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  • Passport Application Form Government of INDIA, Ministry of External Affairs

    Uploaded by

    Sue Haynes
    26 views2 pages
    Harpreet Singh is applying for a fresh normal passport. He provides details such as his name, date of birth, address, employment, and family details. He declares that he owes allegiance to India and affirms that all information provided is true.

    Original Description:

    procedure of correct application

    Original Title

    Application Form

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    Harpreet Singh is applying for a fresh normal passport. He provides details such as his name, date of birth, address, employment, and family details. He declares that he owes allegiance to India and affirms that all information provided is true.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    26 views2 pages

    Passport Application Form Government of INDIA, Ministry of External Affairs

    Uploaded by

    Sue Haynes
    Harpreet Singh is applying for a fresh normal passport. He provides details such as his name, date of birth, address, employment, and family details. He declares that he owes allegiance to India and affirms that all information provided is true.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 2

    4/22/2015

    ApplicationForm

    PASSPORTAPPLICATIONFORM
    GovernmentofINDIA,MinistryofExternalAffairs
    ServiceRequired
    ApplicationReferenceNumber
    ApplyingFor
    TypeofApplication
    TypeofPassportBooklet

    150005031864
    FRESH
    NORMAL
    NORMAL

    ApplicantDetails
    Applicant'sName
    DateofBirth(DD/MM/YYYY)
    ValidityRequired
    PlaceofBirth(Village/Town/City)
    District
    State/UT
    Country
    Gender
    MaritalStatus
    CitizenshipofIndiaby
    PAN
    EmploymentType
    Iseitherofyourparent(incaseofminor)/spouse,a
    governmentservant?
    EducationalQualification
    AreyoueligibleforNonECRcategory?

    HARPREETSINGH
    09/09/1989
    NA
    DELHI
    EASTDELHI
    DELHI
    INDIA
    MALE
    SINGLE
    BIRTH
    CDEPS4769M
    PRIVATE
    N
    GRADUATEANDABOVE
    N

    FamilyDetails
    Father'sName
    Mother'sName

    HARJEETSINGHNARANG
    SURINDERKAUR

    PresentResidentialAddressDetails
    ResidingSince(MM/YYYY)
    Address
    PIN
    Mobile/TelNo.
    Email
    FirstReferenceNameAndAddress
    Mobile/TelNo.
    SecondReferenceNameAndAddress

    09/1989
    H.NO191TELIWARASHAHDARADELHI,DELHI,FARSHBAZAR,
    EASTDELHI,DELHI
    110032
    9250097706
    HARPREETSINGH321@GMAIL.COM
    KAMALNARANGH.NO191TELIWARASHAHDARADELHI
    8826697069
    AMITKUMARH.NO191TELIWARASHAHDARADELHI

    PermanentResidentialAddress
    Address
    PIN
    Mobile/TelNo.

    H.NO191TELIWARASHAHDARADELHI,DELHI,FARSHBAZAR,
    EASTDELHI,DELHI
    110032
    9250097706

    EmergencyContactDetails
    NameandAddress
    Mobile/TelNo.
    Email

    PREETINARANG
    9899915355
    PREETINRNG@YAHOO.COM

    OtherDetails
    SelfDeclaration
    Ioweallegiancetothesovereignty,unityandintegrityofIndia,andhavenotvoluntarilyacquiredcitizenshiportraveldocument
    ofanyothercountry.Ihavenotlost,surrenderedorbeendeprivedofthecitizenshipofIndiaandIaffirmthattheinformation
    givenbymeinthisformandtheenclosuresistrueandIamsolelyresponsibleforitsaccuracy,andIamliabletobepenalized
    orprosecutediffoundotherwise.IamawarethatunderthePassportsAct,1967itisacriminaloffencetofurnishanyfalse
    https://portal1.passportindia.gov.in/AppOnlineProject/secure/ApplicantSelfDeclarationAction

    1/2

    4/22/2015

    ApplicationForm

    informationortosuppressanymaterialinformationwithaviewtoobtainingpassportortraveldocument.
    Place
    DELHI
    Date
    22/04/2015

    https://portal1.passportindia.gov.in/AppOnlineProject/secure/ApplicantSelfDeclarationAction

    2/2

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