Application Form

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https://portal2.passportindia.gov.in/AppOnlineProject/secure/openPdfFo...

Passport Application
Government of India, Ministry of External Affairs
Online Application Receipt
Applicant Details :
Application Reference No 14-1001507775
Service Type
FRESH
Type of Application
Normal
Application Submitted Date18/02/2014
Date of Birth
05/10/1973
Gender
MALE
Employment Type
PRIVATE
Marital Status
MARRIED
Place of Birth
WARANGAL,WARANGAL
RURAL,ANDHRA
PRADESH
Given Name
SRIDHAR
Surname
SWARGAM
Father's Name
KRISHNA MURTHY SWARGAM
Mother's Name
PADMAVATHI SWARGAM
Spouse's Name
MAMATHA SWARGAM
Present Address
36-A-197 PAPIREDDY NAGAR GANESH TEMPLE, BALANAGAR/BALANAGAR TOWNSHIP/HYD,
CYBERABAD - 500037, ANDHRA PRADESH, INDIA
Applicants References :
First Reference Details
E.RAMESH H.NO:4-41-530, PAPIREDDY NAGAR JAGADHGIRIGUTTA 500037, 9296109530
Second Reference Details B.KUMARASWAMY H.NO:37-85/1, LAST BUS STOP JAGADHGIRIGUTTA 500037, 9866761548
Payment Details: #
Payment Status
Appointment Details :
PSK Location
Date & Time of
Appointment
Appointment Id
Reporting Time

Not paid

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.
Applicant should bring all the originals and one set of photo copy, photo copies should be self attested by the applicant. In case of
minor either of the parents has to sign on all photo copies.
One accompanying person from the family will be allowed along with Senior Citizens, Physically Challenged, Illiterate and Minor
applicants only.
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 recent coloured passport size ( 4.5 x 3.5 cm) photograph with a white
background while visiting Passport Seva Kendra. Other applicants need not carry any photograph as photograph will be captured at
the Passport Seva Kendra.
Carrying of corrosive substances or explosives, arms or any sharp objects which may cause physical harm or violence are prohibited
inside the PSK. Electronic item such as camera is prohibited inside the PSK.

# Details as per the Payment Date. Payment once made for availing passport services will not be refunded.

2/18/2014 11:16 AM