9/16/2014 Application Form

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Passport Application
Government of India, Ministry of External Affairs
Online Application Receipt
ATM facility available at PSK
for all Bank Cards
Applicant Details:
Application Reference No. 14-1007611473
Batch 11
Sequence No. 10
Reporting Time 11:45 AM
Service Type FRESH
Type of Application Normal
Application Submitted Date 09/09/2014
Date of Birth 03/06/1992
Gender MALE
Employment Type OTHERS
Marital Status SINGLE
Place of Birth THAMATAM VARI
PALLI,CHITTOOR
RURAL,ANDHRA
PRADESH
Given Name BHASKARA
Surname YANAMALA
Father's Name MALLIKARJUN YANAMALA
Mother's Name ANASUYA YANAMALA
Present Address 5-36,THAMATAM VARI PALLI(V), VOOTUPALLI(P), CHITTOOR RURAL, 517123, ANDHRA
PRADESH, INDIA
Applicants References:
First Reference Details SUBRAMANYAM,5-67, 9676568981
Second Reference Details SUBRAMANYAM 5-66, 8008726133

Payment Details:
#
Total Fee (Rs.) 1500.00
Paid Fee (Rs.) 1500.00
Date and Time 09/09/2014 10:44 AM
Transaction Id IGZ3236407

Appointment Details:
PSK Location
Tirupathi,
D.NO: 19-4-9, R101 TO 105, PRINCE
AVENUE, ANNAMAYA MARG,
TIRUPATHI-517501
Date and Time of Appointment 30/09/2014 & 12:00 PM
Appointment Id 100005793666614
Reporting Time 11:45 AM


Thanks for showing your interest in 'Passport Seva SMS Services' enrolment. Please pay Rs 30/- (THIRTY ONLY) in cash as the
Enrolment Charges during your visit to Passport Seva Kendra.

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.
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.