5/26/2014 Application Form

https://portal1.passportindia.gov.in/AppOnlineProject/secure/openPdfForApplReciept 1/1
Passport Application
Government of India, Ministry of External Affairs
Online Application Receipt
Applicant Details:
Application Reference No. 14-0005488876
Service Type FRESH
Type of Application Normal
Application Submitted Date 26/05/2014
Date of Birth 19/08/1992
Gender MALE
Employment Type OTHERS
Marital Status SINGLE
Place of Birth NAGPUR,NAGPUR
CITY,MAHARASHTRA
Given Name AJINKYA
Surname THAKRE
Father's Name SHESHRAO THAKRE
Mother's Name REKHA THAKRE
Guardian's Name SHESHRAO THAKRE
Present Address 48,GANDHINAGAR NAGPUR BEHIND HILL ROAD, NAGPUR, NAGPUR CITY, 440010,
MAHARASHTRA, INDIA
Applicants References:
First Reference Details RAJA PANCHAL 47,GANDHINAGAR NAGPUR, 9923113946
Second Reference Details VINAYAK KHARABE 50,GANDHINAGAR NAGPUR, 7304620064

Payment Details:
#
Payment Status Not paid

Appointment Details:
PSK Location
Date and Time of Appointment
Appointment Id
Reporting Time


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 time mentioned above for pre-checking of documents
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 accompanying person from the family will be allowed along with Senior Citizens, Physically Challenged, Illiterate and
Minor applicants only.
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 recent coloured passport size (4.5 x 3.5 cm) photograph with a white
background while visiting Passport Seva Kendra. Other applicants need not carry any photograph as photograph will be
captured at the Passport Seva Kendra.
Carrying of corrosive substances or explosives, arms or any sharp objects which may cause physical harm or violence are
prohibited inside the PSK. Electronic item such as camera is prohibited inside the PSK.
# Details as per the Payment Date. Payment once made for availing passport services will not be refunded.