Sie sind auf Seite 1von 1

Application Form

Applicant Details : Application Reference No 13-0011277326 Batch 9 Service Type FRESH Type of Application Tatkaal Sequence No. 2 Application Submitted Date30/09/2013 Date of Birth 10/09/1990 Reporting Time 11:15 AM Gender MALE Employment Type PRIVATE Marital Status SINGLE Place of Birth BUDPUR JAT,HARIDWAR,UTTARAKHAND Given Name PIYUSH Surname RATHI Father's Name HARVEER SINGH RATHI Mother's Name VIRAND RATHI Guardian's Name HARVEER SINGH RATHI Present Address 11 A/2 HARIOM COLONY MORAR, GWALIOR, GWALIOR - 474006, MADHYA PRADESH, INDIA Applicants References : First Reference Details ANURAG KUSHWAH S/O JAI SINGH KUSHWAH HARIOM COLONY MORAR GWALIOR, 8120270268 Second Reference Details NAVNEET GARG S/O S.K. GARG HARIOM COLONY MORAR GWALIOR, 9425751949, 07512367317 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 Appointment Quota 3500.00 1500.00 01/10/2013 11:03 AM IGM5344222 Bhopal, PASSPORT SEVA KENDRA, 2ND FLOOR, OFFICE BLOCK, DB CITY MALL, ARERA HILLS, BHOPAL-462011 MADHYA PRADESH 05/11/2013 & 11:30 AM 100004304389113 11:15 AM Normal

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

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. Only in the case of Senior Citizens, Physically Challenged, Illiterate Applicants and Minor cases, one accompanying person from the family will be allowed along with the applicant. 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. Applicants applying under "TATKAAL" scheme may please note that their application processing at Passport Seva Kendra may take approximately 2 hours due to additional verifications required before processing of such applications. Therefore, "TATKAAL" applicants are advised to plan their schedule accordingly.

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

1 of 1

12-10-2013 14:18