6/17/2016

AppointmentReciept

MinistryofExternalAffairsGovernmentofIndia
OnlineAppointmentReceipt
ApplicantDetails:
PaymentDetails#
ApplicationReferenceNo.
(ARN)

160007272218

ServiceType

FRESH

TypeofApplication

NORMAL

GivenName

IKSHIT

Surname

NANDA

AppointmentDetails:

Gender

MALE

Father'sName

HARISHNANDA

PassportSevaKendra
Address

Mother'sName

SUNENANANDA

AMBALA,
PLOTNO.2014A,CHANDIGARHROAD,
AMBALACITY

DateofBirth

03/01/2004

100008473490116

PlaceofBirth

SONIPAT,PANIPAT,HARYANA

MaritalStatus

SINGLE

EmploymentType

STUDENT

AppointmentId
AppointmentDate
andTime
ReportingDateand
Time

ApplicationSubmittedDate 12/06/2016
PresentResidential
Address

H.NO.243031,NEWHOUSINGBOARD
COLONY,PANIPAT,PANIPAT,PANIPAT,
132103,HARYANA,INDIA

ApplicantsReferencesDetails:
FirstReference

DEEPAKKUMAR,H.NO.2429,NEW
HOUSINGBOARDCOLONY,PANIPAT,
9812270000

SecondReference

KAILASHCHAND,2428,NEWHOUSING
BOARDCOLONY,PANIPAT,9034784445

TotalFee(Rs.)

1000.00

PaidFee(Rs.)

1000.00

DateandTime

17/06/201605:56PM

TransactionId

IG0CENFBZ7

Batch

SequenceNo.

30/06/2016&09:00AM
30/06/2016&08:45AM

PleaseReadCarefully:
PleasereachPassportSevaKendra(PSK)at08:45AMasmentionedaboveandcarrytheprintedcopyofthisappointmentreceipt.
Check Document Advisor on website 'www.passportindia.gov.in' to know the documents required at PSK.Carry original documents and their self
attestedphotocopies.FinaldecisionwithregardtodocumentsrequiredisatthediscretionofRPOstaffatPSK.
Incaseofminoreitheroftheparentshastosignonallphotocopies.
Incaseofminorapplicants(below4yearsofage),carrytherecentpassportsizephotograph(4.5X3.5cm)withwhitebackground.
OnlyapplicantisallowedinsidethePSK.However,incaseofexceptionssuchasSeniorCitizen/PhysicallyChallenged/Illiterate/Minorapplicants,
onepersonfromthefamilymaybeallowedtoaccompanyinsidePSK.
AtPSK,apapertokenwillbeissuedtoyouaftercheckingofdocuments.YourapplicationwillbeprocessedatCounterAfollowedbycountersBand
C.Atallstages,pleasebealertandwatchthetokendisplayscreenstoknowthecounteratwhichyourapplicationwillbeprocessed.Pleasecollect
acknowledgementslipfromtheExitcounterbeforeleavingPSK.Also,youarerequestedtofillthefeedbackformattheexitcounter.
Thanksforshowingyourinterestin'PassportSevaSMSServices'enrolment.PleasepayRs40/(FORTYONLY)incashastheEnrolmentCharges
duringyourvisittoPassportSevaKendra.
Balancefee(ifapplicable)aftereditingthesubmittedformwillbepayableincashatthePassportSevaKendra.
Helpustoserveyoubetter.
#DetailsasperthePaymentDate.Paymentoncemadeforavailingpassportserviceswillnotberefunded.

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ThefollowingtablelistsApplicantCategoriesalongwiththeDocumentstobeSubmitted.TheDocumentNo.mentionedin
DocumentstobeSubmittedcolumnisthereferencegiventothedocumentmentionedinListofDocumentstable.

