2/17/2017 AppointmentReciept

MinistryofExternalAffairsGovernmentofIndia
OnlineAppointmentReceipt

ApplicantDetails:

PaymentDetails#
ApplicationReferenceNo. TotalFee(Rs.) 2000.00
161009777785
(ARN)
PaidFee(Rs.) 2000.00
ServiceType FRESH
DateandTime 19/11/201611:52AM
TypeofApplication NORMAL
TransactionId CP65006018
GivenName DEVANG
Surname SINGH AppointmentDetails:
Gender MALE PassportSeva KOZHIKODE,
Father'sName VINAYKUMARSINGH KendraAddress KOYENCOHOUSE,WESTHILLCHUNGAM,
Mother'sName PUSHPASINGH KANNURROAD,KOZHIKODE673005
DateofBirth 10/03/1993 AppointmentId 100009299440817
PlaceofBirth VARANASI,VARANASI,UTTARPRADESH Appointment
17/02/2017&09:00AM
DateandTime
MaritalStatus SINGLE
ReportingDate
EmploymentType STUDENT 17/02/2017&08:45AM
andTime
ApplicationSubmittedDate 19/11/2016

PresentResidential FLATNO.15,LULOOKKASAPARTMENT,
Address COMPANYMUKKU,CALICUT,
KOZHIKODECITY,673601,KERALA, Batch 3
INDIA
ApplicantsReferencesDetails:

FirstReference
BARALAKASH,GHOSTELNIT SequenceNo. 18
CALICUT,8527850816
DEBESHBAIDYA,GHOSTEL,NIT
SecondReference
CALICUT,8714913794

PleaseReadCarefully:
PleasereachPassportSevaKendra(PSK)at08:45AMasmentionedaboveandcarrytheprintedcopyofthisappointmentreceipt.
Check Document Advisor on website 'www.passportindia.gov.in' to know the documents required at PSK.Carry original documents and their self
attestedphotocopies.FinaldecisionwithregardtodocumentsrequiredisatthediscretionofRPOstaffatPSK.
Incaseofminorapplicants(below4yearsofage),carrytherecentpassportsizephotograph(4.5X3.5cm)withwhitebackground.
OnlyapplicantisallowedinsidethePSK.However,incaseofexceptionssuchasSeniorCitizen/PhysicallyChallenged/Illiterate/Minorapplicants,
onepersonfromthefamilymaybeallowedtoaccompanyinsidePSK.
AtPSK,apapertokenwillbeissuedtoyouaftercheckingofdocuments.YourapplicationwillbeprocessedatCounterAfollowedbycountersBand
C.Atallstages,pleasebealertandwatchthetokendisplayscreenstoknowthecounteratwhichyourapplicationwillbeprocessed.Pleasecollect
acknowledgementslipfromtheExitcounterbeforeleavingPSK.Also,youarerequestedtofillthefeedbackformattheexitcounter.
Corrosive substances, explosives, weapons and any sharp objects are not allowed inside the PSK. Please cooperate with security staff for frisking
beforeentryinPSK.Yoursecurityisourprimaryconcern.
TakecareofyourbelongingsinsidethePSK.
KeepyourmobileinsilentmodeinsidePSK.Alsovideo/photographyisnotallowedinside.
You have not opted for 'Passport Seva SMS Services'. To enrol, please go to 'Enrol for SMS Services (Optional)' link available at 'Applicant Home'
Pageofthewebsite.
Balancefee(ifapplicable)aftereditingthesubmittedformwillbepayableincashatthePassportSevaKendra.
Helpustoserveyoubetter.
AsyouareadependentfamilymemberofGovernment/PSU/Statutorybodyemployee,ifyoudesirePoliceVerificationModeotherthanPre(Police
verificationiscarriedoutbeforeissueofpassport),PleaseconfirmtoentertheIdentityCertificate(IC)detailsonlineusingEnterVC/NOC/PIL/IC
DetailslinkavailableontheViewSaved/SubmittedApplicationspage.Pleasecarryoriginals.
#DetailsasperthePaymentDate.Paymentoncemadeforavailingpassportserviceswillnotberefunded.

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2/17/2017 AppointmentReciept
ThefollowingtablelistsApplicantCategoriesalongwiththeDocumentstobeSubmitted.TheDocumentNo.mentionedin
DocumentstobeSubmittedcolumnisthereferencegiventothedocumentmentionedinListofDocumentstable.

