12/13/13

Application Form

Passport Application Government of India, Ministry of External Affairs Online Application Receipt

ATM facility available in PSK for all Bank Cards

Applicant Details : Application Reference No 13-1011113721 Batch 10 Service Type FRESH Type of Application Normal Sequence No. 31 Application Submitted Date13/12/2013 Date of Birth 20/06/1991 Reporting Time 11:30 AM Gender MALE Employment Type NOT EMPLOYED Marital Status SINGLE Place of Birth NEKUNAMPETA,POTTI SRIRAMULU NELLORE,ANDHRA PRADESH Given Name MAHENDRA REDDY Surname MEDAM Father's Name MALAKONDA REDDY MEDAM Mother's Name VENKATA SUBBAMMA MEDAM Present Address 1-6, NEKUNAMPETA, POTTI SRIRAMULU NELLORE - 524201, ANDHRA PRADESH, INDIA Applicants References : First Reference Details MEDAM LAKSHMAN NARAYANA,NEKUNAMPETA(VILLAGE),KONDAPURAM MANDAL,POTTISRIRAMULU NELLORE,PIN:524201,AP., 9948327463 Second Reference Details MEDAM SRINU,NEKUNAMPETA(VILLAGE),KONDAPURAM MANDAL,POTTISRIRAMULU NELLORE,PIN:524201,AP. Payment Details:# Total Fee (Rs.) Paid Fee (Rs.) Date and Time Transaction Id Appointment Details : PSK Location Date & Time of Appointment Appointment Id Reporting Time 1500.00 1500.00 13/12/2013 02:13 PM IGO8202815 Ameerpet, ADITYA TRADE CENTRE, AMEERPET, HYDERABAD-500038 16/12/2013 & 11:45 AM 100004950823013 11:30 AM

Thanks for showing your interest in 'Passport Seva SMS Services' enrolment. Please pay Rs 30/- (THIRTY ONLY) in cash as the Enrolment Charges during your visit to Passport Seva Kendra.
Note: Applicant should reach the Passport Seva Kendra by the reporting tim e m entioned above for pre-checking of docum ents to avoid any hassles in issuance of token. Applicant should bring all the originals and one set of photo copy, photo copies should be self attested by the applicant. In case of m inor either of the parents has to sign on all photo copies. One accom panying person from the fam ily w ill be allow ed along w ith Senior Citizens, Physically Challenged, Illiterate and Minor applicants only. Applicant w ill not be issued token at Passport Seva Kendra, if they report after scheduled appointm ent tim e. Minor applicants below 4 years of age need to carry a recent coloured passport size (4.5 x 3.5 cm ) photograph w ith a w hite background w hile visiting Passport Seva Kendra. Other applicants need not carry any photograph as photograph w ill be captured at the Passport Seva Kendra. Carrying of corrosive substances or explosives, arm s or any sharp objects w hich m ay cause physical harm or violence are prohibited inside the PSK. Electronic item such as cam era is prohibited inside the PSK.

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

https://portal2.passportindia.gov.in/AppOnlineProject/secure/openPdfForApplReciept

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