appointment reciept

7/25/2015 AppointmentReciept

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MinistryofExternalAffairsGovernmentofIndia

OnlineAppointmentReceipt

ApplicantDetails:ApplicationReferenceNo.(ARN) 150007850104

ServiceType FRESHTypeofApplication NORMALGivenName SUKHDEVSurname SINGHFather'sName LALLUSINGHMother'sName RAJWALADateofBirth 05/11/1990PlaceofBirth PASIYAPURA

VILLAGE,MORADABAD,UTTARPRADESH

Gender MALEMaritalStatus SINGLEEmploymentType SELFEMPLOYEDApplicationSubmittedDate 23/06/2015PresentResidentialAddress

139,PASIYAPURA,MORADABAD,244402,UTTARPRADESH,INDIA

ApplicantsReferencesDetails:

FirstReferenceLALLUSINGH,139,PASIYAPURAPS.BHAGATPUR,MORADABAD,9627793184

SecondReferenceSUKHWINDERSINGH,139,PASIYAPURAPS.BHAGATPUR,MORADABAD,9536102886

PaymentDetails#

TotalFee(Rs.)

1500.00

PaidFee(Rs.) 1500.00DateandTime 23/06/201503:57PMTransactionId 37958340

AppointmentDetails:PassportSevaKendraAddress

BAREILLY,RADHAKRISHNATOWER,CC146/A,PLOTNO.317/1KHA,JAGATPURLALABEGUM,PILIBHITBYPASSROAD,BAREILLY243001,UTTARPRADESH

AppointmentId 100006850269715

AppointmentDateandTime

28/07/2015&03:15PM

ReportingDateandTime

28/07/2015&03:00PM

Batch 21

Barcode SequenceNo. 16

PleaseReadCarefully:PleasereachPassportSevaKendra(PSK)at03:00PMasmentionedaboveandcarrytheprintedcopyofthisappointmentreceipt.CheckDocumentAdvisoronwebsite 'www.passportindia.gov.in' toknowthedocumentsrequiredatPSK.Carryoriginaldocumentsand theirselfattestedphotocopies.FinaldecisionwithregardtodocumentsrequiredisatthediscretionofRPOstaffatPSK.Incaseofminorapplicants(below4yearsofage),carrytherecentpassportsizephotograph(4.5X3.5cm)withwhitebackground.Only applicant is allowed inside the PSK. However, in case of exceptions such as Senior Citizen / Physically Challenged / Illiterate / Minorapplicants,onepersonfromthefamilymaybeallowedtoaccompanyinsidePSK.AtPSK,apapertokenwillbeissuedtoyouaftercheckingofdocuments.YourapplicationwillbeprocessedatCounterAfollowedbycountersBandC. At all stages, please be alert andwatch the token display screens to know the counter atwhich your applicationwill be processed.Please collect acknowledgement slip from the Exit counter before leaving PSK. Also,you are requested to fill the feedback format the exitcounter.Thanksforshowingyourinterestin'PassportSevaSMSServices'enrolment.PleasepayRs35/(THIRTYFIVEONLY)incashastheEnrolmentChargesduringyourvisittoPassportSevaKendra.Balancefee(ifapplicable)aftereditingthesubmittedformwillbepayableincashatthePassportSevaKendra.ATMfacilityavailableatPSKforallBankCards.Helpustoserveyoubetter.

#DetailsasperthePaymentDate.Paymentoncemadeforavailingpassportserviceswillnotberefunded.

7/25/2015 AppointmentReciept

https://portal1.passportindia.gov.in/AppOnlineProject/secure/openPdfForApplReciept 2/4

7/25/2015 AppointmentReciept

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ThefollowingtablelistsApplicantCategoriesalongwiththeDocumentstobeSubmitted.TheDocumentNo.mentionedinDocumentstobeSubmittedcolumnisthereferencegiventothedocumentmentionedinListofDocumentstable.

ApplicantCategories DocumentstobeSubmittedOrdinaryCase(CitizenofIndiabybirth) 1,2,3(iftheapplicantiseligibleforNonECR)

CitizenofIndiabyDescent(BorntoIndianparent(s)outsideIndia) (i)1,2,3(iftheapplicantiseligibleforNonECR)(ii)4or5or6CitizenofIndiabyRegistration/Naturalization(GrantedcitizenshipbyMHA) 1,2,3(iftheapplicantiseligibleforNonECR),7ApplicantsrepatriatedfromabroadatGovernmentcost 1,2,3(iftheapplicantiseligibleforNonECR),5(ifavailable),8,9ApplicantsdeportedtoIndia/EmergencyCertificatecases 1,2,3(iftheapplicantiseligibleforNonECR),5(ifavailable),8(ifany),9

Government/PublicSector/Statutorybodyemployees(i)1,2(ii)21(ifNoPoliceVerificationisrequired)or20(ifPostPoliceVerificationisrequired)or27(ifPrePoliceVerificationisrequired).

