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विदेश मंत्रालय भारत सरकार Ministry of External Affairs Government of India Online Appointment Receipt

Applicant Details: Application Reference No.(ARN) 21-0008194534 Service Type REISSUE Type of Application NORMAL Given Name VIDYADHAR NILKANTHRAO Surname BORKAR Gender MALE Father's Name VIDYADHAR NILKANTHRAO BORKAR Mother's Name VIMAL NILKANTHRAO BORKAR Spouse's Name SARITA VIDYADHAR BORKAR Date of Birth 22/11/1975 Place of Birth NAWARGAON,CHANDRAPUR,MAHARASHTRA Marital Status MARRIED Employment Type SELF EMPLOYED Application Submitted Date 11/09/2021 Present Residential Address 1511/4 MAHADEV MOHALLA, NAWARGAON, Chandrapur, 441223, Maharashtra, INDIA

Payment Details# Total Fee (Rs.) 1500.00 Paid Fee (Rs.) 1500.00 Date and Time 11/09/2021 10:37 PM Transaction Id IGALYUMQT1 Appointment Details: Passport Seva Kendra Address CHANDRAPUR,  HEAD POST OFFICE,CIVIL LINES,NEAR WATER TANK,CHANDRAPUR(MS)-442401 Appointment Id 100019738232121 Appointment Date and Time 13/09/2021 & 03:00 PM Reporting Date and Time 13/09/2021 & 02:45 PM     Batch 20 Sequence No. 4 Previous Passport Details Old Passport No. K1619831 Passport Issue Date 26/09/2011 Passport Expiry Date 25/09/2021 Place of Issue THANE File Number THND01827611

Please Read Carefully: Please reach Passport Seva Kendra (PSK) at 02:45 PM as mentioned above and you dont need to carry the printed copy of appointment receipt. An SMS with your appointment details is also accepted as proof of appointment during your visit to Passport Office. Check Document Advisor on website 'www.passportindia.gov.in' to know the documents required at PSK.Carry original documents and their self attested photocopies. Final decision with regard to documents required is at the discretion of RPO staff at PSK. In case of minor applicants (below 4 years of age), carry the recent passport size photograph (4.5 X 3.5 cm) with white background.Please Click here for photograph guidelines. Only applicant is allowed inside the PSK. However, in case of exceptions such as Senior Citizen / Physically Challenged / Illiterate / Minor applicants, one person from the family may be allowed to accompany inside PSK. At PSK, a paper token will be issued to you after checking of documents.Your application will be processed at Counter A followed by counters B and C. At all stages, please be alert and watch the token display screens to know the counter at which your application will be processed. After your visit to PSK, please login to Passport Portal to download acknowledgement slip. Also,you are requested to fill the feedback form at the exit counter. Corrosive substances, explosives, weapons and any sharp objects are not allowed inside the PSK. Please co-operate with security staff for frisking before entry in PSK. Your security is our primary concern. Take care of your belongings inside the PSK. Keep your mobile in silent mode inside PSK. Also video / photography is not allowed inside. You can enrol for Passport Seva SMS Services by clicking Enrol for SMS Services (Optional) link available at Applicant Home Page of the website. Balance fee (if applicable) after editing the submitted form will be payable in cash at the Passport Seva Kendra. ATM facility available at PSK for all Bank Cards. Help us to serve you better.

# Details as per the Payment Date. Payment once made for availing passport services will not be refunded.

We are delighted to offer attractive passport covers manufactured using quality leather and PU. You can choose from the available options at PSK.

The Following documents needs to be furnished at PSK/PO for verification:

Aadhaar Card/E-Aadhaar

Aadhaar Card (Address Proof)

 

The following table lists Applicant Categories along with the Documents to be Submitted. The Document No. mentioned in Documents to be Submitted column is the reference given to the document mentioned in List of Documents table.

