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Application Form

Passport Application Government of India, Ministry of External Affairs Online Application Receipt
Applicant Details : Application Reference No 12-1001473690 Batch 7 Service Type FRESH Type of Application Normal Sequence No. 20 Application Submitted Date30/08/2012 Date of Birth 20/04/1990 Reporting Time 10:45 AM Gender MALE Employment Type STUDENT Marital Status SINGLE Place of Birth BANGALORE Given Name GIRISH Surname GOWDA K R Father's Name K R RAMAIAH Mother's Name LAKSHMI Present Address NO 77 KOLUR VILLAGE RAMOHALLI POST TAVAREKERE HOBLI BANGALORE RURAL - 560060 KARNATAKA , INDIA Applicants References : First Reference Details SRINIVAS MURTHY NO 57 KOLUR VILLAGE RAMOHALLI POST TAVAREKERE BANGALORE 60 Second Reference Details BYATRUDRAPPA NO 81 KOLUR VILLAGE RAMOHALLI POST TAVAREKERE BANGALORE 60 Appointment Details : BANGALORE, SAI ARCADE, SAI ARCADE, SURVEY NO. 56/P, PSK Location DEVARABISANAHALLI, MARATHAHALLI OUTER RING ROAD (OPP TO INTEL), BANGALORE Date & Time of 05/09/2012 & 11:00 AM Appointment Appointment ID 100002685852012 Reporting Time 10:45 AM
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. Only in the case of Senior Citizens, Physically Challenged, Illiterate Applicants and Minor cases, one accom panying person from the fam ily w ill be allow ed along w ith the applicant. 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 passport size photograph (w ith a w hite background) w hile visiting Passport Seva Kendra (PSK). Other applicants need not carry any photograph as photograph w ill be captured at the Passport Seva Kendra (PSK). 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. *ARN w ill be valid for 90 days.

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

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