Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 63 views

    Application Form-Passport PDF

    Uploaded by

    Ashish Kumar
    Kalpana Kumari is applying for a fresh normal passport under the Tatkaal scheme. She is providing details such as her name, date of birth, place of birth, address, family details, and documents being submitted along with the application form. She declares that she owes allegiance to India and has not acquired citizenship of any other country. She affirms that the information provided is true and she is responsible for its accuracy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Application Form-Passport PDF

    Uploaded by

    Ashish Kumar
    63 views2 pages
    Kalpana Kumari is applying for a fresh normal passport under the Tatkaal scheme. She is providing details such as her name, date of birth, place of birth, address, family details, and documents being submitted along with the application form. She declares that she owes allegiance to India and has not acquired citizenship of any other country. She affirms that the information provided is true and she is responsible for its accuracy.

    Original Title

    Application Form-passport.pdf

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Kalpana Kumari is applying for a fresh normal passport under the Tatkaal scheme. She is providing details such as her name, date of birth, place of birth, address, family details, and documents being submitted along with the application form. She declares that she owes allegiance to India and has not acquired citizenship of any other country. She affirms that the information provided is true and she is responsible for its accuracy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    63 views2 pages

    Application Form-Passport PDF

    Uploaded by

    Ashish Kumar
    Kalpana Kumari is applying for a fresh normal passport under the Tatkaal scheme. She is providing details such as her name, date of birth, place of birth, address, family details, and documents being submitted along with the application form. She declares that she owes allegiance to India and has not acquired citizenship of any other country. She affirms that the information provided is true and she is responsible for its accuracy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    8/31/2019 Application Form

    PASSPORT APPLICATION FORM

    Government of INDIA, Ministry of External Affairs

    Service Required
    Application Reference Number 19-0012247082
    Applying For FRESH
    Type of Application TATKAAL
    Type of Passport Booklet NORMAL
    Applicant Details
    Applicant's Name KALPANA KUMARI
    Date of Birth (DD/MM/YYYY) 23/03/1990
    Validity Required NA
    Place of Birth (Village/Town/City) PATNA
    District PATNA
    State/UT BIHAR
    Country INDIA
    Gender FEMALE
    Marital Status MARRIED
    Citizenship of India by BIRTH
    PAN DCDPK6014E
    Employment Type PRIVATE
    Is either of your parent (in case of minor)/spouse,
    N
    a government servant?
    Educational Qualification GRADUATE AND ABOVE
    Are you eligible for Non-ECR category? Y
    Visible Distinguishing Mark MOLE ON RIGHT CHEEK
    Aadhaar Number 878985522881
    Family Details
    Father's Name REVATI RAMAN KANTH
    Mother's Name NIRMALA KANTH
    Legal Guardian's Name ONKAR SINGH
    Spouse's Name ASHISH KUMAR
    Present Residential Address Details
    Address A-10, 2ND FLOOR, FATEHNAGAR, DELHI, WEST DELHI, DELHI
    PIN 110018
    Police Station TILAK NAGAR
    Mobile/Tel No. 7042803001
    E-mail KALPANAGEU@GMAIL.COM
    Permanent Residential Address
    Address VILL- GURMAHA, VIA- LOHAT, GURMAHA, MADHUBANI, BIHAR, INDIA
    PIN 847231
    Police Station PANDAUL
    Mobile/Tel No. 8877365108
    Emergency Contact Details
    ASHISH KUMAR, SHANKAR SADAN, NEEMCHOWK, INFRONT OF MUSLIM
    Name and Address
    LIBRARY, MUZAFFARPUR, BIHAR-842002
    Mobile/Tel No. 7903983171
    E-mail ASHISHKIITR@GMAIL.COM
    Other Details
    Enclosures
    1.PAN Card issued by the Income Tax Department
    2.Telephone (landline or post paid mobile bill)
    3.Standard Affidavit as per <a href="/AppOnlineProject/pdf/AnnexureE.pdf" target="_blank">Annexure E</a>
    Self Declaration
    I owe allegiance to the sovereignty, unity and integrity of India, and have not voluntarily acquired citizenship or travel document of any
    other country. I have not lost, surrendered or been deprived of the citizenship of India and I affirm that the information given by me in
    this form and the enclosures is true and I am solely responsible for its accuracy, and I am liable to be penalized or prosecuted if found
    otherwise. I am aware that under the Passports Act, 1967 it is a criminal offence to furnish any false information or to suppress any
    material information with a view to obtaining passport or travel document.
    Place DELHI
    Date 31/08/2019
    https://portal1.passportindia.gov.in/AppOnlineProject/secure/ApplicantSelfDeclarationAction 1/2
    8/31/2019 Application Form

    https://portal1.passportindia.gov.in/AppOnlineProject/secure/ApplicantSelfDeclarationAction 2/2

    You might also like