ApplicantCategories
OrdinaryCase(CitizenofIndiabybirth)
CitizenofIndiabyDescent(BorntoIndianparent(s)outsideIndia)
CitizenofIndiabyRegistration/Naturalization(GrantedcitizenshipbyMHA)
ApplicantsrepatriatedfromabroadatGovernmentcost
ApplicantsdeportedtoIndia/EmergencyCertificatecases
Government/PublicSector/Statutorybodyemployees
DependentfamilymembersofGovernment/PublicSector/Statutorybodyemployees
(ForJ&Kchildreninagegroup1015yearsarecovered.ForrestofIndiachildrenin
agegroup1821arecovered)
Retiredgovernmentofficials
ApplicantshavingDiplomatic/OfficialPassportandapplyingforordinaryPassport
whileinservice
DependentfamilymembersofDiplomatic/OfficialPassportholderswhoarenot
governmentservants(ForJ&KChildreninagegroup1015yearsarecovered)
Owner,partnersanddirectorsofCompanieswhicharemembersofCII,FICCI&
ASSOCHAM.
Minorchangeinname
Majorchangeinname
Change/Additioninsurnameduetomarriage
ChangeinnameincaseofGovernment/PublicSector/Statutorybodyemployees
NagalandResidents
NagaoriginsresidingoutsideNagaland
JammuandKashmirResidents
JammuandKashmirResidentsstayingoutsideJ&Kformorethanfiveyears
Studentsstayingawayfromtheirparent'scurrentresidence
SeniorCitizens(ForJ&K:Men65+years,Women60+yearsForrestofIndia65+ 1,2,3(iftheapplicantiseligibleforNonECR),19(ifPostPoliceVerificationis
years)
DocumentstobeSubmitted
1,2,3(iftheapplicantiseligibleforNonECR)
(i)1,2,3(iftheapplicantiseligibleforNonECR)
(ii)4or5or6
1,2,3(iftheapplicantiseligibleforNonECR),7
1,2,3(iftheapplicantiseligibleforNonECR),5(ifavailable),8,9
1,2,3(iftheapplicantiseligibleforNonECR),5(ifavailable),8(ifany),9
(i)1,2
(ii)21(ifNoPoliceVerificationisrequired)or20(ifPostPoliceVerificationis
required)or25(ifPrePoliceVerificationisrequired).
1,2,3(iftheapplicantiseligibleforNonECR),21(ofdependent)and22ifNoPolice
Verificationisrequired
1,2,10(ifPostPoliceVerificationisrequired)
(i)1,2,11(12ifsurrendercertificateisnotavailable)
(ii)21or20or25ifapplicantisGovernment/PublicSector/Statutorybodyemployee
Note:Incasetheapplicantsubmits"12","2"isnotrequired
1,2,3(iftheapplicantiseligibleforNonECR),24
(i)1,2
(ii)22and23ifPostPVisrequired
1(innewname),2(inoldname),3(iftheapplicantiseligibleforNonECR
Documentsinoldnameareallowed)
1(innewname),2(inoldname),3(iftheapplicantiseligibleforNonECR
Documentsinoldnameareallowed),13,26
(i)1,2,3(iftheapplicantiseligibleforNonECR)
1,2,15,16
1,2,3(iftheapplicantiseligibleforNonECR)
Note:AdditionalPVrequiredfromGuwahatithroughMHA.
1,2,3(iftheapplicantiseligibleforNonECR)
Note:AdditionalPVrequiredfromGuwahatithroughMHA.
1,2,3(iftheapplicantiseligibleforNonECR)
1,2,3(iftheapplicantiseligibleforNonECR)
1,2,3(iftheapplicantiseligibleforNonECR),17,18
required)

Document
ListofDocuments
No.
ProofofPresentAddress.ForProofofAddressattachoneofthefollowingdocuments:

a.Waterbill/Telephone(landlineorpostpaidmobilebill)/Electricitybill
b.PhotopassbookofrunningBankAccount(ScheduledPublicSectorBanks,ScheduledPrivateSectorIndianBanksandRegionalRuralBanks
only)
c.IncomeTaxAssessmentOrder
d.ElectionCommissionPhotoIDcard
e.Gasconnectionbill
f.CertificatefromEmployerofreputedandwidelyknowncompaniesonletterhead(Onlypubliclimitedcompaniescangiveaddressproofon
companyletterheadalongwithseal.Computerisedprintoutsshallnotbeentertained)
g.Spouse'spassportcopy(Firstandlastpageincludingfamilydetails),(providedtheapplicant'spresentaddressmatchestheaddressmentioned
inthespouse'spassport)
h.Parent'spassportcopy,incaseofminors(Firstandlastpage)
i.AadhaarLetter/Card
1. j.RegisteredRentAgreement

Note:

1.Applicantsarerequiredtosubmittheproofofaddressofthepresentaddressonly,irrespectiveofthedatefromwhichhe/shehasbeenresiding
atthegivenaddress.However,he/sheisrequiredtomentionalltheplaceofstayduringpreviousoneyearinthePassportapplicationform.

2.FurnishingofAadhaarcardwillexpediteprocessingofpassportapplications.

3.Aadhaarletter/cardortheeAadhaar(anelectronicallygeneratedletterfromthewebsiteofUIDAI),asthecasemaybe,willbeacceptedasProof
ofAddress(POA)andProofofPhotoIdentity(POI)foravailingpassportrelatedservices.AcceptanceofAadhaarasPoAandPoIwouldbe
subjecttosuccessfulvalidationwithAadhaardatabase.

