10/23/2015

AppointmentReciept

MinistryofExternalAffairsGovernmentofIndia
OnlineApplicationReceipt
ApplicantDetails:

PaymentDetails#

ApplicationReferenceNo.
150013095924
(ARN)

PaymentStatus

ServiceType

FRESH

AppointmentDetails:

TypeofApplication

NORMAL

PassportSevaKendraAddress

GivenName

PRATIKRAMDAS

Surname

MALOKAR

Gender

MALE

AppointmentId
AppointmentDateandTime
ReportingDateandTime

Father'sName

RAMDASAMBADASMALOKAR

Mother'sName

DHANSHRIMALOKAR

DateofBirth

22/06/1994

PlaceofBirth

WARDHA,WARDHA,MAHARASHTRA

MaritalStatus

SINGLE

EmploymentType

NOTEMPLOYED

ApplicationSubmitted
Date

23/10/2015

PresentResidential
Address

Batch

SequenceNo.

Notpaid

NEWMHADACOLONYQ.NOL17
ARVIROADWARDHA,WARDHA,
WARDHA,442001,MAHARASHTRA,
INDIA

ApplicantsReferencesDetails:
FirstReference

PALASHKSHIRSAGARNEWMHADA
COLONYQ.NOL21ARVIROAD
WARDHA,8657558620

SecondReference

NIDHIGOMASENEWMHADA
COLONYARVIROADWARDHA,
8378064956

PleaseReadCarefully:
PleasecarryprintedcopyofthisARNslip.
Check Document Advisor on website 'www.passportindia.gov.in' to know the documents required at PSK.Carry original documents and
theirselfattestedphotocopies.FinaldecisionwithregardtodocumentsrequiredisatthediscretionofRPOstaffatPSK.
Incaseofminorapplicants(below4yearsofage),carrytherecentpassportsizephotograph(4.5X3.5cm)withwhitebackground.
OnlyapplicantisallowedinsidethePSK.However,in case of exceptions such as Senior Citizen / Physically Challenged / Illiterate / Minor
applicants,onepersonfromthefamilymaybeallowedtoaccompanyinsidePSK.
At PSK, a paper token will be issued to you after checking of documents.Your application will be processed at Counter A followed by
countersBandC.Atallstages,pleasebealertandwatchthetokendisplayscreenstoknowthecounteratwhichyourapplicationwillbe
processed.PleasecollectacknowledgementslipfromtheExitcounterbeforeleavingPSK.Also,youarerequestedtofillthefeedbackform
attheexitcounter.
Thanks for showing your interest in 'Passport Seva SMS Services' enrolment. Please pay Rs 35/ (THIRTY FIVE ONLY) in cash as the
EnrolmentChargesduringyourvisittoPassportSevaKendra.
Helpustoserveyoubetter.
#DetailsasperthePaymentDate.Paymentoncemadeforavailingpassportserviceswillnotberefunded.

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ThefollowingtablelistsApplicantCategoriesalongwiththeDocumentstobeSubmitted.TheDocumentNo.mentionedin
DocumentstobeSubmittedcolumnisthereferencegiventothedocumentmentionedinListofDocumentstable.

ApplicantCategories

DocumentstobeSubmitted

OrdinaryCase(CitizenofIndiabybirth)

1,2,3(iftheapplicantiseligibleforNonECR)

CitizenofIndiabyDescent(BorntoIndianparent(s)outsideIndia)

(i)1,2,3(iftheapplicantiseligibleforNonECR)
(ii)4or5or6

CitizenofIndiabyRegistration/Naturalization(GrantedcitizenshipbyMHA)

1,2,3(iftheapplicantiseligibleforNonECR),7

ApplicantsrepatriatedfromabroadatGovernmentcost

1,2,3(iftheapplicantiseligibleforNonECR),5(ifavailable),8,9

ApplicantsdeportedtoIndia/EmergencyCertificatecases

1,2,3(iftheapplicantiseligibleforNonECR),5(ifavailable),8(ifany),9

Government/PublicSector/Statutorybodyemployees

(i)1,2
(ii)21(ifNoPoliceVerificationisrequired)or20(ifPostPoliceVerificationis
required)or27(ifPrePoliceVerificationisrequired).

