You are on page 1of 6
(Zo be executed on appropriate non-judicial stamp paper and attested by a Notary 1 Public) 1, (aame),____ Anand Kumar Mourya Employee No. _103410 Son/Daughter of Shiva Nand Ram residing at NH -2.C-2, NTPC COLONY , VINDHYANAGAR, SINGRA\ (M.P)- 486885 Date of Birth___03 July 1985 and presently employed at NTPC Ltd. at its Corporate Office located at New Delhi intend to apply for Indian Passport for my dependant family member ‘Aashna Mourya 1 do hereby solemnly affirm and state as follows: ‘That the aforesaid dependant family member is continuously residing at the above mentioned address with me from... 08 June 2017, That the aforesaid dependant family member is a citizen of India by birth /descent/registration/naturalization and that he/she has neither acquired the citizenship of another country nor has surrentéted or been terminated /deprived of citizenship of India. JAGATLAL SHAH Adve try wa eR Snant OP) one ai hi

You might also like