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    Aishwarya Passport Form

    Uploaded by

    Mohit Chinchkhede
    Aishwarya Chinchkhede applied for an Indian passport as a single, graduate female citizen of India by birth. She provided her father and mother's names, present and permanent addresses in Nagpur, Maharashtra, identity details like PAN and Aadhaar numbers, and emergency contact. She paid 1500 rupees by debit/credit card and included her PAN and Aadhaar cards as proof. She declared her allegiance to India and responsibility for the accuracy of the information provided.

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    Aishwarya Passport Form

    Uploaded by

    Mohit Chinchkhede
    18 views2 pages
    Aishwarya Chinchkhede applied for an Indian passport as a single, graduate female citizen of India by birth. She provided her father and mother's names, present and permanent addresses in Nagpur, Maharashtra, identity details like PAN and Aadhaar numbers, and emergency contact. She paid 1500 rupees by debit/credit card and included her PAN and Aadhaar cards as proof. She declared her allegiance to India and responsibility for the accuracy of the information provided.

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    Aishwarya Chinchkhede applied for an Indian passport as a single, graduate female citizen of India by birth. She provided her father and mother's names, present and permanent addresses in Nagpur, Maharashtra, identity details like PAN and Aadhaar numbers, and emergency contact. She paid 1500 rupees by debit/credit card and included her PAN and Aadhaar cards as proof. She declared her allegiance to India and responsibility for the accuracy of the information provided.

    Copyright:

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

    Aishwarya Passport Form

    Uploaded by

    Mohit Chinchkhede
    Aishwarya Chinchkhede applied for an Indian passport as a single, graduate female citizen of India by birth. She provided her father and mother's names, present and permanent addresses in Nagpur, Maharashtra, identity details like PAN and Aadhaar numbers, and emergency contact. She paid 1500 rupees by debit/credit card and included her PAN and Aadhaar cards as proof. She declared her allegiance to India and responsibility for the accuracy of the information provided.

    Copyright:

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

    6/7/22, 1:45 PM View/Print Submitted Form

    File Number (For Office Use Only)

    GOVERNMENT OF INDIA, MINISTRY OF EXTERNAL AFFAIRS

    PASSPORT APPLICATION FORM

    Please read the Passport Instruction Booklet carefully before filling the form. Fill this form
    in CAPITAL LETTERS using
    blue/black ink ball point pen only. Furnishing of incorrect information/
    suppression of information would lead to rejection of the
    application and would attract penal provisions as prescribed under the Passports Act, 1967. Please produce your original
    documents at the time of submission of the form.

    Service Required  
    Application Reference Number 22-0008559000  
     
    Applying For FRESH

    Type of Application NORMAL

    Type of Passport Booklet NORMAL


    Applicant Details
    Applicant's Name AISHWARYA ARUN CHINCHKHEDE

    Date of Birth (DD/MM/YYYY) 07/11/1995

    Validity Required NA   

    Place of Birth (Village/Town/City) NAGPUR

    District NAGPUR CITY

    State/UT MAHARASHTRA

    Region/Country INDIA
    Signature/Left Hand Thumb Impression
    Gender FEMALE of Illiterate Applicant and Minors
    who
    Marital Status SINGLE cannot sign.
     
    Citizenship of India by BIRTH  
     
    PAN BYYPC7921F

    Voter Id AIS7894918

    Employment Type PRIVATE

    Is either of your parent (in case of


    N
    minor)/spouse, a government servant?

    Educational Qualification GRADUATE AND ABOVE

    Are you eligible for Non-ECR category? N

    Aadhaar Number 376084177443

    Family Details
    Father's Name ARUN SANTOSH CHINCHKHEDE

    Mother's Name PRATIKSHA ARUN CHINCHKHEDE


    Present Residential Address Details
    PLOT NO 13 LANE NO 2 VASANT NAGAR, NAGPUR,
    Address
    NAGPUR CITY, MAHARASHTRA

    PIN 440027

    https://portal1.passportindia.gov.in/AppOnlineProject/secure/ViewDraftAction?arn=22-0008559000 1/2
    6/7/22, 1:45 PM View/Print Submitted Form

    Police Station AJNI

    Mobile/Tel No. 7709815819

    E-mail AISHWARYA.CHINCHKHEDE@GMAIL.COM
    Permanent Residential Address
    PLOT NO 13 LANE NO 2 VASANT NAGAR, NAGPUR,
    Address
    NAGPUR CITY, MAHARASHTRA

    PIN 440027

    Police Station AJNI

    Mobile/Tel No. 7709815819


    Emergency Contact Details
    MOHIT CHINCHKHEDE PLOT NO 161 LANE NO 3
    Name and Address
    HAWARAPETH OMKAR NAGAR SQUARE NAGPUR 440027

    Mobile/Tel No. 9011283443


    Other Details
    Payment Details
    Mode of Payment Debit/Credit Card

    Date 06/06/2022

    Receipt/Reference No. CPABSNSHM1

    Amount Received (Rs.) 1500.00  (ONE THOUSAND FIVE HUNDRED ONLY)


    Enclosures
    1.PAN Card issued by the Income Tax Department

    2.Aadhaar Card (Address Proof)


    Self Declaration

    I owe allegiance to the sovereignty, unity & 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. I have not contravened any of the conditions
    relating to the possession and use of an Indian passport.
    I affirm that the information and particulars given by me in this form are true and correct. I further state that I am not suppressing
    any material information in this regard. I further affirm that the enclosures and documentary proof submitted in support of my
    application for an Indian passport are authentic and solely pertain to me and I am fully responsible for the accuracy of the same. 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.
    I have read and understood the contents of the above and by submitting this form certify that all the information submitted by me in
    the form is bonafide.

    Place NAGPUR Signature/Left Hand Thumb Impression of


    Applicant
    (If applicant is minor, either parent
    Date 06/06/2022 to sign)

    https://portal1.passportindia.gov.in/AppOnlineProject/secure/ViewDraftAction?arn=22-0008559000 2/2

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