Applicant Categories Documents to be Submitted Additional Booklet (Exhaustion of Visa pages) 1 (if address is different from old Passport), 4 Expiry of old passport 1. Within the time period of one year before expiry and three year after expiry of old Passport 1 (if address is different from old Passport), 4 2. After three years of expiry of old passport 1 (if address is different from old Passport), 4, 30 (if Post Police Verification is required) 3. Renewal of Short Validity Passport (SVP) 1 (if address is different from old Passport), 4, 11 4. Government/ Public Sector/ Statutory body employees (Still serving) 1 (if address is different from old Passport), 4, 10 or 28 5. Retired government official 1 (if address is different from old Passport), 4, 6 6. Students going for higher studies abroad upto 2 years from expiry of Passport 1 (if address is different from old Passport), 4, 12 Damaged Passport (Passport number is readable, name is legible and Photo is intact) 1 ( if address is different from old Passport ), 2, 4, 13 Lost/ Damaged beyond recognition/ Stolen Passport 1, 2, 13, 14, 15 (if available) Note: Other documents which have to be submitted are as per the case, as in the case of fresh Passport. Change in Particulars 1. A woman applying for change of name/ surname in existing Passport due to marriage 4, 16 (if he has Passport) 2. Divorcees/ Separated applying for change of name OR for deletion of spouse's name in existing Passport 4 3. Re-married applicants applying for change of name/ spouse's name (i) 4, 16 (of present husband, if he has Passport) 4. Change in name 4, 7, 29 5. Change in name in case of Government/ Public Sector/ Statutory body employees 4, 8, 10 6. Change in Sex 4, 19, 20 7. Change of Appearance 4, 21 8. Change/ Correction of DoB 2, 4, 22 ( if change in DoB is more than 2 years or in case of conflicting documents), 28 9. Change/ Correction of place of birth 4, 22 (if change in place of birth involves State change or Country change), 23, 28 10. Change in Current Address 1 (changed address), 4 11. Change in Signature 4 12. Addition of Spouse Name 4 13. Change of Father/ Mother name 4, 5 (of father/mother with changed name - if available) or 24 or 25 14. ECR Deletion 1 ( if address is different from old Passport ), 3, 4