4.AnyoftheremainingdocumentscontainingaddressoutofsixteendocumentslistedunderTatkaalapplication,couldalsobeacceptedasproofof
residenceifsuchdocumentshavethesamepresentresidentialaddressasgivenbytheapplicantinthePassportApplicationForm.

ProofofDateofBirth.ForProofofDateofBirthattachoneofthefollowingdocuments:

a.BirthCertificateissuedbytheRegistrarofBirthsandDeathsortheMunicipalCorporationoranyotherprescribedauthority,whosoeverhasbeen
empoweredundertheRegistrationofBirthandDeathsAct,1969toregisterthebirthofachildborninIndia.TheBirthCertificateshouldordinarily
containthenameofchild,nameoffatherandmother,dateofbirth,placeofbirth,sex,registrationnumberanddateofregistration.IftheBirth
Certificatedoesn'tcontainthenameofchild,adeclarationonplainpapersignedbyparents,isrequiredtobesubmittedspecifyingthenameof
thechild
b.Transfer/Schoolleaving/MatriculationCertificateissuedbytheschoollastattended/recognisededucationalboardhavingthedateofbirthofthe
applicant.
c.PolicyBondissuedbyPublicLifeInsuranceCorporations/Companiescontainingthedateofbirthoftheholderoftheinsurancepolicy.
2. d.AadharCard/EAadharhavingthedateofbirthoftheapplicant.
e.Copyofanextractoftheservicerecordoftheapplicant(onlyinrespectofGovernmentservants)orthePayPensionOrder(inrespectofretired
GovernmentServants),dulyattested/certifiedbytheofficer/inchargeoftheAdministrationoftheconcernedMinistry/Departmentofthe
applicant,havinghisdateofbirth.
f.DrivinglicenceissuedbytheTransportDepartmentoftheconcernedStateGovernment,havingthedateofbirthoftheapplicant.
g.ElectionPhotoIdentityCardissuedbytheElectionCommissionofIndiacontainingthedateofbirthoftheapplicant.

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2/17/2017 AppointmentReciept
h.PANCardissuedbytheIncomeTaxDepartmenthavingthedateofbirthoftheapplicant.
i.AdeclarationgivenbytheHeadoftheOrphanage/ChildCareHomeontheirofficialletterheadoftheorganizationconfirmingtheDOBofthe
applicant

Note:Documentsmentionedinpoint'd'to'h'areacceptableasproofofDateofBirthonlyifithasthepreciseDateofBirthoftheapplicant.
3. DocumentaryproofforanyoneoftheNonECR(previouslyECNR)categories,ReferColumn2.15underSectionBofpassportinstructionbooklet
4. BirthRegistrationCertificateissuedbyEmbassy/HighCommission/ConsulateofIndia
OldPassportinoriginalwithselfattestedphotocopyofitsfirsttwoandlasttwopages,includingECR/NonECRpage(previouslyECNR)andthepageof
5.
observation(ifany),madebyPassportIssuingAuthorityandvalidityextensionpage,ifany,inrespectofshortvaliditypassport
Passportofparentsinoriginalwithselfattestedphotocopyofitsfirsttwoandlasttwopages,includingECR/NonECRpage(previouslyECNR)andthe
6.
pageofobservation(ifany),madebyPassportIssuingAuthorityandvalidityextensionpage,ifany,inrespectofshortvaliditypassport
7. CitizenshipCertificateissuedbyMinistryofHomeAffairs
8. Proofofrefundofrepatriation/deportationcost(ifany)toMinistryofExternalAffairs
9. OriginalEmergencyCertificate/SeizureMemoissuedbyAirportImmigrationAuthoritiesonapplicant'sarrivalinIndia
10. PensionPaymentOrder
11. ProofofsurrenderorcancellationofDiplomatic/officialPassport
12. CancelledPassport(ifsurrendercertificateisnotavailable),withaletterexplainingwhysurrendercertificateisnotavailable
Paperclippingoftwoleadingdailynewspapersinoriginal(onedailynewspapershouldbeoftheareaofApplicant'sPermanentAddressandtheotherat
13.
CurrentAddressornearbyarea)
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''G'')
21. I dentityCertificate inoriginalasperAnnexure''A''
22. StandardAffidavitasperAnnexure''E''
23. VerificationCertificateasperthespecimenasperAnnexure''B''
24. PhotocopyofDiplomatic/OfficialPassport
25. PriorIntimationLetter(PI)(asperAnnexure''H'')
26. Atleasttwopublic/schooldocumentsissuedinthedesired/appliedchangednametoascertainthattheapplicanthasactuallychangedhisname.

Note:Thelistofdocumentsprovidedinthetableaboveisindicative.ThedecisionofAPO/RPOshallbeconsideredfinal.

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