DependentfamilymembersofGovernment/PublicSector/Statutorybodyemployees(ForJ&Kchildreninagegroup1015yearsarecovered.ForrestofIndiachildreninagegroup1821arecovered)

1,2,3(iftheapplicantiseligibleforNonECR),21(ofdependent)and24ifNoPoliceVerificationisrequired

Retiredgovernmentofficials 1,2,10(ifPostPoliceVerificationisrequired)

ApplicantshavingDiplomatic/OfficialPassportandapplyingforordinaryPassportwhileinservice

(i)1,2,11(12ifsurrendercertificateisnotavailable)(ii)21or20or27ifapplicantisGovernment/PublicSector/StatutorybodyemployeeNote:Incasetheapplicantsubmits"12","2"isnotrequired

DependentfamilymembersofDiplomatic/OfficialPassportholderswhoarenotgovernmentservants(ForJ&KChildreninagegroup1015yearsarecovered) 1,2,3(iftheapplicantiseligibleforNonECR),26

Owner,partnersanddirectorsofCompanieswhicharemembersofCII,FICCI&ASSOCHAM.

(i)1,2(ii)24and25ifPostPVisrequired

Minorchangeinname 1(innewname),2(inoldname),3(iftheapplicantiseligibleforNonECRDocumentsinoldnameareallowed),23

Majorchangeinname 1(innewname),2(inoldname),3(iftheapplicantiseligibleforNonECRDocumentsinoldnameareallowed),13,23

Change/Additioninsurnameduetomarriage (i)1,2,3(iftheapplicantiseligibleforNonECR)(ii)14or22ChangeinnameincaseofGovernment/PublicSector/Statutorybodyemployees 1,2,15,16,23

NagalandResidents 1,2,3(iftheapplicantiseligibleforNonECR)Note:AdditionalPVrequiredfromGuwahatithroughMHA.

NagaoriginsresidingoutsideNagaland 1,2,3(iftheapplicantiseligibleforNonECR)Note:AdditionalPVrequiredfromGuwahatithroughMHA.JammuandKashmirResidents 1,2,3(iftheapplicantiseligibleforNonECR)JammuandKashmirResidentsstayingoutsideJ&Kformorethanfiveyears 1,2,3(iftheapplicantiseligibleforNonECR)Studentsstayingawayfromtheirparent'scurrentresidence 1,2,3(iftheapplicantiseligibleforNonECR),17,18SeniorCitizens(ForJ&K:Men65+years,Women60+yearsForrestofIndia65+years)

1,2,3(iftheapplicantiseligibleforNonECR),19(ifPostPoliceVerificationisrequired)

Document

No. ListofDocuments

1.

ProofofPresentAddress.ForProofofAddressattachoneofthefollowingdocuments:

a. Waterbill/Telephone(landlineorpostpaidmobilebill)/Electricitybill(atleast2billsarerequiredOnebillshouldofbeoflastyearandtheotherbillofcurrentyear)

b. PhotopassbookofrunningBankAccount(ScheduledPublicSectorBanks,ScheduledPrivateSectorIndianBanksandRegionalRuralBanksonly)

c. IncomeTaxAssessmentOrderd. ElectionCommissionPhotoIDcarde. Gasconnectionbillf. CertificatefromEmployerofreputedandwidelyknowncompaniesonletterhead(Onlypubliclimitedcompaniescangiveaddressproofon

companyletterheadalongwithseal.Computerisedprintoutsshallnotbeentertained)g. Spouse'spassportcopy(Firstandlastpageincludingfamilydetails),(providedtheapplicant'spresentaddressmatchestheaddress

mentionedinthespouse'spassport)h. Applicant'scurrentandvalidrationcard

NOTE1:Ifanyapplicantsubmitsonlyrationcardasproofofaddress,itshouldbeaccompaniedbyonemoreproofofaddressoutofthegivencategories.

i. Parent'spassportcopy,incaseofminors(Firstandlastpage)j. AadhaarLetter/Card(IfaadhaarcardissuancedateislessthanayearfrompassportapplicationprocessingdateatPSK,itshouldbe

accompaniedbyonemoreproofofaddressoutofthegivencategories)k. RegisteredRentAgreement(foraperiodofmorethanoneyear)

2.