Document No. List of Documents 1. Proof of Present Address. For Proof of Address attach one of the following documents: Water bill/ Telephone (landline or post paid mobile bill)/ Electricity bill Photo passbook of running Bank Account (Scheduled Public Sector Banks, Scheduled Private Sector Indian Banks and Regional Rural Banks only) Income Tax Assessment Order Election Commission Photo ID card Gas connection bill Certificate from Employer of reputed and widely known companies on letter head (Only public limited companies can give address proof on company letter head along with seal. Computerised print-outs shall not be entertained) Spouse's passport copy (First and last page including family details), (provided the applicant's present address matches the address mentioned in the spouse's passport) Parent's passport copy, in case of minors (First and last page) Aadhaar Letter/ Card Rent Agreement Note: Applicants are required to submit the proof of address of the present address only, irrespective of the date from which he/she has been residing at the given address. Furnishing of Aadhaar card will expedite processing of passport applications. Aadhaar letter/card or the e-Aadhaar (an electronically generated letter from the website of UIDAI), as the case may be, will be accepted as Proof of Address (POA) and Proof of Photo-Identity (POI) for availing passport related services. Acceptance of Aadhaar as PoA and PoI would be subject to successful validation with Aadhaar database. Any of the remaining documents containing address Out of 12 documents listed under Tatkaal application, could also be accepted as proof of residence if such documents have the same present residential address as given by the applicant in the Passport Application Form. 2. Proof of Date of Birth. For Proof of Date of Birth attach one of the following documents: 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.The Birth Certificate should ordinarily contain the name of child, name of father and mother, date of birth, place of birth, sex, registration number and date of registration. If the Birth Certificate doesn't contain the name of child, a declaration on plain paper signed by parents, is required to be submitted specifying the name of the child Transfer/School leaving/Matriculation Certificate issued by the school last attended/recognised educational board having the date of birth of the applicant. Policy Bond issued by Public Life Insurance Corporations/Companies containing the date of birth of the holder of the insurance policy. Aadhar Card/E-Aadhar having the date of birth of the applicant. Copy of an extract of the service record of the applicant (only in respect of Government servants) or the Pay Pension Order (in respect of retired Government Servants), duly attested/certified by the officer/in-charge of the Administration of the concerned Ministry/Department of the applicant, having his date of birth. Driving licence issued by the Transport Department of the concerned State Government, having the date of birth of the applicant. Election Photo Identity Card issued by the Election Commission of India containing the date of birth of the applicant. PAN Card issued by the Income Tax Department having the date of birth of the applicant. A declaration given by the Head of the Orphanage/Child Care Home on their official letter head of the organization confirming the DOB of the applicant Note: Documents mentioned in point 'd' to 'h' are acceptable as proof of Date of Birth only if it has the precise Date of Birth of the applicant. 3. Documentary proof for any one of the Non-ECR (previously ECNR) categories, Refer Column 2.15 under Section-B of passport instruction booklet 4. Old Passport in original with self-attested photocopy of its first two and last two pages, including ECR/Non-ECR page (previously ECNR) and the page of observation (if any), made by Passport Issuing Authority and validity extension page, if any, in respect of short validity passport 5. Passport of parents in original with self-attested photocopy of its first two and last two pages, including ECR/Non-ECR page (previously ECNR) and the page of observation (if any), made by Passport Issuing Authority and validity extension page, if any, in respect of short validity passport 6. Pension Payment Order 7. Clippings of two local news papers or the Gazette notification of the concerned State Government, as the case may be.  AND At least two public/school documents issued in the desired/ applied changed name to ascertain that the applicant has actually changed his/her name. 8. Gazette Notification changing name in applicant's department. 9. Fresh ID Certificate in changed name 10. No Objection Certificate (NOC) (as per Annexure 'G') 11. Proof of documents which eliminate the cause of issuance of Short Validity Passport (SVP) 12. Proof of going abroad for studies like Copy of college admission letter or Copy of application submitted for visa or Copy of bank loan paper etc 13. Affidavit stating how and where the Passport got lost/ damaged (Annexure 'F') 14. Police report in original 15. Self-attested photocopy of first two and last two pages, including ECR/Non-ECR page of old Passport 16. Self attested photocopy of the spouse's Passport 17. Court certified copy of Divorce decree 18. Self attested copy of Divorce certificate 19. Sworn affidavit regarding change of sex 20. Certification from hospital where he/she underwent sex change operation successfully 21. Recent photograph (required only in case of DPC/SPC/CSC applications). The photo should be most recent showing the latest appearance. A notarised statement is required in case of request from Sikhs who want to change from turban photo to clean shaven ones or the other way. 22. First class judicial magistrate/ Sub-divisional magistrate civil court order (if change in date of birth is more than 2 years/ in case of conflicting documents/ if change in place of birth involves change of State or Country) (In case change of place of birth involves change of country, also attach Document No. 7) 23. Affidavit stating the reason for change in Place of Birth 24. Proof such as service record/ pension order/ property documents showing that parents had changed their name 25. If parents are deceased , such proof that they had changed their name during lifetime 26. Affidavit stating the reason for change in Date of Birth 27. Proof of Place of Birth 28. Prior Intimation Letter (PI) (as per Annexure 'H') 29. At least two public/school documents issued in the desired/ applied changed name to ascertain that the applicant has actually changed his name. 30. Out of turn issuance of passport documents listed are as under:  NOTE 1: If an applicant of the age of 18 years and above applies for a passport and desires to obtain a passport on out of turn basis submit Aadhaar Card/letter/e-Aadhaar containing the 12 digit Aadhaar number/28-digit Aadhaar Enrolment ID printed on Aadhaar Enrolment slip issued by the Unique Identification Authority of India (UIDAI), and any two of the documents listed below. Aadhaar Card/e-Aadhar containing the 12 digit Aadhaar number issued by the Unique Identification Authority of India(UIDAI) Electors Photo Identify Card (EPIC) Permanent Account Number (PAN Card) Driving Licenses (valid and within the jurisdiction of State of submission of applicant) Bank Passbook or Kisan Passbook or Post Office Passbook Student Photo Identity Cards issued by Government Recognized Educational Institutions Birth Certificates issued under the Registration of Births and Deaths Act, 1969(18 of 1969) Service Photo Identity Card issued by State Government or Central Government, Public Sector Undertakings, local bodies or Public Limited Companies Pension Documents such as ex-servicemen's Pension Book or Pension Payment order issued to retired Government employees, ex-servicemen's Widow or Dependent Certificates, Old Age Pension Order Scheduled Caste or Scheduled Tribe or Other Backward Class Certificate Arms Licenses issued under the Arms Act, 1959(54 of 1959); Ration Card Last passport issued (in case of re-issue only) NOTE 2: If an applicant below the age of 18 years applies for a passport and desires to obtain a passport on out of turn basis submit Aadhaar Card/letter/e-Aadhaar containing the 12 digit Aadhaar number/28-digit Aadhaar Enrolment ID printed on Aadhaar Enrolment slip issued by the Unique Identification Authority of India (UIDAI), and any one of the documents listed below Aadhaar Card/e-Aadhar containing the 12 digit Aadhaar number issued by the Unique Identification Authority of India(UIDAI) Permanent Account Number (PAN Card) Student Photo Identity Cards issued by Government Recognized Educational Institutions Birth Certificates issued under the Registration of Births and Deaths Act, 1969(18 of 1969) Ration Card Last passport issued (in case of re-issue only)

Note: The list of documents provided in the table above is indicative. The decision of APO/RPO shall be considered final.