Application Form

https://portal2.passportindia.gov.in/AppOnlineProject/secure/openPdf...

Passport Application Government of India, Ministry of External Affairs Online Application Receipt
Applicant Details : Application Reference No 13-1001521039 Batch 11 Service Type FRESH Type of Application Normal Sequence No. 7 Application Submitted Date12/02/2013 Date of Birth 04/05/1978 Reporting Time 11:45 AM Gender MALE Employment Type SELF EMPLOYED Marital Status MARRIED Place of Birth SHIMOGA,Shimoga,Karnataka Given Name SRIDHARA SUBRAMANYA Surname Father's Name SUBRAMANYA PILLE KADERAVELU Mother's Name SUGUNAMMA Spouse's Name MEENAKSHI SRIDHARA Present Address HOUSE NO. RENUKAMMA ROAD JYOTHINAGAR SOGANE SHIMOGA - 577203 KARNATAKA , INDIA Applicants References : First Reference Details NAGARAJ,RENUKAMMA ROAD,JYOTHINAGAR,SOGANE,SHIMOGA , 9972184766 Second Reference Details SATHYA VELU MURUGAN,RENUKAMMA ROAD,JYOTHINAGAR,SOGANE,SHIMOGA , 9945717287 Appointment Details : HUBLI-DHARWAD, PSK Location HUBLI E BLOCK, LOWER GROUND FLOOR, IT PARK, OPP INDIRA GLASS HOUSE, HUBLI Date & Time of 13/03/2013 & 12:00 PM Appointment Appointment ID 100003927923613 Reporting Time 11:45 AM
Note: The passport & related application fee has been revised with effect from 1st October 2012. Please visit website www.passportindia.gov.in and use Fee Calculator option on the home page before visiting the PSK to know the revised applicable fees. You may also check the notification on the website in this regard. Applicant should reach the Passport Seva Kendra by the reporting time mentioned above for pre-checking of documents to avoid any hassles in issuance of token. Only in the case of Senior Citizens, Physically Challenged, Illiterate Applicants and Minor cases, one accompanying person from the family will be allowed along with the applicant. Applicant will not be issued token at Passport Seva Kendra, if they report after scheduled appointment time. Minor applicants below 4 years of age need to carry a passport size photograph (with a white background) while visiting Passport Seva Kendra (PSK). Other applicants need not carry any photograph as photograph will be captured at the Passport Seva Kendra (PSK). Carrying of corrosive substances or explosives, arms or any sharp objects which may cause physical harm or violence are prohibited inside the PSK. Electronic item such as camera is prohibited inside the PSK. *ARN will be valid for 90 days.

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3/11/2013 3:05 PM