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Application Form


Passport Application Government of India, Ministry of External Affairs Online Application Receipt Applicant Details : Application Reference No12-6421237 Service Type PCC Submission Date 27/06/2012 Date of Birth 15/01/1993 Gender MALE Employment Type PRIVATE Marital Status SINGLE Place of Birth KHANPUR HOSHIARPUR Given Name AMANDEEP SINGH Surname PCC applied for NEW ZEALAND Father's Name MOHAN SINGH Mother's Name KAMALJIT KAUR Present Address VPO KHANPUR TEH MUKERIAN HOSHIARPUR - 144211 , PUNJAB, INDIA Applicants References : First Reference Details VIKAS KUMAR, VPO KHANPUR, TEH MUKERIAN Second Reference Details GURINDER SINGH, VPO KHANPUR, TEH MUKERIAN Passport Details : Passport No. H4482824 Passport Issue Date 02/06/2009 Passport Expiry Date 01/06/2019 Place of Issue JALANDHAR Appointment Details : HOSHIARPUR, PSK Location ARORA'S GALAXY, NEAR HOTEL PRESIDENCY, BUS STAND ROAD, HOSHIARPUR-146001, PUNJAB Appointment Date & 28/06/2012 & 02:00 PM Time Appointment ID 100001722600312 Reporting Time 01:45 PM

Note: Applicant should reach the Passport Seva Kendra by the reporting time mentioned above for pre-checking of documents to avoid any hassles in issuance of token. Only in the case of Senior Citizens, Physically Challenged, Illiterate Applicants and Minor cases, one accompanying person from the family will be allowed along with the applicant. Applicant will not be issued token at Passport Seva Kendra, if they report after scheduled appointment time. Minor applicants below 4 years of age need to carry a passport size photograph (with a white background) while visiting Passport Seva Kendra (PSK). Other applicants need not carry any photograph as photograph will be captured at the Passport Seva Kendra (PSK). Carrying of corrosive substances or explosives, arms or any sharp objects which may cause physical harm or violence are prohibited inside the PSK. Electronic items such as Laptop, iPad and cameras are also prohibited inside the PSK. *ARN will be valid for 90 days.

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6/27/2012 9:50 PM