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Passport Application Receipt - India

This document is an application receipt for an Indian passport renewal. It provides details about the applicant, Amit Kumar Srivastava, including his reference numbers, personal information, previous passport details, and appointment information. He is scheduled to visit the Passport Seva Kendra in Varanasi on July 11th at 2:15 PM for his appointment. The receipt notes some policies regarding accompanying people, prohibited items, photograph requirements, and payment refunds.

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Amit Srivastava
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94 views1 page

Passport Application Receipt - India

This document is an application receipt for an Indian passport renewal. It provides details about the applicant, Amit Kumar Srivastava, including his reference numbers, personal information, previous passport details, and appointment information. He is scheduled to visit the Passport Seva Kendra in Varanasi on July 11th at 2:15 PM for his appointment. The receipt notes some policies regarding accompanying people, prohibited items, photograph requirements, and payment refunds.

Uploaded by

Amit Srivastava
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

7/10/13

Application Form

Passport Application Government of India, Ministry of External Affairs Online Application Receipt

ATM FACILITY AVAILABLE IN PSK FOR ALL BANK CARDS

Applicant Details : Application Reference No 13-0007899520 Batch 17 Service Type REISSUE Type of Application Normal Sequence No. 12 Application Submitted Date27/06/2013 Date of Birth 05/09/1978 Reporting Time 02:00 PM Gender MALE Employment Type PRIVATE Marital Status MARRIED Place of Birth JAUNPUR,JAUNPUR,UTTAR PRADESH Given Name AMIT KUMAR SRIVASTAVA Surname SRIVASTAVA Father's Name ANIL KUMAR SRIVASTAVA Mother's Name GEETA SRIVASTAVA Spouse's Name ANJALI SRIVASTAVA Present Address SAKSHAM NIWAS, NEW COLONY, MURADGANJ, JAUNPUR - 222002, UTTAR PRADESH, INDIA Applicants References : First Reference Details ANKUR SRIVASTAVA, 82, TARAPUR COLONY, JAUNPUR, 9198447749 Second Reference Details SMIT SRIVASTAVA, MAXIM CYBER, OLANDGANJ, JAUNPUR, 9838468555 Previous Passport Details : Old Passport No. B5792114 Passport Issue Date 21/08/2001 Passport Expiry Date 20/08/2011 Place of Issue LUCKNOW # Payment Details: Total Fee (Rs.) 1500.00 Paid Fee (Rs.) 1500.00 Date and Time 28/06/2013 08:07 PM Transaction Id CP00597178 Appointment Details : Varanasi, SATYAM APARTMENT, ARAZIL SETTLEMENT NO.136 ,B 38/67, PSK Location OPPOSITE MAHMOORGANJ POLICE CHOWKI, MAUZA TULSIPUR, MAHMOORGANJ,VARANASI-221010 Date & Time of 11/07/2013 & 02:15 PM Appointment Appointment ID 100004038562913 Reporting Time 02:00 PM
Note: Applicant should reach the Passport Seva Kendra by the reporting tim e m entioned above for pre-checking of docum ents to avoid any hassles in issuance of token. Only in the case of Senior Citizens, Physically Challenged, Illiterate Applicants and Minor cases, one accom panying person from the fam ily w ill be allow ed along w ith the applicant. Applicant w ill not be issued token at Passport Seva Kendra, if they report after scheduled appointm ent tim e. Minor applicants below 4 years of age need to carry a recent coloured passport size (4.5 x 3.5 cm ) photograph w ith a w hite background w hile visiting Passport Seva Kendra. Other applicants need not carry any photograph as photograph w ill be captured at the Passport Seva Kendra. Carrying of corrosive substances or explosives, arm s or any sharp objects w hich m ay cause physical harm or violence are prohibited inside the PSK. Electronic item such as cam era is prohibited inside the PSK.

# Details as per the Payment Date. Payment once made for availing passport services will not be refunded.

https://portal1.passportindia.gov.in/AppOnlineProject/secure/openPdfForApplReciept

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