ProofofDateofBirth.ForProofofDateofBirthattachoneofthefollowingdocuments:

a. BirthcertificateissuedbyaMunicipalAuthorityoranyofficeauthorizedtoissueBirthandDeathCertificatebytheRegistrarofBirths&Deaths

b. Schoolleavingcertificate/SecondarySchoolleavingcertificate/CertificateofRecognizedBoardsfromtheschoollastattendedbytheapplicantoranyotherrecognizededucationalinstitution

c. AffidavitswornbeforeaMagistrate/Notarystatingdate/placeofbirthasperthespecimeninAnnexure"A"byilliterateorsemiilliterateapplicants(Lessthan5thclass).

Forapplicantsbornonorafter26.01.89,onlyBirthCertificateissuedbytheMunicipalAuthorityoranyofficeauthorizedtoissueBirthandDeath

7/25/2015 AppointmentReciept

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CertificatebytheRegistrarofBirths&Deathsisacceptable.TheBirthCertificateshouldordinarilycontainthenameofchild,nameoffatherandmother,dateofbirth,placeofbirth,sex,registrationnumberanddateofregistration.IftheBirthCertificatedoesn'tcontainthenameofchild,adeclarationonplainpapersignedbyparents,isrequiredtobesubmittedspecifyingthenameofthechild.

3. DocumentaryproofforanyoneoftheNonECR(previouslyECNR)categories,ReferColumn2.15underSectionBofpassportinstructionbooklet4. BirthRegistrationCertificateissuedbyEmbassy/HighCommission/ConsulateofIndia

5. OldPassportinoriginalwithselfattestedphotocopyofitsfirsttwoandlasttwopages,includingECR/NonECRpage(previouslyECNR)andthepageofobservation(ifany),madebyPassportIssuingAuthorityandvalidityextensionpage,ifany,inrespectofshortvaliditypassport

6. Passportofparentsinoriginalwithselfattestedphotocopyofitsfirsttwoandlasttwopages,includingECR/NonECRpage(previouslyECNR)andthepageofobservation(ifany),madebyPassportIssuingAuthorityandvalidityextensionpage,ifany,inrespectofshortvaliditypassport7. CitizenshipCertificateissuedbyMinistryofHomeAffairs8. Proofofrefundofrepatriation/deportationcost(ifany)toMinistryofExternalAffairs9. OriginalEmergencyCertificate/SeizureMemoissuedbyAirportImmigrationAuthoritiesonapplicant'sarrivalinIndia

10. PensionPaymentOrder11. ProofofsurrenderorcancellationofDiplomatic/officialPassport12. CancelledPassport(ifsurrendercertificateisnotavailable),withaletterexplainingwhysurrendercertificateisnotavailable

13. Paperclippingoftwoleadingdailynewspapersinoriginal(onedailynewspapershouldbeoftheareaofApplicant'sPermanentAddressandtheotheratCurrentAddressornearbyarea)14. AnattestedcopyofmarriagecertificateissuedbyRegistrarofMarriage15. GazetteNotificationchangingnameinapplicant'sdepartment16. FreshIDCertificateinchangedname17. StudentIdentityCardissuedbyGovernmentRecognizedEducationalInstitutions,inrespectoffulltimecourses18. BonafideLetterfromauthorizedsignatoryofcollege(OnofficialletterheadofUGCrecognizedCollege)19. Copyofchild's(Age>18)Passport,whoisstayingabroad(withpagehavingparent'sname)20. NoObjectionCertificate(NOC)(asperAnnexure'M')21. "IdentityCertificate"inoriginalasperAnnexure"B"

22. Ajointaffidavitfromhusbandandwifealongwithajointphotograph,(SpecimenatAnnexure"D")Whenjointaffidavitisnotpossibletheaffidavitshouldindicatethereasonforit.Ifapplyingforpassportforthefirsttime,thisaffidavitisrequiredonlyifthereisachangeinthefirstname.23. Deedpoll/swornaffidavitasperAnnexure"E"24. StandardAffidavitasperAnnexure"I"25. VerificationCertificateasperAnnexure"J"26. PhotocopyofDiplomatic/OfficialPassport27. PriorIntimationLetter(PI)(asperAnnexureN)

Note:Thelistofdocumentsprovidedinthetableaboveisindicative.ThedecisionofAPO/RPOshallbeconsideredfinal.