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AppointmentReciept

MinistryofExternalAffairsGovernmentofIndia
OnlineAppointmentReceipt
ApplicantDetails:
PaymentDetails#
ApplicationReferenceNo.
(ARN)

161007078677

ServiceType

FRESH

TypeofApplication

NORMAL

GivenName

BINO

Surname

THOMAS

AppointmentDetails:

Gender

MALE

Father'sName

THOMASKOCHUKURUKANDATHIL

PassportSeva
KendraAddress

Mother'sName

BABYTHOMAS

Spouse'sName

SHINEYBINO

ALUVA,
MOOSAVAIDYARMEMORIALBUILDING,
ALUVAPERUMBAVOORROAD,ALUVA683101
(NEARCASINOTHEATRE)

DateofBirth

25/05/1973

100008512490016

PlaceofBirth

ALATTUCHIRA,ERNAKULAM
RURAL,KERALA

MaritalStatus

MARRIED

AppointmentId
Appointment
DateandTime
ReportingDate
andTime

EmploymentType

PRIVATE

ApplicationSubmittedDate 06/08/2016
PresentResidential
Address

XVII/470,KANDATHILHOUSE,
NATIONALENGGWRKSHP,
PERUMBAVOOR,ERNAKULAMRURAL,
683542,KERALA,INDIA

ApplicantsReferencesDetails:
FirstReference

JOYPARVELIKUDY,PARVELIKUDY
HOUSE,PERUMBAVOOR,04842527079

SecondReference

NIZARPH,PUTHUKADANHOUSE,
PERUMBAVOOR,04842529021

TotalFee(Rs.)

1500.00

PaidFee(Rs.)

1500.00

DateandTime

06/08/201610:04PM

TransactionId

CP55008776

11/08/2016&09:30AM
11/08/2016&09:15AM

Batch

SequenceNo.

10

PleaseReadCarefully:
PleasereachPassportSevaKendra(PSK)at09:15AMasmentionedaboveandcarrytheprintedcopyofthisappointmentreceipt.
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.
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.
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/Statutorybodyemployees
1,2,3(iftheapplicantiseligibleforNonECR),21(ofdependent)and24ifNoPolice
(ForJ&Kchildreninagegroup1015yearsarecovered.ForrestofIndiachildrenin
Verificationisrequired
agegroup1821arecovered)
Retiredgovernmentofficials

1,2,10(ifPostPoliceVerificationisrequired)

ApplicantshavingDiplomatic/OfficialPassportandapplyingforordinaryPassport
whileinservice

(i)1,2,11(12ifsurrendercertificateisnotavailable)
(ii)21or20or27ifapplicantisGovernment/PublicSector/Statutorybodyemployee
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+yearsForrestofIndia65+ 1,2,3(iftheapplicantiseligibleforNonECR),19(ifPostPoliceVerificationis
years)
required)

Document
No.

ListofDocuments
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'spresentaddressmatchestheaddressmentionedin
thespouse'spassport)
h.Parent'spassportcopy,incaseofminors(Firstandlastpage)
i.AadhaarLetter/Card
j.RegisteredRentAgreement

1.
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:

2.

a.BirthcertificateissuedbyaMunicipalAuthorityoranyofficeauthorizedtoissueBirthandDeathCertificatebytheRegistrarofBirths&Deaths
b.Schoolleavingcertificate/SecondarySchoolleavingcertificate/CertificateofRecognizedBoardsfromtheschoollastattendedbytheapplicant
oranyotherrecognizededucationalinstitution
c.AffidavitswornbeforeaMagistrate/Notarystatingdate/placeofbirthasperthespecimeninAnnexure"A"byilliterateorsemiilliterateapplicants
(Lessthan5thclass).
Forapplicantsbornonorafter26.01.89,onlyBirthCertificateissuedbytheMunicipalAuthorityoranyofficeauthorizedtoissueBirthandDeathCertificate
bytheRegistrarofBirths&Deathsisacceptable.TheBirthCertificateshouldordinarilycontainthenameofchild,nameoffatherandmother,dateofbirth,
placeofbirth,sex,registrationnumberanddateofregistration.IftheBirthCertificatedoesn'tcontainthenameofchild,adeclarationonplainpapersigned
byparents,isrequiredtobesubmittedspecifyingthenameofthechild.

3. DocumentaryproofforanyoneoftheNonECR(previouslyECNR)categories,ReferColumn2.15underSectionBofpassportinstructionbooklet
4. BirthRegistrationCertificateissuedbyEmbassy/HighCommission/ConsulateofIndia

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5. OldPassportinoriginalwithselfattestedphotocopyofitsfirsttwoandlasttwopages,includingECR/NonECRpage(previouslyECNR)andthepageof
observation(ifany),madebyPassportIssuingAuthorityandvalidityextensionpage,ifany,inrespectofshortvaliditypassport
6.

Passportofparentsinoriginalwithselfattestedphotocopyofitsfirsttwoandlasttwopages,includingECR/NonECRpage(previouslyECNR)andthe
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
13.

Paperclippingoftwoleadingdailynewspapersinoriginal(onedailynewspapershouldbeoftheareaofApplicant'sPermanentAddressandtheotherat
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'M')
21. "IdentityCertificate"inoriginalasperAnnexure"B"
22.

Ajointaffidavitfromhusbandandwifealongwithajointphotograph,(SpecimenatAnnexure"D")Whenjointaffidavitisnotpossibletheaffidavitshould
indicatethereasonforit.Ifapplyingforpassportforthefirsttime,thisaffidavitisrequiredonlyifthereisachangeinthefirstname.

23. Deedpoll/swornaffidavitasperAnnexure"E"
24. StandardAffidavitasperAnnexure"I"
25. VerificationCertificateasperAnnexure"J"
26. PhotocopyofDiplomatic/OfficialPassport
27. PriorIntimationLetter(PI)(asperAnnexure'N')

Note:Thelistofdocumentsprovidedinthetableaboveisindicative.ThedecisionofAPO/RPOshallbeconsideredfinal.

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