4/29/2017 AppointmentReciept

MinistryofExternalAffairsGovernmentofIndia
OnlineAppointmentReceipt

ApplicantDetails:

PaymentDetails#
ApplicationReferenceNo. TotalFee(Rs.) 1500.00
170006286522
(ARN)
PaidFee(Rs.) 1500.00
ServiceType FRESH
DateandTime 29/04/201701:26PM
TypeofApplication NORMAL
TransactionId CP83262168
GivenName PRATIKPRALHAD
Surname MORE AppointmentDetails:
Gender MALE PassportSeva LOWERPAREL,
Father'sName PRALHADRAMCHANDRAMORE KendraAddress PASSPORTSEVAKENDRA,LOWERPAREL,
Mother'sName PRIYAPRALHADMORE TRADEPOINT,KAMALAMILLSCOMPOUND,
PANDURANGBUDHKARMARG,LOWERPAREL,
DateofBirth 15/10/1993 MUMBAI400013
PlaceofBirth MUMBAI,MUMBAI AppointmentId 100009807026917
MaritalStatus SINGLE Appointment
02/05/2017&02:45PM
EmploymentType STUDENT DateandTime
ApplicationSubmittedDate 29/04/2017 ReportingDate 02/05/2017&02:30PM
PresentResidentialAddress 112/3,GAIKWADCHAWL,DRPETERDIAS andTime
RD,MOUNTMARY,BANDRA,MUMBAI,
400050,MAHARASHTRA,INDIA
ApplicantsReferencesDetails:
BALWANTTJADHAVNEARGANESH
Batch 23
MANDIR,KADESHWARIMARG,MOUNT
FirstReference
MARY,BANDRA(W),MUMBAI400050,
9594797596 SequenceNo. 24
SHASHIKANTAHIRE,SAINIVAS,NEAR
SecondReference SARKARIBAWDI,MOUNTMARY,BANDRA
WEST,9869543467

PleaseReadCarefully:
PleasereachPassportSevaKendra(PSK)at02:30PMasmentionedaboveandcarrytheprintedcopyofthisappointmentreceipt.
Check Document Advisor on website 'www.passportindia.gov.in' to know the documents required at PSK.Carry original documents and their self
attestedphotocopies.FinaldecisionwithregardtodocumentsrequiredisatthediscretionofRPOstaffatPSK.
Incaseofminorapplicants(below4yearsofage),carrytherecentpassportsizephotograph(4.5X3.5cm)withwhitebackground.
OnlyapplicantisallowedinsidethePSK.However,incaseofexceptionssuchasSeniorCitizen/PhysicallyChallenged/Illiterate/Minorapplicants,one
personfromthefamilymaybeallowedtoaccompanyinsidePSK.
AtPSK,apapertokenwillbeissuedtoyouaftercheckingofdocuments.YourapplicationwillbeprocessedatCounterAfollowedbycountersBandC.At
all stages, please be alert and watch the token display screens to know the counter at which your application will be processed. Please collect
acknowledgementslipfromtheExitcounterbeforeleavingPSK.Also,youarerequestedtofillthefeedbackformattheexitcounter.
Corrosivesubstances,explosives,weaponsandanysharpobjectsarenotallowedinsidethePSK.Pleasecooperatewithsecuritystaffforfriskingbefore
entryinPSK.Yoursecurityisourprimaryconcern.
TakecareofyourbelongingsinsidethePSK.
KeepyourmobileinsilentmodeinsidePSK.Alsovideo/photographyisnotallowedinside.
Thanksforshowingyourinterestin'PassportSevaSMSServices'enrolment.PleasepayRs45/(FORTYFIVEONLY)incashastheEnrolmentCharges
duringyourvisittoPassportSevaKendra.
Helpustoserveyoubetter.
#DetailsasperthePaymentDate.Paymentoncemadeforavailingpassportserviceswillnotberefunded.

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4/29/2017 AppointmentReciept
ThefollowingtablelistsApplicantCategoriesalongwiththeDocumentstobeSubmitted.TheDocumentNo.mentionedinDocumentsto
beSubmittedcolumnisthereferencegiventothedocumentmentionedinListofDocumentstable.

