OCI MATCH UP REQUEST FORM

From
Web Reference Number
Applicant Name
Passport Number
To,
CKGS Application Center San Francisco
OCI MATCH UP DEPARTMENT
225 Bush Street,
Level 1,
San Francisco, CA 94104, USA.
Sub: Submission of Documents for OCI Match Up
I am sending the following documents for Match Up as requested by CKGS.
Documents Submitted
Sr.No

Documents

Tick the box

below

Original USA / Foreign Passport

2
3
4
5
6

Original PIO Card (For OCI in Lieu of PIO applicants only)

Money Order
Payment Receipt / Order Form
Duly Signed Copy of the Match Up Request Form
USD 15 for Return Envelope purchased from CKGS (If Applicable)
If paying Oine, Payment to be done via Money Order or Cashiers Cheque
Drawn in favour of Cox and Kings Global Services USA LLC
If paid Online, enclose the copy of Payment Receipt

Mode of Submission
Pre-Paid Envelope

Details
Purchased from CKGS (Tick if Yes)
Postal Company
Airway Bill Number

Passport for Match UP & PIO Card must be sent to CKGS Centers only & not directly to the Embassy/Consulate.

Mode of Collection
Courier Service

Details
Purchased from CKGS (Tick if Yes)
Postal Company
Airway Bill Number

___________________________
Applicants Signature
Date:

____________________________
CKGS Authorized Person Signature
Date:

FOR OFFICIAL USE ONLY REMARKS

I have read understood and accepted the Disclaimer which is read in conjunction with the Declaration & Undertaking,

Terms & Conditions, relevant Document Checklist and Forms and the Privacy Policy available at www.in.ckgs.us.