5/9/25, 3:38 PM Application Form
PASSPORT APPLICATION FORM
Government of INDIA, Ministry of External Affairs
Service Required
Application Reference Number 25-0006443912
Applying For FRESH
Type of Application NORMAL
Type of Passport Booklet NORMAL
Applicant Details
Applicant's Name MANI MATTOO
Date of Birth (DD/MM/YYYY) 13/03/2007
Validity Required NA
Place of Birth (Village/Town/City) DELHI
District WEST DELHI
State/UT DELHI
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 950071897759
Family Details
Father's Name VINOD MATTOO
Mother's Name SARITA MATTOO
Present Residential Address Details
GH 5&7/415,GATE NO-4, SUNDER VIHAR, PASCHIM VIHAR, WEST DELHI,
Address
DELHI
PIN 110087
Police Station PUNJABI BAGH
Mobile/Tel No. 8810504826
E-mail MANI.MATTOO.COMSOCSRCC@GMAIL.COM
Permanent Residential Address
GH 5&7/415,GATE NO-4, SUNDER VIHAR, PASCHIM VIHAR, WEST DELHI,
Address
DELHI
PIN 110087
Police Station PUNJABI BAGH
Mobile/Tel No. 8810504826
Emergency Contact Details
Name and Address VINOD MATTOO GH 5&7/415 GATE NO. 4,SUNDER VIHAR
Mobile/Tel No. 9599203141
E-mail VINOD.MATTOO2408@GMAIL.COM
Other Details
Enclosures
1.Permanent Account Number Card issued by the Income-tax Department having the date of birth of the applicant
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
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5/9/25, 3:38 PM Application Form
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 DELHI
Date 09/05/2025
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