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Passport Application Form

1. Satish Kumar Arora is applying for a fresh normal Indian passport. He provides his personal details including name, date of birth, place of birth, gender, marital status, citizenship, address, contact information, and family details. 2. He affirms that the information provided is true and correct, and that he has not lost or surrendered Indian citizenship. He acknowledges that supplying false information is a criminal offense under the Passports Act of 1967. 3. The application includes enclosures of his Aadhaar card and Aadhaar address proof. Satish signs the application, certifying the provided information is bona fide, in Saifpur Firozpur on July 26,

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43 views2 pages

Passport Application Form

1. Satish Kumar Arora is applying for a fresh normal Indian passport. He provides his personal details including name, date of birth, place of birth, gender, marital status, citizenship, address, contact information, and family details. 2. He affirms that the information provided is true and correct, and that he has not lost or surrendered Indian citizenship. He acknowledges that supplying false information is a criminal offense under the Passports Act of 1967. 3. The application includes enclosures of his Aadhaar card and Aadhaar address proof. Satish signs the application, certifying the provided information is bona fide, in Saifpur Firozpur on July 26,

Uploaded by

aroragaurav118.11
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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PASSPORT APPLICATION FORM

Government of INDIA, Ministry of


External Affairs

Service Required
Application Reference Number 23-0014117592
Applying For FRESH
Type of Application NORMAL
Type of Passport Booklet NORMAL
Applicant Details
Applicant's Name SATISH KUMAR ARORA
Date of Birth (DD/MM/YYYY) 05/01/1968
Validity Required NA
Place of Birth (Village/Town/City) RAMRAJ
District MEERUT
State/UT UTTAR PRADESH
Region/Country INDIA
Gender MALE
Marital Status MARRIED
Citizenship of India by BIRTH
PAN ERMPK4473A
Employment Type OTHERS
Is either of your parent (in case of
N
minor)/spouse, a government servant?
Educational Qualification 10TH PASS AND ABOVE
Are you eligible for Non-ECR category? Y
Aadhaar Number 305495282338
Family Details
Father's Name KARAM CHAND
Mother's Name KAUSHALYA
Spouse's Name NEELAM ARORA
Present Residential Address Details
HOUSE NUMBER 277 RAMLILA GROUND SAIFPUR FIROJPUR,
Address
SAIFPUR FIROZPUR, MEERUT, UTTAR PRADESH
PIN 250404
Police Station BAHSUMA
Mobile/Tel No. 9837287762
E-mail ARORASATISH11894@GMAIL.COM
Permanent Residential Address
HOUSE NUMBER 277 RAMLILA GROUND SAIFPUR FIROJPUR,
Address
SAIFPUR FIROZPUR, MEERUT, UTTAR PRADESH
PIN 250404
Police Station BAHSUMA
Mobile/Tel No. 9837287762
Emergency Contact Details
Name and Address GAURAV ARORA
Mobile/Tel No. 9012656463
E-mail ARORAGAURAV118@GMAIL.COM
Other Details
Enclosures
1.Aadhaar Card/E-Aadhaar
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.
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 SAIFPUR FIROZPUR
Date 26/07/2023

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