ApplicantCategories
OrdinaryCase(CitizenofIndiabybirth)
CitizenofIndiabyDescent(BorntoIndianparent(s)outsideIndia)
CitizenofIndiabyRegistration/Naturalization(GrantedcitizenshipbyMHA)
ApplicantsrepatriatedfromabroadatGovernmentcost
ApplicantsdeportedtoIndia/EmergencyCertificatecases
Government/PublicSector/Statutorybodyemployees
DependentfamilymembersofGovernment/PublicSector/Statutorybodyemployees
(ForJ&Kchildreninagegroup1015yearsarecovered.ForrestofIndiachildreninage
group1821arecovered)
Retiredgovernmentofficials
ApplicantshavingDiplomatic/OfficialPassportandapplyingforordinaryPassportwhile
inservice
DependentfamilymembersofDiplomatic/OfficialPassportholderswhoarenot
governmentservants(ForJ&KChildreninagegroup1015yearsarecovered)
Owner,partnersanddirectorsofCompanieswhicharemembersofCII,FICCI&
ASSOCHAM.
Minorchangeinname
Majorchangeinname
Change/Additioninsurnameduetomarriage
ChangeinnameincaseofGovernment/PublicSector/Statutorybodyemployees
NagalandResidents
NagaoriginsresidingoutsideNagaland
JammuandKashmirResidents
JammuandKashmirResidentsstayingoutsideJ&Kformorethanfiveyears
Studentsstayingawayfromtheirparent'scurrentresidence
SeniorCitizens(ForJ&K:Men65+years,Women60+yearsForrestofIndia65+
years)
DocumentstobeSubmitted
1,2,3(iftheapplicantiseligibleforNonECR)
(i)1,2,3(iftheapplicantiseligibleforNonECR)
(ii)4or5or6
1,2,3(iftheapplicantiseligibleforNonECR),7
1,2,3(iftheapplicantiseligibleforNonECR),5(ifavailable),8,9
1,2,3(iftheapplicantiseligibleforNonECR),5(ifavailable),8(ifany),9
(i)1,2
(ii)21(ifNoPoliceVerificationisrequired)or20(ifPostPoliceVerificationisrequired)
or25(ifPrePoliceVerificationisrequired).
1,2,3(iftheapplicantiseligibleforNonECR),21(ofdependent)and22ifNoPolice
Verificationisrequired
1,2,10(ifPostPoliceVerificationisrequired)
(i)1,2,11(12ifsurrendercertificateisnotavailable)
(ii)21or20or25ifapplicantisGovernment/PublicSector/Statutorybodyemployee
Note:Incasetheapplicantsubmits"12","2"isnotrequired
1,2,3(iftheapplicantiseligibleforNonECR),24
(i)1,2
(ii)22and23ifPostPVisrequired
1(innewname),2(inoldname),3(iftheapplicantiseligibleforNonECRDocuments
inoldnameareallowed)
1(innewname),2(inoldname),3(iftheapplicantiseligibleforNonECRDocuments
inoldnameareallowed),13,26
(i)1,2,3(iftheapplicantiseligibleforNonECR)
1,2,15,16
1,2,3(iftheapplicantiseligibleforNonECR)
Note:AdditionalPVrequiredfromGuwahatithroughMHA.
1,2,3(iftheapplicantiseligibleforNonECR)
Note:AdditionalPVrequiredfromGuwahatithroughMHA.
1,2,3(iftheapplicantiseligibleforNonECR)
1,2,3(iftheapplicantiseligibleforNonECR)
1,2,3(iftheapplicantiseligibleforNonECR),17,18
1,2,3(iftheapplicantiseligibleforNonECR),19(ifPostPoliceVerificationis
required)

Document
ListofDocuments
No.
ProofofPresentAddress.ForProofofAddressattachoneofthefollowingdocuments:

a.Waterbill/Telephone(landlineorpostpaidmobilebill)/Electricitybill
b.PhotopassbookofrunningBankAccount(ScheduledPublicSectorBanks,ScheduledPrivateSectorIndianBanksandRegionalRuralBanksonly)
c.IncomeTaxAssessmentOrder
d.ElectionCommissionPhotoIDcard
e.Gasconnectionbill
f.CertificatefromEmployerofreputedandwidelyknowncompaniesonletterhead(Onlypubliclimitedcompaniescangiveaddressproofoncompany
letterheadalongwithseal.Computerisedprintoutsshallnotbeentertained)
g.Spouse'spassportcopy(Firstandlastpageincludingfamilydetails),(providedtheapplicant'spresentaddressmatchestheaddressmentionedinthe
spouse'spassport)
h.Parent'spassportcopy,incaseofminors(Firstandlastpage)
i.AadhaarLetter/Card
j.RegisteredRentAgreement
1.
Note:

1.Applicantsarerequiredtosubmittheproofofaddressofthepresentaddressonly,irrespectiveofthedatefromwhichhe/shehasbeenresidingatthe
givenaddress.However,he/sheisrequiredtomentionalltheplaceofstayduringpreviousoneyearinthePassportapplicationform.

2.FurnishingofAadhaarcardwillexpediteprocessingofpassportapplications.

3.Aadhaarletter/cardortheeAadhaar(anelectronicallygeneratedletterfromthewebsiteofUIDAI),asthecasemaybe,willbeacceptedasProofof
Address(POA)andProofofPhotoIdentity(POI)foravailingpassportrelatedservices.AcceptanceofAadhaarasPoAandPoIwouldbesubjectto
successfulvalidationwithAadhaardatabase.

4.AnyoftheremainingdocumentscontainingaddressoutofsixteendocumentslistedunderTatkaalapplication,couldalsobeacceptedasproofof
residenceifsuchdocumentshavethesamepresentresidentialaddressasgivenbytheapplicantinthePassportApplicationForm.

