Application Form

https://portal1.passportindia.gov.in/AppOnlineProject/secure/openPdf...

Passport Application Government of India, Ministry of External Affairs Online Application Receipt

ATM facility available in PSK for all Bank Cards

Applicant Details : Application Reference No 13-0010168694 Batch 1 Service Type FRESH Type of Application Normal Sequence No. 44 Application Submitted Date29/08/2013 Date of Birth 18/10/2007 Reporting Time 09:15 AM Gender MALE Employment Type STUDENT Marital Status SINGLE Place of Birth BHIWANDI,THANE CITY,MAHARASHTRA Given Name UMAR ZUBAIR AHMAD Surname SHAIKH Father's Name ZUBAIR AHMAD BASHIRUDDIN SHAIKH Mother's Name AYESHA ZUBAIR AHMAD SHAIKH Present Address 94 SAUDAGAR MOHALLA, BHIWANDI, THANE CITY - 421302, null, INDIA Applicants References : First Reference Details MOHAMMAD SAJID TABIBUDDIN SAUDAGAR MOHALLA BHIWANDI, 8446644665 Second Reference Details SHAIKH MISBAH SHAKEEL DARGAH ROAD BHIWANDI, 8857923289 Payment Details: Total Fee (Rs.) Paid Fee (Rs.) Date and Time Transaction Id Appointment Details : PSK Location Date & Time of Appointment Appointment Id Reporting Time
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1000.00 1000.00 04/10/2013 11:23 PM CP02313445 Thane, PASSPORT SEVA KENDRA,DOSTI PINNACLE,UNIT NO G1,PLOT NO E7,ROAD NO 22,WAGLE INDUSTRIAL ESTATE,THANE WEST - 400604 10/03/2014 & 09:30 AM 100004716856514 09:15 AM

Note: Applicant should reach the Passport Seva Kendra by the reporting time mentioned above for pre-checking of documents to avoid any hassles in issuance of token. Applicant should bring all the originals and one set of photo copy, photo copies should be self attested by the applicant. In case of minor either of the parents has to sign on all photo copies. One accompanying person from the family will be allowed along with Senior Citizens, Physically Challenged, Illiterate and Minor applicants only. Applicant will not be issued token at Passport Seva Kendra, if they report after scheduled appointment time. Minor applicants below 4 years of age need to carry a recent coloured passport size (4.5 x 3.5 cm) photograph with a white background while visiting Passport Seva Kendra. Other applicants need not carry any photograph as photograph will be captured at the Passport Seva Kendra. Carrying of corrosive substances or explosives, arms or any sharp objects which may cause physical harm or violence are prohibited inside the PSK. Electronic item such as camera is prohibited inside the PSK. Balance fee (if applicable) after editing the submitted form will be payable in cash at the Passport Seva Kendra.

# Details as per the Payment Date. Payment once made for availing passport services will not be refunded.

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