPassportSevaKendra(PSK)at03:00PMasmentionedaboveandcarrytheprintedcopyofthisappointmentreceipt.
CheckDocumentAdvisoronwebsite'www.passportindia.gov.in'toknowthedocumentsrequiredatPSK.Carryoriginaldocumentsand 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
and C. At all stages, please be alert and watch the token display screens to know the counter at which your application will be processed.
Please collect acknowledgement slip from the Exit counter before leaving PSK. Also,you are requested to fill the feedback form at the exit
counter.
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)or27(ifPrePoliceVerificationisrequired).
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)21or20or27ifapplicantisGovernment/PublicSector/Statutorybody
whileinservice
employee
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
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CertificatebytheRegistrarofBirths&Deathsisacceptable.TheBirthCertificateshouldordinarilycontainthenameofchild,nameoffatherand
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
27. PriorIntimationLetter(PI)(asperAnnexureN)
Note:Thelistofdocumentsprovidedinthetableaboveisindicative.ThedecisionofAPO/RPOshallbeconsideredfinal.
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