ApplicantCategories

DocumentstobeSubmitted

Either/Bothparent(s)holdavalidPassportwithspousenameendorsed

(i)1(ofparents),2,10(withspousenameendorsed)
(ii)16(signedbybothparents)or15(oneparentnotgivenconsent)

NeitheroftheparentholdsavalidPassport

(i)1(ofparents),2
(ii)16(signedbybothparents)or15(oneparentnotgivenconsent)

Either/Bothparent(s)residentabroad

(i)1(ofparentsorLegalGuardianifbothparentsareresidentabroad),2,5,10(with
spousenameendorsed)
(ii)16(signedbytheparentorthelegalguardian)or15(oneparentnotgiven
consent)

Minorswhoarebetween15and18yearsofagewishestoobtainafullvalidity
Passportfor10years

1(ofparents),2,10(ifanywithspousenameendorsed)

ChildrenofGovernment/PublicSector/Statutorybodyemployees

(i)1(ofparents),2
(ii)16(signedbybothparents)or15(oneparentnotgivenconsent)
(iii)10(ifanywithspousenameendorsed),13(ofdependent)and17incaseNo
PoliceVerificationisrequired

ChildrenadoptedbyIndianparents

(i)1(ofAdopterparents),2,6,10(ifanywithspousenameendorsed)
(ii)16(signedbybothadoptiveparents)or15(oneparentnotgivenconsent)

Childrenadoptedbyforeignparents

1(ofparents),2,6,7,8,10

Parentsaredivorced

(i)1(oftheparentwhohasthecustodyofthechild),2,9,10(ifany)
(ii)16(signedbybothparentsIfotherparenthasvisitingrights)or15(oneparent
notgivenconsent)

Parentsareseparatedbutnotdivorced

1(oftheparentwithwhomthechildisresiding),2,10(ifanywithspousename
endorsed),14

Singleparentofthechildbornoutofwedlock

1(ofparent),2,10(ifany),14

Appliedbyoneparent/guardianwhenconsentofoneorbothparentsnotpossible

1(ofparent),2,10(ifanywithspousenameendorsed),15

AppliedbyLegalGuardian

1(ofparents),2,10(ifanywithspousenameendorsed),12,16(signedbylegal
guardian)

Minorswithsingleparent(Oneparentdeceased)

1(ofparent),2,10(ifany),11(ofdeceasedparent),16

MinorsfromNagaland(below18years)

(i)1(ofparents),2,10(ifanywithspousenameendorsed)
(ii)16(signedbybothparents)or15(oneparentnotgivenconsent)
Note:AdditionalPVrequiredfromGuwahatithroughMHA

MinorsfromJammuandKashmir(below10yearsforTatkaalApplication)

(i)1(ofparents),2,10(ifanywithspousenameendorsed)
(ii)16(signedbybothparents)or15(oneparentnotgivenconsent)

Minorstudentsstayingawayfromparents

(i)1(ofparents),2,3,4,10(ifanywithspousenameendorsed)
(ii)16(signedbybothparents)or15(oneparentnotgivenconsent)

Document
No.

ListofDocuments
ProofofPresentAddress.ForProofofAddressattachoneofthefollowingdocuments:
a.Waterbill/Telephone(landlineorpostpaidmobilebill)/Electricitybill
b.PhotopassbookofrunningBankAccount(ScheduledPublicSectorBanks,ScheduledPrivateSectorIndianBanksandRegionalRuralBanks
only)
c.IncomeTaxAssessmentOrder
d.ElectionCommissionPhotoIDcard
e.Gasconnectionbill
f.CertificatefromEmployerofreputedandwidelyknowncompaniesonletterhead(Onlypubliclimitedcompaniescangiveaddressproofon
companyletterheadalongwithseal.Computerisedprintoutsshallnotbeentertained)
g.Spouse'spassportcopy(Firstandlastpageincludingfamilydetails),(providedtheapplicant'spresentaddressmatchestheaddressmentionedin
thespouse'spassport)
h.Parent'spassportcopy,incaseofminors(Firstandlastpage)
i.AadhaarLetter/Card
j.RegisteredRentAgreement

