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Passport Application Form Government of INDIA, Ministry of External Affairs
Passport Application Form Government of INDIA, Ministry of External Affairs
Passport Application Form Government of INDIA, Ministry of External Affairs
Service Required
Application Reference Number 19-1000355135
Applying For FRESH
Type of Application NORMAL
Type of Passport Booklet NORMAL
Applicant Details
Applicant's Name UDAY SAI KUMAR PONNAMANDA
Date of Birth (DD/MM/YYYY) 04/03/1998
Validity Required NA
Place of Birth (Village/Town/City) NARSAPUR
District WEST GODAVARI
State/UT ANDHRA PRADESH
Country INDIA
Gender MALE
Marital Status SINGLE
Citizenship of India by BIRTH
Employment Type STUDENT
Is either of your parent (in case of
N
minor)/spouse, a government servant?
Educational Qualification 10TH PASS AND ABOVE
Are you eligible for Non-ECR category? Y
Aadhaar Number 254229044789
Family Details
Father's Name NAGESWARA RAO PONNAMANDA
Mother's Name DAKSHAYANI PONNAMANDA
Present Residential Address Details
SASI INSTITUTE OF TECHNOLOGY&ENG,NEAR AERODROME, TADEPALLIGUDEM,
Address
TADEPALLIGUDEM TOWN, WEST GODAVARI, ANDHRA PRADESH
PIN 534101
Mobile/Tel No. 9494345589
E-mail UDAYSAIKUMAR1919@GMAIL.COM
Permanent Residential Address
1-59/2,MOGALTHUR MANDAL,CHINTAREVU ,MUTYALAPALLE, NARSAPUR,
Address
MOGALTUR, WEST GODAVARI, ANDHRA PRADESH, INDIA
PIN 534281
Emergency Contact Details
Name and Address NAGESWARA RAO PONNAMANDA
Mobile/Tel No. 9666263249
Other Details
Enclosures
1.Aadhaar Card/E-Aadhaar
2.Aadhaar Card/e-Aadhar containing the 12 digit Aadhaar number issued by the Unique Identification Authority of India(UIDAI)
Self Declaration
I owe allegiance to the sovereignty, unity and integrity of India, and have not voluntarily acquired citizenship or travel document of
any other country. I have not lost, surrendered or been deprived of the citizenship of India and I affirm that the information given by
me in this form and the enclosures is true and I am solely responsible for its accuracy, and I am liable to be penalized or
prosecuted if found otherwise. I am aware that under the Passports Act, 1967 it is a criminal offence to furnish any false
information or to suppress any material information with a view to obtaining passport or travel document.
Place TADEPALLIGUDEM
https://portal2.passportindia.gov.in/AppOnlineProject/secure/ApplicantSelfDeclarationAction Page 1 of 2
Application Form 10/01/19, 11'50 PM
Date 10/01/2019
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