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Application Form

The document is a passport application form for Jobanpreet Singh, born on July 9, 2006, from Batala, Punjab, applying for a fresh normal passport. The application includes personal details, family information, residential addresses, and enclosures such as a birth certificate and Aadhaar card. Jobanpreet affirms the authenticity of the information provided and acknowledges the legal implications of false information under the Passports Act, 1967.

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13 views1 page

Application Form

The document is a passport application form for Jobanpreet Singh, born on July 9, 2006, from Batala, Punjab, applying for a fresh normal passport. The application includes personal details, family information, residential addresses, and enclosures such as a birth certificate and Aadhaar card. Jobanpreet affirms the authenticity of the information provided and acknowledges the legal implications of false information under the Passports Act, 1967.

Uploaded by

navdeepgill.singh66
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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 24-0013664132
Applying For FRESH
Type of Application NORMAL
Type of Passport Booklet NORMAL
Applicant Details
Applicant's Name JOBANPREET SINGH
Date of Birth (DD/MM/YYYY) 09/07/2006
Validity Required NA
Place of Birth (Village/Town/City) BATALA
District GURDASPUR (BATALA)
State/UT PUNJAB
Region/Country INDIA
Gender MALE
Marital Status SINGLE
Citizenship of India by BIRTH
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 860947860670
Family Details
Father's Name VIKRAMJIT SINGH
Mother's Name HARPREET KAUR
Present Residential Address Details
Address H NO 527 WARD NO 10 DASHMESH NAGAR, BATALA, GURDASPUR (BATALA), PUNJAB
PIN 143505
Police Station C L BATALA
Mobile/Tel No. 8968877078
E-mail JOBANPREETSINGH3782@GMAIL.COM
Permanent Residential Address
Address H NO 527 WARD NO 10 DASHMESH NAGAR, BATALA, GURDASPUR (BATALA), PUNJAB
PIN 143505
Police Station C L BATALA
Mobile/Tel No. 8968877078
Emergency Contact Details
JOBANPREET SINGH S/O VIKRAMJIT SINGH H NO 527 WARD NO 10 DASHMESH NAGAR
Name and Address
BATALA PIN 143505 PUNJAB
Mobile/Tel No. 8968877078
E-mail JOBANPREETSINGH3782@GMAIL.COM
Other Details
Enclosures
1.Birth certificate issued by the Registrar of Births and Deaths or the Municipal Corporation or any other prescribed authority whosoever has been
empowered under the Registration of Birth and Deaths Act, 1969 to register the birth of a child born in India
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 BATALA
Date 05/08/2024
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