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Application Form

This document is a passport application form for Rahul Dnyaneshwar Hon, applying for a fresh normal passport. It includes personal details such as date of birth, address, and family information, along with a self-declaration affirming the accuracy of the information provided. The application is submitted to the Government of India, Ministry of External Affairs, on September 20, 2024.

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Rahul hon
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13 views2 pages

Application Form

This document is a passport application form for Rahul Dnyaneshwar Hon, applying for a fresh normal passport. It includes personal details such as date of birth, address, and family information, along with a self-declaration affirming the accuracy of the information provided. The application is submitted to the Government of India, Ministry of External Affairs, on September 20, 2024.

Uploaded by

Rahul hon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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9/20/24, 2:10 PM Application Form

PASSPORT APPLICATION FORM

Government of INDIA, Ministry of External Affairs

Service Required
Application Reference Number 24-0016234654
Applying For FRESH
Type of Application NORMAL
Type of Passport Booklet NORMAL
Applicant Details
Applicant's Name RAHUL DNYANESHWAR HON
Date of Birth (DD/MM/YYYY) 08/06/1998
Validity Required NA
Place of Birth (Village/Town/City) CHANDEKASARE
District AHMEDNAGAR
State/UT MAHARASHTRA
Region/Country INDIA
Gender MALE
Marital Status SINGLE
Citizenship of India by BIRTH
PAN ASSPH8560Q
Employment Type PRIVATE
Is either of your parent (in case of minor)/spouse, a
N
government servant?
Educational Qualification 10TH PASS AND ABOVE
Are you eligible for Non-ECR category? Y
Aadhaar Number 418256666114
Family Details
Father's Name DNYANESHWAR DADA HON
Mother's Name TARABAI DNYANESHWAR HON
Present Residential Address Details
NEAR PRIMARY ZP SCHOOL,CHANDEKASARE, CHANDEKASARE,
Address
AHMEDNAGAR, MAHARASHTRA
PIN 423601
Police Station KOPERGAON TALUKA
Mobile/Tel No. 7020195549
E-mail [email protected]
Permanent Residential Address
NEAR PRIMARY ZP SCHOOL,CHANDEKASARE, CHANDEKASARE,
Address
AHMEDNAGAR, MAHARASHTRA
PIN 423601
Police Station KOPERGAON TALUKA
Mobile/Tel No. 7020195549
Emergency Contact Details
DNYANESHWAR DADA HON, POST -CHANDEKASARE ,TAL.KOPARGAON
Name and Address
,DIST. AHMADNAGAR
Mobile/Tel No. 9527902137
Other Details
Enclosures
1.Driving License issued by the Transport department of concerned state Government
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.

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9/20/24, 2:10 PM Application Form
Place CHANDEKASARE
Date 20/09/2024

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