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Application Form                                                                            https://portal2.passportindia.gov.in/AppOnlineProject/secure/openPdfForApplReciept



                                                          Passport Application
                                              Government of India, Ministry of External Affairs
                                                      Online Application Receipt
         Applicant Details :
         Application Reference No 12-1001385194
         Service Type              FRESH                  Batch                 8
         Type of Application       Normal
         Application Submitted Date24/08/2012             Sequence No.          27
         Date of Birth             12/10/1982
                                                          Reporting Time        11:00 AM
         Gender                    FEMALE
         Employment Type           PRIVATE
         Marital Status            SINGLE
         Place of Birth            BANGALORE
         Given Name                NANCY
         Surname                   ANTHONY
         Father's Name             ANTHONY CRUZ
         Mother's Name             FLORY
         Present Address           13,4TH MN, 2ND CRS, CHINNAPPA GARDEN BENSON TOWN BANGALORE - 560046
                                   KARNATAKA , INDIA
         Applicants References :
         First Reference Details   BHAGYA, DOOR NO.156, SULTAN PALYA MAIN ROAD, BHUVANESHWARI NAGAR, R.T.NAGAR PO, BANGALORE
                                   - 560032. , 9590763966
         Second Reference Details REETA, DOOR NO.789, 3RD CROSS, BHUVANESHWARI NAGAR, R.T.NAGAR PO, BANGALORE - 560032. ,
                                   9900416565
         Appointment Details :
                                   BANGALORE, LALBAGH,
         PSK Location
                                   PRESTIGE LIBRA, # 45, LALBAGH ROAD, NEAR URVASHI THEATRE, BANGALORE
         Date & Time of
                                   27/08/2012 & 11:15 AM
         Appointment
         Appointment ID            100002634748212
         Reporting Time            11:00 AM


         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.
         Only in the case of Senior Citizens, Physically Challenged, Illiterate Applicants and Minor cases, one accompanying person from the family will be
         allowed along with the applicant.



1 of 2                                                                                                                                                     8/25/2012 1:40 PM

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Nancy

  • 1. Application Form https://portal2.passportindia.gov.in/AppOnlineProject/secure/openPdfForApplReciept Passport Application Government of India, Ministry of External Affairs Online Application Receipt Applicant Details : Application Reference No 12-1001385194 Service Type FRESH Batch 8 Type of Application Normal Application Submitted Date24/08/2012 Sequence No. 27 Date of Birth 12/10/1982 Reporting Time 11:00 AM Gender FEMALE Employment Type PRIVATE Marital Status SINGLE Place of Birth BANGALORE Given Name NANCY Surname ANTHONY Father's Name ANTHONY CRUZ Mother's Name FLORY Present Address 13,4TH MN, 2ND CRS, CHINNAPPA GARDEN BENSON TOWN BANGALORE - 560046 KARNATAKA , INDIA Applicants References : First Reference Details BHAGYA, DOOR NO.156, SULTAN PALYA MAIN ROAD, BHUVANESHWARI NAGAR, R.T.NAGAR PO, BANGALORE - 560032. , 9590763966 Second Reference Details REETA, DOOR NO.789, 3RD CROSS, BHUVANESHWARI NAGAR, R.T.NAGAR PO, BANGALORE - 560032. , 9900416565 Appointment Details : BANGALORE, LALBAGH, PSK Location PRESTIGE LIBRA, # 45, LALBAGH ROAD, NEAR URVASHI THEATRE, BANGALORE Date & Time of 27/08/2012 & 11:15 AM Appointment Appointment ID 100002634748212 Reporting Time 11:00 AM 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. Only in the case of Senior Citizens, Physically Challenged, Illiterate Applicants and Minor cases, one accompanying person from the family will be allowed along with the applicant. 1 of 2 8/25/2012 1:40 PM