30/10/2015 AppointmentReciept

MinistryofExternalAffairsGovernmentofIndia
OnlineAppointmentReceipt

ApplicantDetails: PaymentDetails#
ApplicationReference TotalFee 1500.00
150013314622
No.(ARN) (Rs.)
ServiceType FRESH PaidFee(Rs.) 1500.00
TypeofApplication NORMAL DateandTime 30/10/201504:38PM
GivenName AALEKH TransactionId IG0AXQTKA7
Surname ANAND
Gender MALE AppointmentDetails:
Father'sName DHARMENDRAKISHORESINGH PassportSeva PATNA,
Mother'sName SARITAKUMARI Kendra PSK,VAUSSPRINGS,BLOCKII,LOWERAND
Address UPPERGROUNDFLOOR,ASHIANADIGHA
DateofBirth 30/03/1993 ROAD,PATNA800014
PlaceofBirth PATNA,PATNA,BIHAR Appointment 100007330056715
MaritalStatus SINGLE Id
EmploymentType STUDENT Appointment
ApplicationSubmitted Dateand 02/11/2015&02:15PM
29/10/2015 Time
Date
PresentResidential SUMITRASADANEASTBORING Reporting
Address CANALROADPATNA.,PATNA, Dateand 02/11/2015&02:00PM
PATNA,800001,BIHAR,INDIA Time
ApplicantsReferencesDetails:
DHARMENDRAKISHORE
SINGH,SUMITRASADAN,OPPOSITE
Batch 17
FirstReference
BALDWINSOPHIA,EASTBORING
CANALROAD,PATNA,9308946416 Sequence 1
SecondReference
REGISTRAR,CNLU,MITHAPUR,PATNA, No.
9431622508


PleaseReadCarefully:
PleasereachPassportSevaKendra(PSK)at02:00PMasmentionedaboveandcarrytheprintedcopyofthisappointmentreceipt.
Check Document Advisor on website 'www.passportindia.gov.in' to know the documents required at PSK.Carry original documents and
theirselfattestedphotocopies.FinaldecisionwithregardtodocumentsrequiredisatthediscretionofRPOstaffatPSK.
Incaseofminorapplicants(below4yearsofage),carrytherecentpassportsizephotograph(4.5X3.5cm)withwhitebackground.
OnlyapplicantisallowedinsidethePSK.However,in case of exceptions such as Senior Citizen / Physically Challenged / Illiterate / Minor
applicants,onepersonfromthefamilymaybeallowedtoaccompanyinsidePSK.
At PSK, a paper token will be issued to you after checking of documents.Your application will be processed at Counter A followed by
countersBandC.Atallstages,pleasebealertandwatchthetokendisplayscreenstoknowthecounteratwhichyourapplicationwillbe
processed.PleasecollectacknowledgementslipfromtheExitcounterbeforeleavingPSK.Also,youarerequestedtofillthefeedbackform
attheexitcounter.
Thanks for showing your interest in 'Passport Seva SMS Services' enrolment. Please pay Rs 35/ (THIRTY FIVE ONLY) in cash as the
EnrolmentChargesduringyourvisittoPassportSevaKendra.
Balancefee(ifapplicable)aftereditingthesubmittedformwillbepayableincashatthePassportSevaKendra.
ATMfacilityavailableatPSKforallBankCards.
Helpustoserveyoubetter.
#DetailsasperthePaymentDate.Paymentoncemadeforavailingpassportserviceswillnotberefunded.

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30/10/2015 AppointmentReciept
ThefollowingtablelistsApplicantCategoriesalongwiththeDocumentstobeSubmitted.TheDocumentNo.mentionedin
DocumentstobeSubmittedcolumnisthereferencegiventothedocumentmentionedinListofDocumentstable.

