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Passport Application
Government of India, Ministry of External Affairs
Online Application Receipt
Applicant Details :
Application Reference No 14-0004778224
Service Type FRESH
Type of Application Normal
Application Submitted Date 07/05/2014
Date of Birth 06/05/1991
Gender MALE
Employment Type NOT EMPLOYED
Marital Status SINGLE
Place of Birth PIPLAH,SHIMLA,HIMACHAL
PRADESH
Given Name PANKAJ
Surname KANTA
Father's Name GULAB SINGH KANTA
Mother's Name BARDA DEVI
Present Address 1991, PIPLAH, SHIMLA - 171210, HIMACHAL PRADESH, INDIA
Applicants References :
First Reference Details GULAB SINGH KANTA VILLAGE PIPLAH POST OFFICE IRA TEHSIL CHOPAL DISTRICT SHIMLA HIMACHAL PRADESH
171210, 9816496097, 9418076020
Second Reference Details RAMESH KANTA VILLAGE PIPLAH POST OFFICE IRA TEHSIL CHOPAL DISTRICT SHIMLA HIMACHAL PRADESH 171210,
9805730767, 94185911020
Payment Details:#
Payment Status Not paid
Appointment Details :
PSK Location
Date & Time of Appointment
Appointment Id
Reporting Time
Note:
Applicant should reach the Passport Seva Kendra by the reporting time mentioned above for pre-checking of documents to avoid any hassles in issuance of token.
Applicant should bring all the originals and one set of photo copy, photo copies should be self attested by the applicant.
One accompanying person from the family will be allowed along with Senior Citizens, Physically Challenged, Illiterate and Minor applicants only.
Applicant will not be issued token at Passport Seva Kendra, if they report after scheduled appointment time.
Minor applicants below 4 years of age need to carry a recent coloured passport size (4.5 x 3.5 cm) photograph with a white background while visiting Passport Seva
Kendra. Other applicants need not carry any photograph as photograph will be captured at the Passport Seva Kendra.
Carrying of corrosive substances or explosives, arms or any sharp objects which may cause physical harm or violence are prohibited inside the PSK. Electronic
item such as camera is prohibited inside the PSK.
Balance fee (if applicable) after editing the submitted form will be payable in cash at the Passport Seva Kendra.
# Details as per the Payment Date. Payment once made for availing passport services will not be refunded.

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Application form

  • 1. Passport Application Government of India, Ministry of External Affairs Online Application Receipt Applicant Details : Application Reference No 14-0004778224 Service Type FRESH Type of Application Normal Application Submitted Date 07/05/2014 Date of Birth 06/05/1991 Gender MALE Employment Type NOT EMPLOYED Marital Status SINGLE Place of Birth PIPLAH,SHIMLA,HIMACHAL PRADESH Given Name PANKAJ Surname KANTA Father's Name GULAB SINGH KANTA Mother's Name BARDA DEVI Present Address 1991, PIPLAH, SHIMLA - 171210, HIMACHAL PRADESH, INDIA Applicants References : First Reference Details GULAB SINGH KANTA VILLAGE PIPLAH POST OFFICE IRA TEHSIL CHOPAL DISTRICT SHIMLA HIMACHAL PRADESH 171210, 9816496097, 9418076020 Second Reference Details RAMESH KANTA VILLAGE PIPLAH POST OFFICE IRA TEHSIL CHOPAL DISTRICT SHIMLA HIMACHAL PRADESH 171210, 9805730767, 94185911020 Payment Details:# Payment Status Not paid Appointment Details : PSK Location Date & Time of Appointment Appointment Id Reporting Time Note: Applicant should reach the Passport Seva Kendra by the reporting time mentioned above for pre-checking of documents to avoid any hassles in issuance of token. Applicant should bring all the originals and one set of photo copy, photo copies should be self attested by the applicant. One accompanying person from the family will be allowed along with Senior Citizens, Physically Challenged, Illiterate and Minor applicants only. Applicant will not be issued token at Passport Seva Kendra, if they report after scheduled appointment time. Minor applicants below 4 years of age need to carry a recent coloured passport size (4.5 x 3.5 cm) photograph with a white background while visiting Passport Seva Kendra. Other applicants need not carry any photograph as photograph will be captured at the Passport Seva Kendra. Carrying of corrosive substances or explosives, arms or any sharp objects which may cause physical harm or violence are prohibited inside the PSK. Electronic
  • 2. item such as camera is prohibited inside the PSK. Balance fee (if applicable) after editing the submitted form will be payable in cash at the Passport Seva Kendra. # Details as per the Payment Date. Payment once made for availing passport services will not be refunded.