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Application Form

The document is a passport application receipt for Archit Atray, providing details of his application including personal information, references, payment made, and appointment details to visit the passport office on January 24th at 3:30 PM. Instructions are given noting the reporting time and documents to bring for the appointment. The receipt also contains a link to view the full online application receipt.

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Akshat Atray
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Download as PDF, TXT or read online on Scribd
69 views

Application Form

The document is a passport application receipt for Archit Atray, providing details of his application including personal information, references, payment made, and appointment details to visit the passport office on January 24th at 3:30 PM. Instructions are given noting the reporting time and documents to bring for the appointment. The receipt also contains a link to view the full online application receipt.

Uploaded by

Akshat Atray
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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08/01/2014

Application Form

Passport Application Government of India, Ministry of External Affairs Online Application Receipt

ATM facility available in PSK for all Bank Cards

Applicant Details : Application Reference No 14-0000278082 Batch 22 Service Type FRESH Type of Application Normal Sequence No. 8 Application Submitted Date08/01/2014 Date of Birth 29/10/1991 Reporting Time 03:15 PM Gender MALE Employment Type STUDENT Marital Status SINGLE Place of Birth DELHI,OUTER DELHI,DELHI Given Name ARCHIT Surname ATRAY Father's Name SHAILESH KUMAR ATRAY Mother's Name ANITA ATRAY Present Address FLAT NUMBER-4, POCKET-24, SECTOR-24, ROHINI, OUTER DELHI - 110085, DELHI, INDIA Applicants References : First Reference Details NARESH KUMAR, FLAT NO.-185, POC-24, SEC-24, ROHINI, DELHI, 9873411275 Second Reference Details AMARJEET, FLAT NO. 22, POC-24, SEC-24, ROHINI, DELHI, 9891318449 Payment Details:# Total Fee (Rs.) Paid Fee (Rs.) Date and Time Transaction Id Appointment Details : 2000.00 2000.00 08/01/2014 02:15 PM CP03944793 Shalimar Place, AGGARWAL AUTO MALL, PLOT NO.2, DISTRICT CENTER, SHALIMAR PLACE, OUTER RING ROAD, DELHI110088. LANDMARK: GALAXY TOYOTA SHOWROOM, OPP. HOTEL PREMIER INN(3 KMS FROM MADHUBAN CHOWK TOWARDS KARNAL BYPASS) 24/01/2014 & 03:30 PM 100004567551713 03:15 PM

PSK Location

Date & 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 tim e m entioned above for pre-checking of docum ents 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. In case of m inor either of the parents has to sign on all photo copies. One accom panying person from the fam ily w ill be allow ed along w ith Senior Citizens, Physically Challenged, Illiterate and Minor applicants only. 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 recent coloured passport size (4.5 x 3.5 cm ) photograph w ith a w hite background w hile visiting Passport Seva Kendra. Other applicants need not carry any photograph as photograph w ill be captured at the Passport Seva Kendra. 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. Balance fee (if applicable) after editing the subm itted form w ill be payable in cash at the Passport Seva Kendra.

# Details as per the Payment Date. Payment once made for availing passport services will not be refunded.

https://portal1.passportindia.gov.in/AppOnlineProject/secure/openPdfForApplReciept

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