8/3/2014

Application Form

Passport Application
Government of India, Ministry of External Affairs
Online Application Receipt
Applicant Details:
Application Reference No.
14-0008028182
Service Type
FRESH
Batch
Type of Application
Normal
Sequence No.
Application Submitted Date
03/08/2014
Reporting Time
Date of Birth
08/10/1988
Gender
FEMALE
Employment Type
GOVERNMENT
Marital Status
MARRIED
Place of Birth
NALASOPARA,THANE
CITY,MAHARASHTRA
Given Name
HARSHADA AMIT
Surname
SAWANT
Father's Name
PARSHURAM DEO AMBRE
Mother's Name
LAXMI PARSHURAM AMBRE
Spouse's Name
AMIT PRABHAKAR SAWANT
Present Address
Applicants References:
First Reference Details
Second Reference Details

Payment Details:#
Total Fee (Rs.)
Paid Fee (Rs.)
Date and Time
Transaction Id

ATM facility available at PSK

for all Bank Cards

15
7
12:45 PM

A/104 MANUEL RODGRIUES APT YESHWANT NAGAR, VAKOLA SANTACRUZ EAST, MUMBAI,
400055, MAHARASHTRA, INDIA
MAMTA MOHAN RANE B-53/3 GOVERNMENT COLONY OPP CHETNA COLLEGE BANDRA
EAST MUMBAI 400051, 9870813097
MOHAN RANE B-53/3 GOVERNMENT COLONY OPP CHETNA COLLEGE BANDRA EAST
MUMBAI 400051, 9969143920

1500.00
1500.00
03/08/2014 09:04 PM
CP08534815

Appointment Details:
Andheri,
PASSPORT SEVA KENDRA, THE
GREAT OASIS ENTERPRISES PVT.
PSK Location
LTD., D-13, THE GREAT OASIS 21,
MIDC MAROL, ANDHERI (EAST)
MUMBAI - 400093
Date and Time of Appointment 19/08/2014 & 01:00 PM
Appointment Id
100005314395314
Reporting Time
12:45 PM

Thanks for showing your interest in 'Passport Seva SMS Services' enrolment. Please pay Rs 30/- (THIRTY ONLY) in cash as the
Enrolment Charges during your visit to Passport Seva Kendra.
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.
Applicant should bring all the originals and one set of photo copy, photo copies should be self attested by the applicant.
One accom panying person from the fam ily w ill be allow ed along w ith Senior Citizens, Physically Challenged, Illiterate and
Minor applicants only.
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.
https://portal1.passportindia.gov.in/AppOnlineProject/secure/openPdfForApplReciept

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8/3/2014

Application Form

# 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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