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    Passport Application Form Government of INDIA, Ministry of External Affairs

    Uploaded by

    Vivek Prajapati
    The document is an application for a fresh normal passport by Baburam Jalmal Prajapati, a 39-year old married Indian male born in Azamgarh, Uttar Pradesh. It provides his personal details like name, date of birth, address, ID numbers and enclosures like Aadhaar card and electricity bill. The applicant declares his allegiance to India and affirms that the information provided is true.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Passport Application Form Government of INDIA, Ministry of External Affairs

    Uploaded by

    Vivek Prajapati
    37 views1 page
    The document is an application for a fresh normal passport by Baburam Jalmal Prajapati, a 39-year old married Indian male born in Azamgarh, Uttar Pradesh. It provides his personal details like name, date of birth, address, ID numbers and enclosures like Aadhaar card and electricity bill. The applicant declares his allegiance to India and affirms that the information provided is true.

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    The document is an application for a fresh normal passport by Baburam Jalmal Prajapati, a 39-year old married Indian male born in Azamgarh, Uttar Pradesh. It provides his personal details like name, date of birth, address, ID numbers and enclosures like Aadhaar card and electricity bill. The applicant declares his allegiance to India and affirms that the information provided is true.

    Copyright:

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

    Passport Application Form Government of INDIA, Ministry of External Affairs

    Uploaded by

    Vivek Prajapati
    The document is an application for a fresh normal passport by Baburam Jalmal Prajapati, a 39-year old married Indian male born in Azamgarh, Uttar Pradesh. It provides his personal details like name, date of birth, address, ID numbers and enclosures like Aadhaar card and electricity bill. The applicant declares his allegiance to India and affirms that the information provided is true.

    Copyright:

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

    PASSPORT APPLICATION FORM

    Government of INDIA, Ministry of External Affairs

    Service Required
    Application Reference Number 19-0008375502
    Applying For FRESH
    Type of Application NORMAL
    Type of Passport Booklet NORMAL
    Applicant Details
    Applicant's Name BABURAM JALMAL PRAJAPATI
    Date of Birth (DD/MM/YYYY) 08/09/1979
    Validity Required NA
    Place of Birth (Village/Town/City) AZAMGARH
    District AZAMGARH
    State/UT UTTAR PRADESH
    Country INDIA
    Gender MALE
    Marital Status MARRIED
    Citizenship of India by BIRTH
    PAN ANDPP9288K
    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? N
    Aadhaar Number 650441244408
    Family Details
    Father's Name JALMAL PRAJAPATI
    Spouse's Name SUMAN LALJEET PRAJAPATI
    Present Residential Address Details
    ROOM NO 34, RAKHE COMPOUND, GOREGAON(E), MUMBAI, MUMBAI, DINDOSHI,
    Address
    MUMBAI, MAHARASHTRA
    PIN 400065
    Mobile/Tel No. 9076343836
    E-mail BABURAMPRAJAPATI0020@GMAIL.COM
    Permanent Residential Address
    ROOM NO 34, RAKHE COMPOUND, GOREGAON(E), MUMBAI, MUMBAI, DINDOSHI,
    Address
    MUMBAI, MAHARASHTRA
    PIN 400065
    Mobile/Tel No. 9076343836
    Emergency Contact Details
    SUMAN PRAJAPATI AND RAKHE COMPOUND, SANTOSH NAGAR, GOREGAON (E),
    Name and Address
    MUMBAI-400065
    Mobile/Tel No. 9987892436
    Other Details
    Enclosures
    1.Aadhaar Card/E-Aadhaar
    2.Electricity bill
    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 MUMBAI
    Date 16/06/2019

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