2/12/2014

Application Form

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 14-0001019818 Batch 13 Service Type REISSUE Type of Application Tatkaal Sequence No. 2 Application Submitted Date28/01/2014 Date of Birth 24/07/1984 Reporting Time 12:15 PM Gender FEMALE Employment Type HOME MAKER Marital Status MARRIED Place of Birth SAROD,BHARUCH,GUJARAT Given Name NAZIMA SHOEB Surname MUNSHI Father's Name MOHAMMEDHANIF ABDULHAMID PATEL Mother's Name HALIMABEN MOHAMMEDHANIF PATEL Spouse's Name SHOEB SALIM MUNSHI Present Address 3FATMABAI BLD NO21,20; 21 NAWROJIHILL RD, MUMBAI, MUMBAI - 400009, MAHARASHTRA, INDIA Applicants References : First Reference Details MAHMOOD SAYYED 3 FATMABAI BLDG RNO 24, 2ND FLOOR 21 NAWROJI HILL ROAD, MUMBAI 400009 Second Reference Details NEELAM NOORANI RNO 16/17, 2ND FLOOR, 21 NAWROJI HILL ROAD, MUMBAI 400009 Previous Passport Details : Old Passport No. E7912389 Passport Issue Date 27/02/2004 Passport Expiry Date 26/02/2014 Place of Issue AHMEDABAD # Payment Details: Total Fee (Rs.) 4000.00 Paid Fee (Rs.) 2000.00 Date and Time 31/01/2014 12:36 AM Transaction Id CP04365439 Appointment Details : Lower Parel, PASSPORT SEVA KENDRA, LOWER PAREL, TRADE POINT, KAMALA MILLS PSK Location COMPOUND, PANDURANG BUDHKAR MARG, LOWER PAREL, MUMBAI 400013 Date & Time of 13/02/2014 & 12:30 PM Appointment Appointment Id 100004779293714 Reporting Time 12:15 PM Appointment Quota Tatkaal

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

Note: Applicant should reach the Passport Seva Kendra by the reporting tim e m entioned above for pre-checking of docum ents 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 m inor either of the parents has to sign on all photo copies. One accom panying person from the fam ily w ill be allow ed along w ith Senior Citizens, Physically Challenged, Illiterate and Minor applicants only. Applicant w ill not be issued token at Passport Seva Kendra, if they report after scheduled appointm ent tim e. Minor applicants below 4 years of age need to carry a recent coloured passport size (4.5 x 3.5 cm ) photograph w ith a w hite background w hile visiting Passport Seva Kendra. Other applicants need not carry any photograph as photograph w ill be captured at the Passport Seva Kendra. Carrying of corrosive substances or explosives, arm s or any sharp objects w hich m ay cause physical harm or violence are prohibited inside the PSK. Electronic item such as cam era is prohibited inside the PSK. Applicants applying under "TATKAAL" schem e m ay please note that their application processing at Passport Seva Kendra m ay take approxim ately 2 hours due to additional verifications required before processing of such applications. Therefore, "TATKAAL" applicants are advised to plan their schedule accordingly.

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2/12/2014

Application Form

"TATKAAL" applicants are advised to plan their schedule accordingly. Balance fee (if applicable) after editing the subm itted form w ill be payable in cash at the Passport Seva Kendra.

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

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

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