DependentfamilymembersofGovernment/PublicSector/Statutorybody
employees(ForJ&Kchildreninagegroup1015yearsarecovered.Forrestof
Indiachildreninagegroup1821arecovered)

1,2,3(iftheapplicantiseligibleforNonECR),21(ofdependent)and24ifNo
PoliceVerificationisrequired

Retiredgovernmentofficials

1,2,10(ifPostPoliceVerificationisrequired)

ApplicantshavingDiplomatic/OfficialPassportandapplyingforordinary
Passportwhileinservice

(i)1,2,11(12ifsurrendercertificateisnotavailable)
(ii)21or20or27ifapplicantisGovernment/PublicSector/Statutorybody
employee
Note:Incasetheapplicantsubmits"12","2"isnotrequired

DependentfamilymembersofDiplomatic/OfficialPassportholderswhoarenot
governmentservants(ForJ&KChildreninagegroup1015yearsarecovered)

1,2,3(iftheapplicantiseligibleforNonECR),26

Owner,partnersanddirectorsofCompanieswhicharemembersofCII,FICCI& (i)1,2
ASSOCHAM.
(ii)24and25ifPostPVisrequired
Minorchangeinname

1(innewname),2(inoldname),3(iftheapplicantiseligibleforNonECR
Documentsinoldnameareallowed),23

Majorchangeinname

1(innewname),2(inoldname),3(iftheapplicantiseligibleforNonECR
Documentsinoldnameareallowed),13,23

Change/Additioninsurnameduetomarriage

(i)1,2,3(iftheapplicantiseligibleforNonECR)
(ii)14or22

ChangeinnameincaseofGovernment/PublicSector/Statutorybody
employees

1,2,15,16,23

NagalandResidents

1,2,3(iftheapplicantiseligibleforNonECR)
Note:AdditionalPVrequiredfromGuwahatithroughMHA.

NagaoriginsresidingoutsideNagaland

1,2,3(iftheapplicantiseligibleforNonECR)
Note:AdditionalPVrequiredfromGuwahatithroughMHA.

JammuandKashmirResidents

1,2,3(iftheapplicantiseligibleforNonECR)

JammuandKashmirResidentsstayingoutsideJ&Kformorethanfiveyears

1,2,3(iftheapplicantiseligibleforNonECR)

Studentsstayingawayfromtheirparent'scurrentresidence

1,2,3(iftheapplicantiseligibleforNonECR),17,18

SeniorCitizens(ForJ&K:Men65+years,Women60+yearsForrestofIndia 1,2,3(iftheapplicantiseligibleforNonECR),19(ifPostPoliceVerificationis
65+years)
required)

Document
No.

ListofDocuments
ProofofPresentAddress.ForProofofAddressattachoneofthefollowingdocuments:

1.

a. Waterbill/Telephone(landlineorpostpaidmobilebill)/Electricitybill
b. PhotopassbookofrunningBankAccount(ScheduledPublicSectorBanks,ScheduledPrivateSectorIndianBanksandRegionalRural
Banksonly)
c. IncomeTaxAssessmentOrder
d. ElectionCommissionPhotoIDcard
e. Gasconnectionbill
f. CertificatefromEmployerofreputedandwidelyknowncompaniesonletterhead(Onlypubliclimitedcompaniescangiveaddressproof
oncompanyletterheadalongwithseal.Computerisedprintoutsshallnotbeentertained)
g. Spouse'spassportcopy(Firstandlastpageincludingfamilydetails),(providedtheapplicant'spresentaddressmatchestheaddress
mentionedinthespouse'spassport)
h. Applicant'scurrentandvalidrationcard
Note:Ifanyapplicantsubmitsonlyrationcardasproofofaddress,itshouldbeaccompaniedbyonemoreproofofaddressoutofthe
givencategories.
i. Parent'spassportcopy,incaseofminors(Firstandlastpage)
j. AadhaarLetter/Card(IfaadhaarcardissuancedateislessthanayearfrompassportapplicationprocessingdateatPSK,itshouldbe
accompaniedbyonemoreproofofaddressoutofthegivencategories)
k. RegisteredRentAgreement(foraperiodofmorethanoneyear)
Note:Applicantsarerequiredtosubmittheproofofaddressofthepresentaddressonly,irrespectiveofthedatefromwhichhe/shehasbeen
residingatthegivenaddress.However,he/sheisrequiredtomentionalltheplaceofstayduringpreviousoneyearinthePassportapplication
form.
ProofofDateofBirth.ForProofofDateofBirthattachoneofthefollowingdocuments:

