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Prakhar Pant

Prakar Pant, a 15-year-old student from Kashipur, Uttarakhand, India has applied for a fresh normal passport. He has submitted his aadhaar card, address proof, and a declaration from his father affirming his details as required enclosures. Prakar affirms that the information provided is true and that he owes allegiance to India and has not acquired citizenship of any other country. He understands submitting false information is a criminal offense under the Passports Act.

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66 views1 page

Prakhar Pant

Prakar Pant, a 15-year-old student from Kashipur, Uttarakhand, India has applied for a fresh normal passport. He has submitted his aadhaar card, address proof, and a declaration from his father affirming his details as required enclosures. Prakar affirms that the information provided is true and that he owes allegiance to India and has not acquired citizenship of any other country. He understands submitting false information is a criminal offense under the Passports Act.

Uploaded by

pantprakhar2
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Application Form https://portal1.passportindia.gov.in/AppOnlineProject/secure/ApplicantS...

PASSPORT APPLICATION FORM

Government of INDIA, Ministry of External Affairs

Service Required
Application Reference Number 21-0004909406
Applying For FRESH
Type of Application NORMAL
Type of Passport Booklet NORMAL
Applicant Details
Applicant's Name PRAKHAR PANT
Date of Birth (DD/MM/YYYY) 24/12/2006
Validity Required NA
Place of Birth (Village/Town/City) KASHIPUR
District UDHAM SINGH NAGAR
State/UT UTTARAKHAND
Country INDIA
Gender MALE
Marital Status SINGLE
Citizenship of India by BIRTH
Employment Type STUDENT
Is either of your parent (in case of
N
minor)/spouse, a government servant?
Educational Qualification 7TH PASS OR LESS
Are you eligible for Non-ECR category? N
Family Details
Father's Name KAUSHAL KISHOR PANT
Mother's Name BABITA PANT
Mother/Legal guardian's File/Passport Number J9480253
Present Residential Address Details
1614 MOHALLA SHAKTI NAGAR, KASHIPUR, UDHAM SINGH NAGAR,
Address
UTTARAKHAND
PIN 244713
Police Station KASHIPUR
Mobile/Tel No. 8979000728
E-mail [email protected]
Emergency Contact Details
BABITA PANT, JAGRATI PUBLIC SCHOOL VALI GALI.SHAKTI
Name and Address
NAGAR,KASHIPUR,UDHAM SINGH NAGAR,UTTAKHAND
Mobile/Tel No. 8979000728
Other Details
Enclosures
1.Aadhaar Card/E-Aadhaar
2.Aadhaar Card (Address Proof)
3.A declaration affirming the particulars furnished in the application about the minor as per Annexure D
Self Declaration
I owe allegiance to the sovereignty, unity & integrity of India, and have not voluntarily acquired citizenship or travel document of any
other country. I have not lost, surrendered or been deprived of the citizenship of India. I have not contravened any of the conditions
relating to the possession and use of an Indian passport.
I affirm that the information and particulars given by me in this form are true and correct. I further state that I am not suppressing any
material information in this regard. I further affirm that the enclosures and documentary proof submitted in support of my application for
an Indian passport are authentic and solely pertain to me and I am fully responsible for the accuracy of the same. I am liable to be
penalized or prosecuted if found otherwise. I am aware that under the Passports Act, 1967 it is a criminal offence to furnish any false
information or to suppress any material information with a view to obtaining passport or travel document.
I have read and understood the contents of the above and by submitting this form certify that all the information submitted by me in the
form is bonafide.
Place NAINITAL

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