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AppointmentReciept

MinistryofExternalAffairsGovernmentofIndia
OnlineAppointmentReceipt
ApplicantDetails:
PaymentDetails#
ApplicationReference
161004831703
No.(ARN)

TotalFee(Rs.)

1500.00

PaidFee(Rs.)

1500.00

DateandTime

27/05/201607:00PM

TransactionId

CP49924236

ServiceType

FRESH

TypeofApplication

NORMAL

GivenName

KANNAN

Surname

KUPPUSWAMY

AppointmentDetails:

Gender

MALE

Father'sName

KUPPUSWAMY

PassportSeva
KendraAddress

Mother'sName

BANU

SALIGRAMAM,
NO.1,BHANUMATHIRAMAKRISHNAROAD,
SALIGRAMAM,CHENNAI

DateofBirth

24/12/1996

100008227283016

PlaceofBirth

VELLORE,VELLORE,TAMILNADU

MaritalStatus

SINGLE

EmploymentType

PRIVATE

AppointmentId
Appointment
DateandTime
ReportingDate
andTime

ApplicationSubmitted
Date

27/05/2016

PresentResidential
Address

1/9A,DKMCOLLEGE
ROAD,SAINATHAPURAM,ALLAPURAM,
VELLORE,632001,TAMILNADU,INDIA

ApplicantsReferencesDetails:
FirstReference

MR.TEKARAMAN,10/1DKMCOLLEGE
ROAD
SAINATHAPURAM,ALLAPURAM,VELLORE
632001

SecondReference

MR.VASANTHKUMAR,NO.19/27DKM
COLLEGEROAD
,SAINATHAPURAM,ALLAPURAM,VELLORE
632001

03/06/2016&12:15PM
03/06/2016&12:00PM

Batch

SequenceNo.

16

14

PleaseReadCarefully:
PleasereachPassportSevaKendra(PSK)at12:00PMasmentionedaboveandcarrytheprintedcopyofthisappointmentreceipt.
CheckDocumentAdvisoronwebsite'www.passportindia.gov.in' to know the documents required at PSK.Carry original documents and their
selfattestedphotocopies.FinaldecisionwithregardtodocumentsrequiredisatthediscretionofRPOstaffatPSK.
Incaseofminorapplicants(below4yearsofage),carrytherecentpassportsizephotograph(4.5X3.5cm)withwhitebackground.
Only applicant is allowed inside the PSK. However, in case of exceptions such as Senior Citizen / Physically Challenged / Illiterate / Minor
applicants,onepersonfromthefamilymaybeallowedtoaccompanyinsidePSK.
AtPSK,apapertokenwillbeissuedtoyouaftercheckingofdocuments.YourapplicationwillbeprocessedatCounterAfollowedby countersB
andC.Atallstages,pleasebealertandwatchthetokendisplayscreenstoknowthecounteratwhichyourapplicationwillbeprocessed.Please
collectacknowledgementslipfromtheExitcounterbeforeleavingPSK.Also,youarerequestedtofillthefeedbackformattheexitcounter.
You have not opted for 'Passport Seva SMS Services'. To enrol, please go to 'Enrol for SMS Services (Optional)' link available at 'Applicant
Home'Pageofthewebsite.
Balancefee(ifapplicable)aftereditingthesubmittedformwillbepayableincashatthePassportSevaKendra.
ATMfacilityavailableatPSKforallBankCards.
Helpustoserveyoubetter.
#DetailsasperthePaymentDate.Paymentoncemadeforavailingpassportserviceswillnotberefunded.

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ThefollowingtablelistsApplicantCategoriesalongwiththeDocumentstobeSubmitted.TheDocumentNo.mentionedin
DocumentstobeSubmittedcolumnisthereferencegiventothedocumentmentionedinListofDocumentstable.

