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    TANYA GUPTA Application Form

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    manish sharma
    Tanya Gupta has applied for a fresh normal passport. She was born in Gwalior, Madhya Pradesh in 1994 and is currently a student residing in Gwalior. Her father's name is Vijay Gupta and mother's name is Bhavana Gupta. She has included her 10th standard certificate and Aadhaar card with the application and has declared her allegiance to India.

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    TANYA GUPTA Application Form

    Uploaded by

    manish sharma
    77 views1 page
    Tanya Gupta has applied for a fresh normal passport. She was born in Gwalior, Madhya Pradesh in 1994 and is currently a student residing in Gwalior. Her father's name is Vijay Gupta and mother's name is Bhavana Gupta. She has included her 10th standard certificate and Aadhaar card with the application and has declared her allegiance to India.

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    Tanya Gupta has applied for a fresh normal passport. She was born in Gwalior, Madhya Pradesh in 1994 and is currently a student residing in Gwalior. Her father's name is Vijay Gupta and mother's name is Bhavana Gupta. She has included her 10th standard certificate and Aadhaar card with the application and has declared her allegiance to India.

    Copyright:

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

    TANYA GUPTA Application Form

    Uploaded by

    manish sharma
    Tanya Gupta has applied for a fresh normal passport. She was born in Gwalior, Madhya Pradesh in 1994 and is currently a student residing in Gwalior. Her father's name is Vijay Gupta and mother's name is Bhavana Gupta. She has included her 10th standard certificate and Aadhaar card with the application and has declared her allegiance to India.

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    © All Rights Reserved
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    5/28/2019 Application Form

    PASSPORT APPLICATION FORM

    Government of INDIA, Ministry of External Affairs

    Service Required
    Application Reference Number 19-0007375664
    Applying For FRESH
    Type of Application NORMAL
    Type of Passport Booklet NORMAL
    Applicant Details
    Applicant's Name TANYA GUPTA
    Date of Birth (DD/MM/YYYY) 04/01/1994
    Validity Required NA
    Place of Birth (Village/Town/City) GWALIOR
    District GWALIOR
    State/UT MADHYA PRADESH
    Country INDIA
    Gender FEMALE
    Marital Status SINGLE
    Citizenship of India by BIRTH
    PAN CDLPG5845D
    Employment Type STUDENT
    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 567295394086
    Family Details
    Father's Name VIJAY GUPTA
    Mother's Name BHAVANA GUPTA
    Present Residential Address Details
    H-6,CHETAKPURI MAHAL CAMPUS,GIRD,GWALIOR, GWALIOR, INDERGANJ,
    Address
    GWALIOR, MADHYA PRADESH
    PIN 474001
    Mobile/Tel No. 9630013507
    E-mail TANYA.GUPTA94.4@GMAIL.COM
    Permanent Residential Address
    H-6,CHETAKPURI MAHAL CAMPUS,GIRD,GWALIOR, GWALIOR, INDERGANJ,
    Address
    GWALIOR, MADHYA PRADESH
    PIN 474001
    Mobile/Tel No. 9630013507
    Emergency Contact Details
    Name and Address VIJAY GUPTA
    Mobile/Tel No. 9425111020
    Other Details
    Enclosures
    1.Transfer/School leaving/Matriculation Certificate issued by the school last attended/recognised educational board
    2.Aadhaar Card/e-Aadhar containing the 12 digit Aadhaar number issued by the Unique Identification Authority of India(UIDAI)
    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 GWALIOR
    Date 28/05/2019

    https://portal1.passportindia.gov.in/AppOnlineProject/secure/ApplicantSelfDeclarationAction 1/1

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