Passport Application Government of India, Ministry of External Affairs Online Application Receipt Applicant Details : Application Reference No Service

Type Application Type Submission Date Date of Birth Gender Employment Type Marital Status Place of Birth Given Name Surname Father's Name Mother's Name Spouse's Name Present Address 12-7195661 REISSUE Normal 13/06/2012 15/06/1967 FEMALE HOME MAKER MARRIED KRISHNAYAPALEM VIJAYA DURGA YARLAGADDA RAM BABU CHINTHALA SAMRAJYAM CHINTHALA VENKATAKRISHNA RAO YARLAGADDA 1467 B BLOCK SAHAKARNAGAR BANGALORE - 560092 KARNATAKA , INDIA

Applicants References : First Reference Details NAVEEN NO 1467 GROUND FLOOR B BLOCK SAHAKARNAGAR BANGALORE 560092 , 9845480508 Second Reference Details PRAKASH NO 1523 B BLOCK SAHAKARNAGAR BANGALORE 560092 , 08023623413 Previous Passport Details : Old Passport No. K2776461 Passport Issue Date 15/05/2012 16/05/2012 Passport Expiry Date Place of Issue BANGALORE Appointment Details : BANGALORE, LALBAGH, PRESTIGE LIBRA, # 45, LALBAGH ROAD, NEAR URVASHI THEATRE, PSK Location BANGALORE Appointment Date & Time 06/07/2012 & 03:30 PM Appointment ID 100002276701812 03:15 PM Reporting Time

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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. 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 passport size photograph (with a white background) while visiting Passport Seva Kendra (PSK). Other applicants need not carry any photograph as photograph will be captured at the Passport Seva Kendra (PSK). Carrying of corrosive substances or explosives, arms or any sharp objects which may cause physical harm or violence are prohibited inside the PSK. Electronic items such as Laptop, iPad and cameras are also prohibited inside the PSK.

*ARN will be valid for 90 days.

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