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India Passport Application Receipt

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amkrishnakumar
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109 views1 page

India Passport Application Receipt

basmsbcabcmasbccmbcmnbcmncbmnzxbcmnbczmbczcnbzmccbzmcncbznmcbcbnzcmnzbcmnbczmbcmnzbcmbcnzcmbasmsbcabcmasbccmbcmnbcmncbmnzxbcmnbczmbczcnbzmccbzmcncbznmcbcbnzcmnzbcmnbczmbcmnzbcmbcnzcmnzbcmzcbzmcmcbzcnzcnbasmsbcabcmasbccmbcmnbcmncbmnzxbcmnbczmbczcnbzmccbzmcncbznmcbcbnzcmnzbcmnbczmbcmnzbcmbcnzcmnzbcmzcbzmcmcbzcnzcnbasmsbcabcmasbccmbcmnbcmncbmnzxbcmnbczmbczcnbzmccbzmcncbznmcbcbnzcmnzbcmnbczmbcmnzbcmbcnzcmnzbcmzcbzmcmcbzcnzcnbasmsbcabcmasbccmbcmnbcmncbmnzxbcmnbczmbczcnbzmccbzmcncbznmcbcbnzcmnzbcmnbczmbcmnzbcmbcnzcmnzbcmzcbzmcmcbzcnzcnbasmsbcabcmasbccmbcmnbcmncbmnzxbcmnbczmbczcnbzmccbzmcncbznmcbcbnzcmnzbcmnbczmbcmnzbcmbcnzcmnzbcmzcbzmcmcbzcnzcn

Uploaded by

amkrishnakumar
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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 14-1003345563
Batch 4
Sequence No. 19
Reporting Time 10:00 AM
Service Type FRESH
Type of Application Normal
Application Submitted Date 18/04/2014
Date of Birth 25/10/1989
Gender FEMALE
Employment Type HOME MAKER
Marital Status MARRIED
Place of Birth TIRUPUR,TIRUPPUR,TAMIL
NADU
Given Name PRIYADHARSHINI
Surname SIVAKUMAR
Father's Name MANIYAN
Mother's Name J AYAMANI
Spouse's Name SIVAKUMAR
Present Address NO1/130,APPIYAPALAYAM,ETTIVEERAMPALAYAM PO, PERUMANALLUR VIA, TIRUPPUR -
641606, TAMIL NADU, INDIA
Applicants References :
First Reference Details MOORTHI,APPIYAPALAYAM,PERUMANALLUR,TIRUPUR., 9976358718
Second Reference Details LOGANATHAN,PERUMANALLUR,TIRUPUR., 9976573337
Payment Details:
#
Total Fee (Rs.) 1500.00
Paid Fee (Rs.) 1500.00
Date and Time 19/04/2014 02:51 PM
Transaction Id CP06074324
Appointment Details :
PSK Location
Coimbatore,
25, AGT BUSINESS PARK, AVINASHI ROAD, CIVIL AERODROME
POST, COIMBATORE
Date & Time of Appointment 07/05/2014 & 10:15 AM
Appointment Id 100005394851414
Reporting Time 10:00 AM
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:
Appl i cant shoul d reach t he Passport Seva Kendra by t he report i ng ti me menti oned above f or pre-checki ng of documents t o avoid
any hassles in issuance of token.
Applicant shoul d bri ng all the originals and one set of photo copy, photo copies should be self at t est ed by the applicant.
One accompanyi ng person f rom t he family wi l l be al l owed al ong wi t h Senior Ci ti zens, Physi cal l y Chal l enged, Il l i terate and Minor
appl i cants only.
Applicant will not be issued token at Passport Seva Kendra, if they report after scheduled appoi ntment time.
Minor appl i cants below 4 years of age need t o carry a recent col oured passport si ze (4.5 x 3.5 cm) phot ograph wi t h a whi te
background while visiting Passport Seva Kendra. Ot her appl i cants need not carry any phot ograph as photograph will be captured at
the Passport Seva Kendra.
Carryi ng of corrosi ve substances or expl osi ves, arms or any sharp objects whi ch may cause physical harm or violence are prohi bi ted
inside the PSK. El ectroni c item such as camera is prohi bi ted inside the PSK.
Balance fee (if applicable) after edi ti ng the submi tted form will be payable in cash at the Passport Seva Kendra.
# Details as per the Payment Date. Payment once made for availing passport servi ces will not be refunded.
Application Form file:///C:/Users/Krishnakumar M/Downloads/PRIYADHARSINI.htm
1 of 1 21-04-2014 13:53

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