1.
Note:

1.Applicantsarerequiredtosubmittheproofofaddressofthepresentaddressonly,irrespectiveofthedatefromwhichhe/shehasbeenresiding
atthegivenaddress.However,he/sheisrequiredtomentionalltheplaceofstayduringpreviousoneyearinthePassportapplicationform.
2.Aadhaarletter/cardortheeAadhaar(anelectronicallygeneratedletterfromthewebsiteofUIDAI),asthecasemaybe,willbeacceptedasProof
ofAddress(POA)andProofofPhotoIdentity(POI)foravailingpassportrelatedservices.AcceptanceofAadhaarasPoAandPoIwouldbe
subjecttosuccessfulvalidationwithAadhaardatabase.
3.AnyoftheremainingdocumentscontainingaddressoutofsixteendocumentslistedunderTatkaalapplication,couldalsobeacceptedasproofof
residenceifsuchdocumentshavethesamepresentresidentialaddressasgivenbytheapplicantinthePassportApplicationForm.
ProofofDateofBirth.ForProofofDateofBirthattachoneofthefollowingdocuments:

2.

a.BirthcertificateissuedbyaMunicipalAuthorityoranyofficeauthorizedtoissueBirthandDeathCertificatebytheRegistrarofBirths&Deaths
b.Schoolleavingcertificate/SecondarySchoolleavingcertificate/CertificateofRecognizedBoardsfromtheschoollastattendedbytheapplicant
oranyotherrecognizededucationalinstitution
c.AffidavitswornbeforeaMagistrate/Notarystatingdate/placeofbirthasperthespecimeninAnnexure"A"byilliterateorsemiilliterateapplicants
(Lessthan5thclass).
Forapplicantsbornonorafter26.01.89,onlyBirthCertificateissuedbytheMunicipalAuthorityoranyofficeauthorizedtoissueBirthandDeathCertificate
bytheRegistrarofBirths&Deathsisacceptable.TheBirthCertificateshouldordinarilycontainthenameofchild,nameoffatherandmother,dateofbirth,
placeofbirth,sex,registrationnumberanddateofregistration.IftheBirthCertificatedoesn'tcontainthenameofchild,adeclarationonplainpapersigned
byparents,isrequiredtobesubmittedspecifyingthenameofthechild.

3. StudentIdentityCardissuedbyGovernmentRecognizedEducationalInstitutions,inrespectoffulltimecourses
4. BonafideLetterfromauthorizedsignatoryofcollege(OnofficialletterheadofUGCrecognizedCollege)
5.

Aswornaffidavitbytheparent(s)residentabroadattestedbytheIndianMissionalongwithaffidavitfromparentresidinginIndiaaswell(asperAnnexure
'H')

6.

ValidadoptiondeedwithphotoofthechilddulyattestedbytheCourt(inthecaseofChristians,MuslimsandParsis,acourtdecree/ordergranting
adoption/guardianshipandallowingthechildtobetakenoutoftheCountry)

7. CARANoObjectionCertificate
8. CopyoftheguaranteeexecutedbeforetheCourtconcerned

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9. Certifiedcopyofthecourtorderforcustodyofthechildinfavoroftheapplicant'sparent
10. AttestedphotocopyofPassportofbothoreitherparent
11. DeathCertificate
12. CourtDecree/orderinrespectoflegalguardian
13. "IdentityCertificate"inoriginalasperAnnexure"B"
14.

ADeclarationaffirmingtheparticularsfurnishedintheapplicationabouttheminorchildasper:Annexure"C"(bysingleparentorbyeitherparentwhoare
separatedbutnotformallydivorced)

15. ADeclarationaffirmingtheparticularsfurnishedintheapplicationabouttheminorasperAnnexure"G"(oneparentnotgivenconsent)
16. ADeclarationaffirmingtheparticularsfurnishedintheapplicationabouttheminorasper:Annexure"H"
17. StandardAffidavitasperAnnexure"I"

Note:Thelistofdocumentsprovidedinthetableaboveisindicative.ThedecisionofAPO/RPOshallbeconsideredfinal.

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