2. ProofofDateofBirth.ForProofofDateofBirthattachoneofthefollowingdocuments:

a.BirthCertificateissuedbytheRegistrarofBirthsandDeathsortheMunicipalCorporationoranyotherprescribedauthority,whosoeverhasbeen
empoweredundertheRegistrationofBirthandDeathsAct,1969toregisterthebirthofachildborninIndia.TheBirthCertificateshouldordinarily
containthenameofchild,nameoffatherandmother,dateofbirth,placeofbirth,sex,registrationnumberanddateofregistration.IftheBirth
Certificatedoesn'tcontainthenameofchild,adeclarationonplainpapersignedbyparents,isrequiredtobesubmittedspecifyingthenameofthe
child
b.Transfer/Schoolleaving/MatriculationCertificateissuedbytheschoollastattended/recognisededucationalboardhavingthedateofbirthofthe
applicant.
c.PolicyBondissuedbyPublicLifeInsuranceCorporations/Companiescontainingthedateofbirthoftheholderoftheinsurancepolicy.

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4/29/2017 AppointmentReciept
d.AadharCard/EAadharhavingthedateofbirthoftheapplicant.
e.Copyofanextractoftheservicerecordoftheapplicant(onlyinrespectofGovernmentservants)orthePayPensionOrder(inrespectofretired
GovernmentServants),dulyattested/certifiedbytheofficer/inchargeoftheAdministrationoftheconcernedMinistry/Departmentoftheapplicant,
havinghisdateofbirth.
f.DrivinglicenceissuedbytheTransportDepartmentoftheconcernedStateGovernment,havingthedateofbirthoftheapplicant.
g.ElectionPhotoIdentityCardissuedbytheElectionCommissionofIndiacontainingthedateofbirthoftheapplicant.
h.PANCardissuedbytheIncomeTaxDepartmenthavingthedateofbirthoftheapplicant.
i.AdeclarationgivenbytheHeadoftheOrphanage/ChildCareHomeontheirofficialletterheadoftheorganizationconfirmingtheDOBoftheapplicant

Note:Documentsmentionedinpoint'd'to'h'areacceptableasproofofDateofBirthonlyifithasthepreciseDateofBirthoftheapplicant.
3. DocumentaryproofforanyoneoftheNonECR(previouslyECNR)categories,ReferColumn2.15underSectionBofpassportinstructionbooklet
4. BirthRegistrationCertificateissuedbyEmbassy/HighCommission/ConsulateofIndia
OldPassportinoriginalwithselfattestedphotocopyofitsfirsttwoandlasttwopages,includingECR/NonECRpage(previouslyECNR)andthepageof
5.
observation(ifany),madebyPassportIssuingAuthorityandvalidityextensionpage,ifany,inrespectofshortvaliditypassport
Passportofparentsinoriginalwithselfattestedphotocopyofitsfirsttwoandlasttwopages,includingECR/NonECRpage(previouslyECNR)andthepageof
6.
observation(ifany),madebyPassportIssuingAuthorityandvalidityextensionpage,ifany,inrespectofshortvaliditypassport
7. CitizenshipCertificateissuedbyMinistryofHomeAffairs
8. Proofofrefundofrepatriation/deportationcost(ifany)toMinistryofExternalAffairs
9. OriginalEmergencyCertificate/SeizureMemoissuedbyAirportImmigrationAuthoritiesonapplicant'sarrivalinIndia
10. PensionPaymentOrder
11. ProofofsurrenderorcancellationofDiplomatic/officialPassport
12. CancelledPassport(ifsurrendercertificateisnotavailable),withaletterexplainingwhysurrendercertificateisnotavailable
Paperclippingoftwoleadingdailynewspapersinoriginal(onedailynewspapershouldbeoftheareaofApplicant'sPermanentAddressandtheotheratCurrent
13.
Addressornearbyarea)
14. AnattestedcopyofmarriagecertificateissuedbyRegistrarofMarriage
15. GazetteNotificationchangingnameinapplicant'sdepartment
16. FreshIDCertificateinchangedname
17. StudentIdentityCardissuedbyGovernmentRecognizedEducationalInstitutions,inrespectoffulltimecourses
18. BonafideLetterfromauthorizedsignatoryofcollege(OnofficialletterheadofUGCrecognizedCollege)
19. Copyofchild's(Age>18)Passport,whoisstayingabroad(withpagehavingparent'sname)
20. NoObjectionCertificate(NOC)(asperAnnexure''G'')
21. IdentityCertificateinoriginalasperAnnexure''A''
22. StandardAffidavitasperAnnexure''E''
23. VerificationCertificateasperthespecimenasperAnnexure''B''
24. PhotocopyofDiplomatic/OfficialPassport
25. PriorIntimationLetter(PI)(asperAnnexure''H'')
26. Atleasttwopublic/schooldocumentsissuedinthedesired/appliedchangednametoascertainthattheapplicanthasactuallychangedhisname.

Note:Thelistofdocumentsprovidedinthetableaboveisindicative.ThedecisionofAPO/RPOshallbeconsideredfinal.

PrintApplicationReceipt Close

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