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    Passport Application Form Government of INDIA, Ministry of External Affairs

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    manish sharma
    Jasmine Nagpal, a 7-year old Indian citizen from Gwalior, Madhya Pradesh, is applying for a fresh normal passport. She lives with her parents Ajit and Sandhya Nagpal at Kamni Bagh Road in Morar, Gwalior. The application includes her birth certificate, Aadhaar card, and a declaration from her parent as one parent did not provide consent. Jasmine declares her allegiance to India and affirms the accuracy of the information provided in the application.

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    Passport Application Form Government of INDIA, Ministry of External Affairs

    Uploaded by

    manish sharma
    29 views1 page
    Jasmine Nagpal, a 7-year old Indian citizen from Gwalior, Madhya Pradesh, is applying for a fresh normal passport. She lives with her parents Ajit and Sandhya Nagpal at Kamni Bagh Road in Morar, Gwalior. The application includes her birth certificate, Aadhaar card, and a declaration from her parent as one parent did not provide consent. Jasmine declares her allegiance to India and affirms the accuracy of the information provided in the application.

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    nagpal brothers

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    Jasmine Nagpal

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    Jasmine Nagpal, a 7-year old Indian citizen from Gwalior, Madhya Pradesh, is applying for a fresh normal passport. She lives with her parents Ajit and Sandhya Nagpal at Kamni Bagh Road in Morar, Gwalior. The application includes her birth certificate, Aadhaar card, and a declaration from her parent as one parent did not provide consent. Jasmine declares her allegiance to India and affirms the accuracy of the information provided in the application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    29 views1 page

    Passport Application Form Government of INDIA, Ministry of External Affairs

    Uploaded by

    manish sharma
    Jasmine Nagpal, a 7-year old Indian citizen from Gwalior, Madhya Pradesh, is applying for a fresh normal passport. She lives with her parents Ajit and Sandhya Nagpal at Kamni Bagh Road in Morar, Gwalior. The application includes her birth certificate, Aadhaar card, and a declaration from her parent as one parent did not provide consent. Jasmine declares her allegiance to India and affirms the accuracy of the information provided in the application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    4/22/2019 Application Form

    PASSPORT APPLICATION FORM

    Government of INDIA, Ministry of External Affairs

    Service Required
    Application Reference Number 19-0005596192
    Applying For FRESH
    Type of Application NORMAL
    Type of Passport Booklet NORMAL
    Applicant Details
    Applicant's Name JASMINE NAGPAL
    Date of Birth (DD/MM/YYYY) 12/04/2011
    Validity Required NA
    Place of Birth (Village/Town/City) GWALIOR
    District GWALIOR
    State/UT MADHYA PRADESH
    Country INDIA
    Gender FEMALE
    Marital Status SINGLE
    Citizenship of India by BIRTH
    Employment Type STUDENT
    Is either of your parent (in case of minor)/spouse, a
    N
    government servant?
    Educational Qualification 7TH PASS OR LESS
    Are you eligible for Non-ECR category? N
    Aadhaar Number 928258271629
    Family Details
    Father's Name AJIT NAGPAL
    Mother's Name SANDHYA NAGPAL
    Present Residential Address Details
    KAMNI BAGH ROAD, MORAR, GRID, GWALIOR, GWALIOR, MORAR,
    Address
    GWALIOR, MADHYA PRADESH
    PIN 474006
    Mobile/Tel No. 8770559455
    E-mail [email protected]
    Permanent Residential Address
    KAMNI BAGH ROAD, MORAR, GRID, GWALIOR, GWALIOR, MORAR,
    Address
    GWALIOR, MADHYA PRADESH
    PIN 474006
    Mobile/Tel No. 8770559455
    Emergency Contact Details
    Name and Address MAYANK NAGPAL
    Mobile/Tel No. 8770559455
    Other Details
    Enclosures
    1.Birth Certificate issued by the Registrar of Births and Deaths or the Municipal Corporation or any other prescribed authority,whosoever
    has been empowered under the Registration of Birth and Deaths Act, 1969 to register the birth of a child born in India
    2.Aadhaar Card/e-Aadhar containing the 12 digit Aadhaar number issued by the Unique Identification Authority of India(UIDAI)
    3.A declaration affirming the particulars furnished in the application about the minor as per Annexure C (one parent not given consent)
    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 GWALIOR
    Date 22/04/2019

    https://portal1.passportindia.gov.in/AppOnlineProject/secure/ApplicantSelfDeclarationAction 1/1

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