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PCC Application Gaurav Tiwari

The document is a Passport Clearance Certificate (PCC) application form for an individual named Gaurav Tiwari, who is applying for a PCC for the USA. It includes personal details such as his passport number, date of issue, marital status, and family information. The application is submitted to the Government of India, Ministry of External Affairs, with a specified purpose related to employment or work permit.

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Gaurav Tiwari
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31 views1 page

PCC Application Gaurav Tiwari

The document is a Passport Clearance Certificate (PCC) application form for an individual named Gaurav Tiwari, who is applying for a PCC for the USA. It includes personal details such as his passport number, date of issue, marital status, and family information. The application is submitted to the Government of India, Ministry of External Affairs, with a specified purpose related to employment or work permit.

Uploaded by

Gaurav Tiwari
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
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Token No: Pi Counter No: A12 CSE: PSP18088 coset ove tet Y/N 22/03/2024 Fri 15:40:51 LK3086966920824 : 73462 ARN : 24-0004473462, PCC APPLICATION FORM Government of INDIA, Ministry of External Affairs ‘Owthin the designated box oni) ‘Signature/ Left Hand Thumb Impression of Applicant f (w= Passport Number File Number Date oF issue Date OF Expiry Place Of Issue Country for which PCC Is required Applicant Details Applicants Given Name Apo orsinn (Citizenship of India By Employment Type Marital Status Education Qualification Place Of Birth ‘Aadhaar Number PAN Purpose of PCC Family Details Father's Given Name Mother's Given Name ‘Spouse's Name 73460448 1x3069485079815 08/01/2016 0710112026 LUCKNOW USA GAURAV. TIWARI MALE 27/08/1997 BIRTH PRIVATE MARRIED GRADUATE AND ABOVE LUCKNOW 824410898679, BGYPTSTER EMPLOYMENT/EMPLOYMENT VISAWORK PERMIT MAHENDRA PRASAD TIWARI MAANVATI TIWARI SANDHYA TIWARI Present Residential Address Details House No. and Street Name Vilage’ Town’ City District Police Station State/ UT PIN E-mail ID ‘Mobile / Telephone Number Permai House No. and Street Name Village! Town’ City E3644 RAJAJIPURAM LuckNow TAALKATORA UTTAR PRADESH 226017 mrgaurav1005@gmell.com 8429398602 nt Residential Address Detalls 5 3644 RAJAJIPURAM

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