12/9/24, 5:19 PM Application Form

PASSPORT APPLICATION FORM

Government of INDIA, Ministry of External Affairs

Service Required
Application Reference Number 24-1014941493
Applying For FRESH
Type of Application NORMAL
Type of Passport Booklet NORMAL
Applicant Details
Applicant's Name DARSHAN SINGH
Date of Birth (DD/MM/YYYY) 01/01/1976
Validity Required NA
Place of Birth (Village/Town/City) HYDERABAD
District HYDERABAD
State/UT TELANGANA
Region/Country INDIA
Gender MALE
Marital Status MARRIED
Citizenship of India by BIRTH
Employment Type PRIVATE
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 638597895558
Family Details
Father's Name DEELIP SINGH
Mother's Name RAJKUMARI
Spouse's Name SARITA SINGH
Present Residential Address Details
13-5-158/40, NEAR RANI AVANTI BAI STATUE, LODHKSHATRIY NAGAR, AMALAPUR,
Address
HYDERABAD, TELANGANA
PIN 500067
Police Station TAPPACHABUTRA
Mobile/Tel No. 9059493445
E-mail [email protected]
Permanent Residential Address
13-5-158/40, NEAR RANI AVANTI BAI STATUE, LODHKSHATRIY NAGAR, AMALAPUR,
Address
HYDERABAD, TELANGANA
PIN 500067
Police Station TAPPACHABUTRA
Mobile/Tel No. 9059493445
Emergency Contact Details
Name and Address SARITA SINGH
Mobile/Tel No. 1234567890
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 (Address Proof)
Self Declaration
I owe allegiance to the sovereignty, unity & 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. I have not contravened any of the conditions relating to the possession and
use of an Indian passport.
I affirm that the information and particulars given by me in this form are true and correct. I further state that I am not suppressing any material
information in this regard. I further affirm that the enclosures and documentary proof submitted in support of my application for an Indian passport are
authentic and solely pertain to me and I am fully responsible for the accuracy of the same. 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.
I have read and understood the contents of the above and by submitting this form certify that all the information submitted by me in the form is
bonafide.
Place HYDERABAD
Date 09/12/2024

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