ApplicantCategories
OrdinaryCase(CitizenofIndiabybirth)
CitizenofIndiabyDescent(BorntoIndianparent(s)outsideIndia)
CitizenofIndiabyRegistration/Naturalization(GrantedcitizenshipbyMHA)
ApplicantsrepatriatedfromabroadatGovernmentcost
ApplicantsdeportedtoIndia/EmergencyCertificatecases
Government/PublicSector/Statutorybodyemployees
DependentfamilymembersofGovernment/PublicSector/Statutorybody
employees(ForJ&Kchildreninagegroup1015yearsarecovered.Forrestof
Indiachildreninagegroup1821arecovered)
Retiredgovernmentofficials
ApplicantshavingDiplomatic/OfficialPassportandapplyingforordinary
Passportwhileinservice
DependentfamilymembersofDiplomatic/OfficialPassportholderswhoarenot
governmentservants(ForJ&KChildreninagegroup1015yearsarecovered)
Owner,partnersanddirectorsofCompanieswhicharemembersofCII,FICCI& (i)1,2
ASSOCHAM.
Minorchangeinname
Majorchangeinname
Change/Additioninsurnameduetomarriage
ChangeinnameincaseofGovernment/PublicSector/Statutorybody
employees
NagalandResidents
NagaoriginsresidingoutsideNagaland
JammuandKashmirResidents
JammuandKashmirResidentsstayingoutsideJ&Kformorethanfiveyears
Studentsstayingawayfromtheirparent'scurrentresidence
SeniorCitizens(ForJ&K:Men65+years,Women60+yearsForrestofIndia 1,2,3(iftheapplicantiseligibleforNonECR),19(ifPostPoliceVerificationis
65+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)or27(ifPrePoliceVerificationisrequired).
1,2,3(iftheapplicantiseligibleforNonECR),21(ofdependent)and24ifNo
PoliceVerificationisrequired
1,2,10(ifPostPoliceVerificationisrequired)
(i)1,2,11(12ifsurrendercertificateisnotavailable)
(ii)21or20or27ifapplicantisGovernment/PublicSector/Statutorybody
employee
Note:Incasetheapplicantsubmits"12","2"isnotrequired
1,2,3(iftheapplicantiseligibleforNonECR),26
(ii)24and25ifPostPVisrequired
1(innewname),2(inoldname),3(iftheapplicantiseligibleforNonECR
Documentsinoldnameareallowed),23
1(innewname),2(inoldname),3(iftheapplicantiseligibleforNonECR
Documentsinoldnameareallowed),13,23
(i)1,2,3(iftheapplicantiseligibleforNonECR)
(ii)14or22
1,2,15,16,23
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,ScheduledPrivateSectorIndianBanksandRegionalRural
Banksonly)
c. IncomeTaxAssessmentOrder
d. ElectionCommissionPhotoIDcard
e. Gasconnectionbill
f. CertificatefromEmployerofreputedandwidelyknowncompaniesonletterhead(Onlypubliclimitedcompaniescangiveaddressproof
oncompanyletterheadalongwithseal.Computerisedprintoutsshallnotbeentertained)
g. Spouse'spassportcopy(Firstandlastpageincludingfamilydetails),(providedtheapplicant'spresentaddressmatchestheaddress
1. mentionedinthespouse'spassport)
h. Applicant'scurrentandvalidrationcard
Note:Ifanyapplicantsubmitsonlyrationcardasproofofaddress,itshouldbeaccompaniedbyonemoreproofofaddressoutofthe
givencategories.
i. Parent'spassportcopy,incaseofminors(Firstandlastpage)
j. AadhaarLetter/Card(IfaadhaarcardissuancedateislessthanayearfrompassportapplicationprocessingdateatPSK,itshouldbe
accompaniedbyonemoreproofofaddressoutofthegivencategories)
k. RegisteredRentAgreement(foraperiodofmorethanoneyear)

Note:Applicantsarerequiredtosubmittheproofofaddressofthepresentaddressonly,irrespectiveofthedatefromwhichhe/shehasbeen
residingatthegivenaddress.However,he/sheisrequiredtomentionalltheplaceofstayduringpreviousoneyearinthePassportapplication
form.
ProofofDateofBirth.ForProofofDateofBirthattachoneofthefollowingdocuments:

a. BirthcertificateissuedbyaMunicipalAuthorityoranyofficeauthorizedtoissueBirthandDeathCertificatebytheRegistrarofBirths
&Deaths
b. Schoolleavingcertificate/SecondarySchoolleavingcertificate/CertificateofRecognizedBoardsfromtheschoollastattendedbythe
applicantoranyotherrecognizededucationalinstitution
2. c. AffidavitswornbeforeaMagistrate/Notarystatingdate/placeofbirthasperthespecimeninAnnexure"A"byilliterateorsemiilliterate
applicants(Lessthan5thclass).

Forapplicantsbornonorafter26.01.89,onlyBirthCertificateissuedbytheMunicipalAuthorityoranyofficeauthorizedtoissueBirthandDeath
CertificatebytheRegistrarofBirths&Deathsisacceptable.TheBirthCertificateshouldordinarilycontainthenameofchild,nameoffatherand
mother,dateofbirth,placeofbirth,sex,registrationnumberanddateofregistration.IftheBirthCertificatedoesn'tcontainthenameofchild,a
declarationonplainpapersignedbyparents,isrequiredtobesubmittedspecifyingthenameofthechild.

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30/10/2015 AppointmentReciept
3. DocumentaryproofforanyoneoftheNonECR(previouslyECNR)categories,ReferColumn2.15underSectionBofpassportinstruction
booklet
4. BirthRegistrationCertificateissuedbyEmbassy/HighCommission/ConsulateofIndia
OldPassportinoriginalwithselfattestedphotocopyofitsfirsttwoandlasttwopages,includingECR/NonECRpage(previouslyECNR)andthe
5.
pageofobservation(ifany),madebyPassportIssuingAuthorityandvalidityextensionpage,ifany,inrespectofshortvaliditypassport
Passportofparentsinoriginalwithselfattestedphotocopyofitsfirsttwoandlasttwopages,includingECR/NonECRpage(previouslyECNR)
6. andthepageofobservation(ifany),madebyPassportIssuingAuthorityandvalidityextensionpage,ifany,inrespectofshortvalidity
passport
7. CitizenshipCertificateissuedbyMinistryofHomeAffairs
8. Proofofrefundofrepatriation/deportationcost(ifany)toMinistryofExternalAffairs
9. OriginalEmergencyCertificate/SeizureMemoissuedbyAirportImmigrationAuthoritiesonapplicant'sarrivalinIndia
10. PensionPaymentOrder
11. ProofofsurrenderorcancellationofDiplomatic/officialPassport
12. CancelledPassport(ifsurrendercertificateisnotavailable),withaletterexplainingwhysurrendercertificateisnotavailable
Paperclippingoftwoleadingdailynewspapersinoriginal(onedailynewspapershouldbeoftheareaofApplicant'sPermanentAddressandthe
13.
otheratCurrentAddressornearbyarea)
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"
Ajointaffidavitfromhusbandandwifealongwithajointphotograph,(SpecimenatAnnexure"D")Whenjointaffidavitisnotpossibletheaffidavit
22.
shouldindicatethereasonforit.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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