2.

a. BirthcertificateissuedbyaMunicipalAuthorityoranyofficeauthorizedtoissueBirthandDeathCertificatebytheRegistrarofBirths
&Deaths
b. Schoolleavingcertificate/SecondarySchoolleavingcertificate/CertificateofRecognizedBoardsfromtheschoollastattendedbythe
applicantoranyotherrecognizededucationalinstitution
c. AffidavitswornbeforeaMagistrate/Notarystatingdate/placeofbirthasperthespecimeninAnnexure"A"byilliterateorsemiilliterate
applicants(Lessthan5thclass).
Forapplicantsbornonorafter26.01.89,onlyBirthCertificateissuedbytheMunicipalAuthorityoranyofficeauthorizedtoissueBirthandDeath
CertificatebytheRegistrarofBirths&Deathsisacceptable.TheBirthCertificateshouldordinarilycontainthenameofchild,nameoffatherand
mother,dateofbirth,placeofbirth,sex,registrationnumberanddateofregistration.IftheBirthCertificatedoesn'tcontainthenameofchild,a
declarationonplainpapersignedbyparents,isrequiredtobesubmittedspecifyingthenameofthechild.

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3. DocumentaryproofforanyoneoftheNonECR(previouslyECNR)categories,ReferColumn2.15underSectionBofpassportinstruction
booklet
4. BirthRegistrationCertificateissuedbyEmbassy/HighCommission/ConsulateofIndia
5.

OldPassportinoriginalwithselfattestedphotocopyofitsfirsttwoandlasttwopages,includingECR/NonECRpage(previouslyECNR)andthe
pageofobservation(ifany),madebyPassportIssuingAuthorityandvalidityextensionpage,ifany,inrespectofshortvaliditypassport

Passportofparentsinoriginalwithselfattestedphotocopyofitsfirsttwoandlasttwopages,includingECR/NonECRpage(previouslyECNR)
6. andthepageofobservation(ifany),madebyPassportIssuingAuthorityandvalidityextensionpage,ifany,inrespectofshortvalidity
passport
7. CitizenshipCertificateissuedbyMinistryofHomeAffairs
8. Proofofrefundofrepatriation/deportationcost(ifany)toMinistryofExternalAffairs
9. OriginalEmergencyCertificate/SeizureMemoissuedbyAirportImmigrationAuthoritiesonapplicant'sarrivalinIndia
10. PensionPaymentOrder
11. ProofofsurrenderorcancellationofDiplomatic/officialPassport
12. CancelledPassport(ifsurrendercertificateisnotavailable),withaletterexplainingwhysurrendercertificateisnotavailable
13.

Paperclippingoftwoleadingdailynewspapersinoriginal(onedailynewspapershouldbeoftheareaofApplicant'sPermanentAddressandthe
otheratCurrentAddressornearbyarea)

14. AnattestedcopyofmarriagecertificateissuedbyRegistrarofMarriage
15. GazetteNotificationchangingnameinapplicant'sdepartment
16. FreshIDCertificateinchangedname
17. StudentIdentityCardissuedbyGovernmentRecognizedEducationalInstitutions,inrespectoffulltimecourses
18. BonafideLetterfromauthorizedsignatoryofcollege(OnofficialletterheadofUGCrecognizedCollege)
19. Copyofchild's(Age>18)Passport,whoisstayingabroad(withpagehavingparent'sname)
20. NoObjectionCertificate(NOC)(asperAnnexure'M')
21. "IdentityCertificate"inoriginalasperAnnexure"B"
22.

Ajointaffidavitfromhusbandandwifealongwithajointphotograph,(SpecimenatAnnexure"D")Whenjointaffidavitisnotpossibletheaffidavit
shouldindicatethereasonforit.Ifapplyingforpassportforthefirsttime,thisaffidavitisrequiredonlyifthereisachangeinthefirstname.

23. Deedpoll/swornaffidavitasperAnnexure"E"
24. StandardAffidavitasperAnnexure"I"
25. VerificationCertificateasperAnnexure"J"
26. PhotocopyofDiplomatic/OfficialPassport
27. PriorIntimationLetter(PI)(asperAnnexure'N')

Note:Thelistofdocumentsprovidedinthetableaboveisindicative.ThedecisionofAPO/RPOshallbeconsideredfinal.

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