ApplicantCategories

DocumentstobeSubmitted

OrdinaryCase(CitizenofIndiabybirth)

1,2,3(iftheapplicantiseligibleforNonECR)

CitizenofIndiabyDescent(BorntoIndianparent(s)outsideIndia)

(i)1,2,3(iftheapplicantiseligibleforNonECR)
(ii)4or5or6

CitizenofIndiabyRegistration/Naturalization(GrantedcitizenshipbyMHA)

1,2,3(iftheapplicantiseligibleforNonECR),7

ApplicantsrepatriatedfromabroadatGovernmentcost

1,2,3(iftheapplicantiseligibleforNonECR),5(ifavailable),8,9

ApplicantsdeportedtoIndia/EmergencyCertificatecases

1,2,3(iftheapplicantiseligibleforNonECR),5(ifavailable),8(ifany),9

Government/PublicSector/Statutorybodyemployees

(i)1,2
(ii)21(ifNoPoliceVerificationisrequired)or20(ifPostPoliceVerificationis
required)or27(ifPrePoliceVerificationisrequired).

DependentfamilymembersofGovernment/PublicSector/Statutorybody
employees(ForJ&Kchildreninagegroup1015yearsarecovered.Forrestof
Indiachildreninagegroup1821arecovered)

1,2,3(iftheapplicantiseligibleforNonECR),21(ofdependent)and24ifNo
PoliceVerificationisrequired

Retiredgovernmentofficials

1,2,10(ifPostPoliceVerificationisrequired)

(i)1,2,11(12ifsurrendercertificateisnotavailable)
ApplicantshavingDiplomatic/OfficialPassportandapplyingforordinaryPassport (ii)21or20or27ifapplicantisGovernment/PublicSector/Statutorybody
whileinservice
employee
Note:Incasetheapplicantsubmits"12","2"isnotrequired
DependentfamilymembersofDiplomatic/OfficialPassportholderswhoarenot
governmentservants(ForJ&KChildreninagegroup1015yearsarecovered)

1,2,3(iftheapplicantiseligibleforNonECR),26

Owner,partnersanddirectorsofCompanieswhicharemembersofCII,FICCI&
ASSOCHAM.

(i)1,2
(ii)24and25ifPostPVisrequired

Minorchangeinname

1(innewname),2(inoldname),3(iftheapplicantiseligibleforNonECR
Documentsinoldnameareallowed),23

Majorchangeinname

1(innewname),2(inoldname),3(iftheapplicantiseligibleforNonECR
Documentsinoldnameareallowed),13,23

Change/Additioninsurnameduetomarriage

(i)1,2,3(iftheapplicantiseligibleforNonECR)
(ii)14or22

ChangeinnameincaseofGovernment/PublicSector/Statutorybodyemployees 1,2,15,16,23
NagalandResidents

1,2,3(iftheapplicantiseligibleforNonECR)
Note:AdditionalPVrequiredfromGuwahatithroughMHA.

NagaoriginsresidingoutsideNagaland

1,2,3(iftheapplicantiseligibleforNonECR)
Note:AdditionalPVrequiredfromGuwahatithroughMHA.

JammuandKashmirResidents

1,2,3(iftheapplicantiseligibleforNonECR)

JammuandKashmirResidentsstayingoutsideJ&Kformorethanfiveyears

1,2,3(iftheapplicantiseligibleforNonECR)

Studentsstayingawayfromtheirparent'scurrentresidence

1,2,3(iftheapplicantiseligibleforNonECR),17,18

SeniorCitizens(ForJ&K:Men65+years,Women60+yearsForrestofIndia
65+years)

1,2,3(iftheapplicantiseligibleforNonECR),19(ifPostPoliceVerificationis
required)

Document
No.

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

1.
Note:

1.Applicantsarerequiredtosubmittheproofofaddressofthepresentaddressonly,irrespectiveofthedatefromwhichhe/shehasbeen
residingatthegivenaddress.However,he/sheisrequiredtomentionalltheplaceofstayduringpreviousoneyearinthePassport
applicationform.
2.Aadhaarletter/cardortheeAadhaar(anelectronicallygeneratedletterfromthewebsiteofUIDAI),asthecasemaybe,willbeacceptedas
ProofofAddress(POA)andProofofPhotoIdentity(POI)foravailingpassportrelatedservices.AcceptanceofAadhaarasPoAandPoI
wouldbesubjecttosuccessfulvalidationwithAadhaardatabase.
3.AnyoftheremainingdocumentscontainingaddressoutofsixteendocumentslistedunderTatkaalapplication,couldalsobeacceptedas
proofofresidenceifsuchdocumentshavethesamepresentresidentialaddressasgivenbytheapplicantinthePassportApplication
Form.
ProofofDateofBirth.ForProofofDateofBirthattachoneofthefollowingdocuments:

