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

Welcome to Scribd!

  • 4 views

    PASSPORT DHAR

    Uploaded by

    ganeshmba53

    Copyright:

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

    PASSPORT DHAR

    Uploaded by

    ganeshmba53
    4 views1 page

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    4 views1 page

    PASSPORT DHAR

    Uploaded by

    ganeshmba53

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 1

    PASSPORT APPLICATION FORM

    Government of INDIA, Ministry of External Affairs

    Service Required
    Application Reference Number 24-1013973329
    Applying For FRESH
    Type of Application NORMAL
    Type of Passport Booklet NORMAL
    Applicant Details
    Applicant's Name DHARMESHKUMAR SELVARAJ
    Date of Birth (DD/MM/YYYY) 02/08/1986
    Validity Required NA
    Place of Birth (Village/Town/City) NAVSARI
    District NAVSARI
    State/UT GUJARAT
    Region/Country INDIA
    Gender MALE
    Marital Status MARRIED
    Citizenship of India by BIRTH
    Employment Type PRIVATE
    Is either of your parent (in case of minor)/spouse, a
    N
    government servant?
    Educational Qualification 10TH PASS AND ABOVE
    Are you eligible for Non-ECR category? N
    Aadhaar Number 709296598833
    Family Details
    Father's Name SELVARAJ
    Mother's Name KOUSALYA
    Spouse's Name NISHANTHINI
    Present Residential Address Details
    21/1 RAJALAKSHMI NAGAR, GANDHI NAGAR, UDUMALAIPETTAI, TIRUPPUR, TAMIL
    Address
    NADU
    PIN 642154
    Police Station UDUMALPET
    Mobile/Tel No. 9043627050
    E-mail SRIGUHANESERVICE@GMAIL.COM
    Emergency Contact Details
    Name and Address NISHANTHINI
    Mobile/Tel No. 9043627050
    Other Details
    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 UDUMALPET
    Date 16/11/2024

    You might also like