Scribd Logo
Upload

Welcome to Scribd!

  • 31 views

    Application Form Faizan

    Uploaded by

    mohammed faizan
    Mohammed Faizan S, a 21-year-old Indian citizen from Karnataka, has applied for a fresh normal passport under the Tatkaal scheme. He has provided his personal details like date of birth, place of birth, address, contact information, as well as details of his father and mother. He has also submitted required documents like his PAN card, Aadhaar card, and a self-declaration affirming his Indian citizenship and the authenticity of the information provided in the application form.

    Copyright:

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

    Application Form Faizan

    Uploaded by

    mohammed faizan
    31 views2 pages
    Mohammed Faizan S, a 21-year-old Indian citizen from Karnataka, has applied for a fresh normal passport under the Tatkaal scheme. He has provided his personal details like date of birth, place of birth, address, contact information, as well as details of his father and mother. He has also submitted required documents like his PAN card, Aadhaar card, and a self-declaration affirming his Indian citizenship and the authenticity of the information provided in the application form.

    Original Title

    Application Form faizan

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Mohammed Faizan S, a 21-year-old Indian citizen from Karnataka, has applied for a fresh normal passport under the Tatkaal scheme. He has provided his personal details like date of birth, place of birth, address, contact information, as well as details of his father and mother. He has also submitted required documents like his PAN card, Aadhaar card, and a self-declaration affirming his Indian citizenship and the authenticity of the information provided in the application form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    31 views2 pages

    Application Form Faizan

    Uploaded by

    mohammed faizan
    Mohammed Faizan S, a 21-year-old Indian citizen from Karnataka, has applied for a fresh normal passport under the Tatkaal scheme. He has provided his personal details like date of birth, place of birth, address, contact information, as well as details of his father and mother. He has also submitted required documents like his PAN card, Aadhaar card, and a self-declaration affirming his Indian citizenship and the authenticity of the information provided in the application form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    11/2/23, 8:48 PM Application Form

    PASSPORT APPLICATION FORM

    Government of INDIA, Ministry of External Affairs

    Service Required
    Application Reference Number 23-1013507961
    Applying For FRESH
    Type of Application TATKAAL
    Type of Passport Booklet NORMAL
    Applicant Details
    Applicant's Name MOHAMMED FAIZAN S
    Date of Birth (DD/MM/YYYY) 08/04/2002
    Validity Required NA
    Place of Birth (Village/Town/City) BANGALORE
    District KOLAR
    State/UT KARNATAKA
    Region/Country INDIA
    Gender MALE
    Marital Status SINGLE
    Citizenship of India by BIRTH
    PAN NDIPS7682N
    Voter Id RCS8942328
    Employment Type STUDENT
    Is either of your parent (in case of minor)/spouse, a
    N
    government servant?
    Educational Qualification GRADUATE AND ABOVE
    Are you eligible for Non-ECR category? Y
    Visible Distinguishing Mark MOLE NEAR RIGHT EYE
    Aadhaar Number 208030145345
    Family Details
    Father's Name SAIFULLA
    Mother's Name SHATHAJ
    Present Residential Address Details
    D.NO 51, WARD 22, R.K.P ROAD, NEW ZAKIR HUSSAIN, SRINIVASPUR,
    Address
    KOLAR, KARNATAKA
    PIN 563135
    Police Station SRINIVASAPURA
    Mobile/Tel No. 9731762280
    E-mail MOHAMMEDFAIZAN512@GMAIL.COM
    Permanent Residential Address
    D.NO 51, WARD 22, R.K.P ROAD, NEW ZAKIR HUSSAIN, SRINIVASPUR,
    Address
    KOLAR, KARNATAKA
    PIN 563135
    Police Station SRINIVASAPURA
    Mobile/Tel No. 9731762280
    Emergency Contact Details
    Name and Address D.NO 51, WARD 22, R.K.P ROAD, NEW ZAKIR HUSSAIN
    Mobile/Tel No. 8970484736
    E-mail MOHAMMEDFAIZAN512@GMAIL.COM
    Other Details
    Enclosures
    1.PAN Card issued by the Income Tax Department
    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.

    https://portal2.passportindia.gov.in/AppOnlineProject/secure/ApplicantSelfDeclarationAction 1/2
    11/2/23, 8:48 PM Application Form
    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.
    Place SRINIVASPUR
    Date 02/11/2023

    https://portal2.passportindia.gov.in/AppOnlineProject/secure/ApplicantSelfDeclarationAction 2/2

    You might also like