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2.

a.BirthcertificateissuedbyaMunicipalAuthorityoranyofficeauthorizedtoissueBirthandDeathCertificatebytheRegistrarofBirths&
Deaths
b.Schoolleavingcertificate/SecondarySchoolleavingcertificate/CertificateofRecognizedBoardsfromtheschoollastattendedbythe
applicantoranyotherrecognizededucationalinstitution
c.AffidavitswornbeforeaMagistrate/Notarystatingdate/placeofbirthasperthespecimeninAnnexure"A"byilliterateorsemiilliterate
applicants(Lessthan5thclass).
Forapplicantsbornonorafter26.01.89,onlyBirthCertificateissuedbytheMunicipalAuthorityoranyofficeauthorizedtoissueBirthandDeath
CertificatebytheRegistrarofBirths&Deathsisacceptable.TheBirthCertificateshouldordinarilycontainthenameofchild,nameoffatherand
mother,dateofbirth,placeofbirth,sex,registrationnumberanddateofregistration.IftheBirthCertificatedoesn'tcontainthenameofchild,a
declarationonplainpapersignedbyparents,isrequiredtobesubmittedspecifyingthenameofthechild.

3. DocumentaryproofforanyoneoftheNonECR(previouslyECNR)categories,ReferColumn2.15underSectionBofpassportinstructionbooklet
4. BirthRegistrationCertificateissuedbyEmbassy/HighCommission/ConsulateofIndia
5.

OldPassportinoriginalwithselfattestedphotocopyofitsfirsttwoandlasttwopages,includingECR/NonECRpage(previouslyECNR)andthepage
ofobservation(ifany),madebyPassportIssuingAuthorityandvalidityextensionpage,ifany,inrespectofshortvaliditypassport

6.

Passportofparentsinoriginalwithselfattestedphotocopyofitsfirsttwoandlasttwopages,includingECR/NonECRpage(previouslyECNR)and
thepageofobservation(ifany),madebyPassportIssuingAuthorityandvalidityextensionpage,ifany,inrespectofshortvaliditypassport

7. CitizenshipCertificateissuedbyMinistryofHomeAffairs
8. Proofofrefundofrepatriation/deportationcost(ifany)toMinistryofExternalAffairs
9. OriginalEmergencyCertificate/SeizureMemoissuedbyAirportImmigrationAuthoritiesonapplicant'sarrivalinIndia
10. PensionPaymentOrder
11. ProofofsurrenderorcancellationofDiplomatic/officialPassport
12. CancelledPassport(ifsurrendercertificateisnotavailable),withaletterexplainingwhysurrendercertificateisnotavailable
13.

Paperclippingoftwoleadingdailynewspapersinoriginal(onedailynewspapershouldbeoftheareaofApplicant'sPermanentAddressandtheother
atCurrentAddressornearbyarea)

14. AnattestedcopyofmarriagecertificateissuedbyRegistrarofMarriage
15. GazetteNotificationchangingnameinapplicant'sdepartment
16. FreshIDCertificateinchangedname
17. StudentIdentityCardissuedbyGovernmentRecognizedEducationalInstitutions,inrespectoffulltimecourses
18. BonafideLetterfromauthorizedsignatoryofcollege(OnofficialletterheadofUGCrecognizedCollege)
19. Copyofchild's(Age>18)Passport,whoisstayingabroad(withpagehavingparent'sname)
20. NoObjectionCertificate(NOC)(asperAnnexure'M')
21. "IdentityCertificate"inoriginalasperAnnexure"B"
22.

Ajointaffidavitfromhusbandandwifealongwithajointphotograph,(SpecimenatAnnexure"D")Whenjointaffidavitisnotpossibletheaffidavit
shouldindicatethereasonforit.Ifapplyingforpassportforthefirsttime,thisaffidavitisrequiredonlyifthereisachangeinthefirstname.

23. Deedpoll/swornaffidavitasperAnnexure"E"
24. StandardAffidavitasperAnnexure"I"
25. VerificationCertificateasperAnnexure"J"
26. PhotocopyofDiplomatic/OfficialPassport
27. PriorIntimationLetter(PI)(asperAnnexure'N')

Note:Thelistofdocumentsprovidedinthetableaboveisindicative.ThedecisionofAPO/RPOshallbeconsideredfinal.

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