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PASSPORT APPLICATION FORM
Ministry of External Affairs, Government of India
Service Required
Application Reference Number - 25-1054969043
Applying For - FRESH
Type of Application - NORMAL
Type of Passport Booklet - NORMAL
Applicant's Details
Applicant's Name - SUVOJIT GHOSH
Date of Birth (DD/MM/YYYY) - 10/01/2004
Validity Required - NA
Place Of Birth (Village/Town/City) - HOWRAH
District - HOWRAH
State/UT - WEST BENGAL
Region/Country - INDIA
Gender - MALE
Marital Status - SINGLE
Citizenship of India by - BIRTH
Employment Type - STUDENT
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 - N
category
Aadhaar Number - 701104307483
PAN - EOQPG6644A
Voter ID - NVZ2763639
Family Details
Father Name - MOHAN GHOSH
Mother Name - MINATI GHOSH
Present Residential Address Details
Address - PANCHLA, DHAMSIA, HOWRAH RURAL, WEST BENGAL
Pin - 711322
Police Station - PANCHLA
Mobile/Tel No - 8777075148
E-mail - GSUVOJIT70@GMAIL.COM
Emergency Contact Details
Name and Address - BECHURAM KHANRA, FULESWAR, ULUBERIA, HOWRAH PIN-711316
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Mobile/Tel No - 9051379724
Previous Passport
Details of latest held/existing/lost/damaged Ordinary Passport
Details of Previous/Current Diplomatic/Official Passport - N
Have you ever applied for passport, but not issued? - N
Other Details
Enclosures Details
1. Election Photo Identity Card issued by the Election Commission of India containing 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 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 - DHAMSIA
Date - 24/06/2025
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