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    Passport Application Form Government of INDIA, Ministry of External Affairs

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    Anonymous zxPwYlp2
    Venkata Sujatha Ambati has submitted a passport application form providing personal details like name, date of birth, place of birth, address, contact information, and family details. She is applying for a fresh normal passport as an Indian citizen born in Macherla, Guntur Rural, Andhra Pradesh. She has included required documents like her Aadhaar card and has declared her allegiance to India.

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    Passport Application Form Government of INDIA, Ministry of External Affairs

    Uploaded by

    Anonymous zxPwYlp2
    22 views2 pages
    Venkata Sujatha Ambati has submitted a passport application form providing personal details like name, date of birth, place of birth, address, contact information, and family details. She is applying for a fresh normal passport as an Indian citizen born in Macherla, Guntur Rural, Andhra Pradesh. She has included required documents like her Aadhaar card and has declared her allegiance to India.

    Original Description:

    payment for passport application

    Original Title

    Application Form

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    Venkata Sujatha Ambati has submitted a passport application form providing personal details like name, date of birth, place of birth, address, contact information, and family details. She is applying for a fresh normal passport as an Indian citizen born in Macherla, Guntur Rural, Andhra Pradesh. She has included required documents like her Aadhaar card and has declared her allegiance to India.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    22 views2 pages

    Passport Application Form Government of INDIA, Ministry of External Affairs

    Uploaded by

    Anonymous zxPwYlp2
    Venkata Sujatha Ambati has submitted a passport application form providing personal details like name, date of birth, place of birth, address, contact information, and family details. She is applying for a fresh normal passport as an Indian citizen born in Macherla, Guntur Rural, Andhra Pradesh. She has included required documents like her Aadhaar card and has declared her allegiance to India.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    29/09/2019 Application Form

    PASSPORT APPLICATION FORM

    Government of INDIA, Ministry of External Affairs

    Service Required
    Application Reference Number 19-1009303255
    Applying For FRESH
    Type of Application NORMAL
    Type of Passport Booklet NORMAL
    Applicant Details
    Applicant's Name VENKATA SUJATHA AMBATI
    Date of Birth (DD/MM/YYYY) 08/06/1975
    Validity Required NA
    Place of Birth (Village/Town/City) MACHERLA
    District GUNTUR RURAL
    State/UT ANDHRA PRADESH
    Country INDIA
    Gender FEMALE
    Marital Status MARRIED
    Citizenship of India by BIRTH
    Employment Type HOME MAKER
    Is either of your parent (in case of minor)/spouse, a government servant? Y
    Educational Qualification GRADUATE AND ABOVE
    Are you eligible for Non-ECR category? Y
    Aadhaar Number 828396472119
    Family Details
    Father's Name SRINIVASA RAO IMMADISETTY
    Mother's Name THULASAMMA IMMADISETTY
    Spouse's Name VENKATA KALADHAR AMBATI
    Present Residential Address Details
    Address FLAT NO-48,VISALANDHRA COLONY,PAYAKAPURAM, VIJAYAWADA, VIJAYAWADA CITY, ANDHRA PRADESH
    PIN 520015
    Police Station NUNNA
    Mobile/Tel No. 7981277763
    E-mail [email protected]
    Permanent Residential Address
    Address FLAT NO-48,VISALANDHRA COLONY,PAYAKAPURAM, VIJAYAWADA, VIJAYAWADA CITY, ANDHRA PRADESH
    PIN 520015
    Police Station NUNNA
    Mobile/Tel No. 7981277763
    Emergency Contact Details

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    29/09/2019 Application Form
    Name and Address AMBATI VENKATA ASISH,PLOT-48,VISALANDHRA COLONY,PAYAKAPURAM,VIJAYAWADA,520015
    Mobile/Tel No. 9490351261
    E-mail [email protected]
    Other Details
    Enclosures
    1.Aadhaar Card/E-Aadhaar
    2.Aadhaar Card/e-Aadhar containing the 12 digit Aadhaar number issued by the Unique Identification Authority of India(UIDAI)
    Self Declaration
    I owe allegiance to the sovereignty, unity and 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 and I affirm that the information given by me in this form and the enclosures is true and I am solely responsible for its accuracy, and 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.
    Place VIJAYAWADA
    Date 29/09/2019

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