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    Fresh Rs. 250 Duplicate Rs. 100 Renewal Rs. 150 Online Application

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    iqbal2525
    This document is an application form for an India Post Proof of Address Card. It requests basic personal information such as name, date of birth, current and permanent addresses, employment details, contact information, and identification marks. It specifies the fees for obtaining a fresh, renewal, or duplicate card. The applicant must certify that the information provided is accurate and sign the form, which is then processed and signed by the appropriate postal authority to issue the card.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Fresh Rs. 250 Duplicate Rs. 100 Renewal Rs. 150 Online Application

    Uploaded by

    iqbal2525
    141 views3 pages
    This document is an application form for an India Post Proof of Address Card. It requests basic personal information such as name, date of birth, current and permanent addresses, employment details, contact information, and identification marks. It specifies the fees for obtaining a fresh, renewal, or duplicate card. The applicant must certify that the information provided is accurate and sign the form, which is then processed and signed by the appropriate postal authority to issue the card.

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    apc

    Original Title

    Apc

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    This document is an application form for an India Post Proof of Address Card. It requests basic personal information such as name, date of birth, current and permanent addresses, employment details, contact information, and identification marks. It specifies the fees for obtaining a fresh, renewal, or duplicate card. The applicant must certify that the information provided is accurate and sign the form, which is then processed and signed by the appropriate postal authority to issue the card.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    141 views3 pages

    Fresh Rs. 250 Duplicate Rs. 100 Renewal Rs. 150 Online Application

    Uploaded by

    iqbal2525
    This document is an application form for an India Post Proof of Address Card. It requests basic personal information such as name, date of birth, current and permanent addresses, employment details, contact information, and identification marks. It specifies the fees for obtaining a fresh, renewal, or duplicate card. The applicant must certify that the information provided is accurate and sign the form, which is then processed and signed by the appropriate postal authority to issue the card.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    ONLINE APPLICATION

    GOVERNMENT OF INDIA

    FRESH RENEWAL DUPLICATE Rs. 250 Rs. 150 Rs. 100

    INDIA POST
    Application for Proof of Address Card
    Please write the BLOCK LETTERS
    1. Name of the applicant:

    1(a). Nationality

    2. Name of Father / Husband / Parent / Guardian / Other Relative (Please mention relationship):

    Please affix recent stamp size colour photograph

    3. Date of Birth (dd/mm/yyyy):

    4. Current Postal Address with PIN Code:

    5. Permanent Postal Address with PIN Code (if different from serial 4):

    6. Date since residing in the address at serial 4:

    7. If you are a tenant, please furnish particulars (address / telephone number / mobile number / email id) of the landlord or flat / apt owner's association:

    8. Particulars of Employment identity (if employed), Please attach photo copy of ID card issued by the employer:

    9. Address of the employer with email id:

    Email id of the employer : ______________________________________________


    (Please turn overleaf)

    10. Personal Particulars :

    Telephone Number with area code

    Mobile Number

    Blood Group

    9
    Personal marks of identification

    11. Have you applied for Proof of Address Card from India Post earlier? : 12. Fee prescribed :

    Yes

    No

    FRESH RENEWAL DUPLICATE Rs. 250 Rs. 150 Rs. 100

    Certified that the information furnish ed above is true to the b est of my knowledge. The Proof of reside nce card issued on the basis of this ap plication imposes no legal liability on Ind ia Post.

    Place : _______________________

    Date : _______________________
    (FOR OFFICE USE ONLY)

    (Signature of the Applicant)

    Verified. Proof of Address Card may be issued.

    (Signature of the PRI (P)

    Receipt No.

    Date

    For Rupees

    2 5 0
    Serial number of Proof of Address Card issued Date of Issue

    1 5 0 1 0 0

    (Signature of the POSTMASTER (HPO)

    Acquittance for receipt. Received the Proof of Address Card.


    Serial number of Proof of Address Card issued Date of issue

    Place : _______________________

    Date : _______________________

    (Signature of the Applicant)

    ONLINE APPLICATION

    FRESH RENEWAL DUPLICATE Rs. 250 Rs. 150 Rs. 100


    ANNEXURE - II
    Please write in BLOCK LETTERS

    1. Signature of the Applicant (please sign within the box):

    Please affix recent stamp size colour photograph

    2. Name of the applicant:

    3. Current Postal Address with PIN Code:

    4. Date of Birth (dd/mm/yyyy):

    5. Contact telephone numbers: Telephone Number with area code Mobile Number 6. Blood Group:

    9
    (FOR OFFICE USE ONLY) 7. Name of the Head Post Office with PIN Code:

    8. Designation of the Issuing Authority (please tick whichever applicable):

    CHIEF POSTMASTER

    SENIOR POSTMASTER

    HEAD POSTMASTER

    9. Serial number of Proof of Address Card issued:

    10. Date of issue:

    11. Signature of the Issuing Authority (please sign within the box):

    12. Incase of Renewal / Duplicate only : (i) Serial Number of the Proof of Address card already issued:

    (ii) Proof of Address Card Valid upto (dd/mm/yyyy):

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