6/27/2014 Application Form

https://portal2.passportindia.gov.in/AppOnlineProject/secure/openPdfForApplReciept 1/1
Passport Application
Government of India, Ministry of External Affairs
Online Application Receipt
ATM facility available at PSK
for all Bank Cards
Applicant Details:
Application Reference No. 14-1003243545
Batch 10
Sequence No. 17
Reporting Time 11:30 AM
Service Type FRESH
Type of Application Normal
Application Submitted Date 09/05/2014
Date of Birth 11/01/2014
Gender FEMALE
Employment Type OTHERS
Marital Status SINGLE
Place of Birth HYDERABAD,RANGAREDDY,ANDHRA
PRADESH
Given Name VEDATRAYEE
Surname CHAPPALLI
Father's Name VENKATA RAGHAVENDRA DILEEP CHAPPALLI
Mother's Name GAYATRI CHAPPALLI
Present Address 316-B, ENVIRON TOWERS, NAGOLE, HYDERABAD, CYBERABAD, 500068, ANDHRA PRADESH,
INDIA
Applicants References:
First Reference Details SANGITA JHA, 308 B, ENVIRON TOWERS, NAGOLE
Second Reference Details V. RAJYA LAKSHMI, 307 B, ENVIRON TOWERS, NAGOLE

Payment Details:
#
Total Fee (Rs.) 1000.00
Paid Fee (Rs.) 1000.00
Date and Time 09/05/2014 09:56 PM
Transaction Id IGU1334623

Appointment Details:
PSK Location
Ameerpet,
ADITYA TRADE CENTRE, AMEERPET,
HYDERABAD-500038
Date and Time of
Appointment
30/06/2014 & 11:45 AM
Appointment Id 100005521782014
Reporting Time 11:30 AM


Thanks for showing your interest in 'Passport Seva SMS Services' enrolment. Please pay Rs 30/- (THIRTY ONLY) in cash as the
Enrolment Charges during your visit to Passport Seva Kendra.

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.
Balance fee (if applicable) after editing the submitted form will 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.