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    Application Form PASSPORT BIBHUTI PDF

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    Bibhutibhushana Sahu
    The document is a passport application form for an individual named Bibhutibhushana Sahu. It includes details such as his name, date of birth, place of birth, current address, father and mother's name, employment status, educational qualifications, and contact details. It also includes a self-declaration by the applicant affirming that the information provided is true and he is not suppressing any details. The application is for a fresh normal passport with normal booklet and validity is not applicable.

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    Application Form PASSPORT BIBHUTI PDF

    Uploaded by

    Bibhutibhushana Sahu
    69 views1 page
    The document is a passport application form for an individual named Bibhutibhushana Sahu. It includes details such as his name, date of birth, place of birth, current address, father and mother's name, employment status, educational qualifications, and contact details. It also includes a self-declaration by the applicant affirming that the information provided is true and he is not suppressing any details. The application is for a fresh normal passport with normal booklet and validity is not applicable.

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    Application Form PASSPORT BIBHUTI (1).pdf

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    The document is a passport application form for an individual named Bibhutibhushana Sahu. It includes details such as his name, date of birth, place of birth, current address, father and mother's name, employment status, educational qualifications, and contact details. It also includes a self-declaration by the applicant affirming that the information provided is true and he is not suppressing any details. The application is for a fresh normal passport with normal booklet and validity is not applicable.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    69 views1 page

    Application Form PASSPORT BIBHUTI PDF

    Uploaded by

    Bibhutibhushana Sahu
    The document is a passport application form for an individual named Bibhutibhushana Sahu. It includes details such as his name, date of birth, place of birth, current address, father and mother's name, employment status, educational qualifications, and contact details. It also includes a self-declaration by the applicant affirming that the information provided is true and he is not suppressing any details. The application is for a fresh normal passport with normal booklet and validity is not applicable.

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    © All Rights Reserved
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    1/22/23, 6:37 PM Application Form

    PASSPORT APPLICATION FORM

    Government of INDIA, Ministry of External Affairs

    Service Required
    Application Reference Number 23-0001391912
    Applying For FRESH
    Type of Application NORMAL
    Type of Passport Booklet NORMAL
    Applicant Details
    Applicant's Name BIBHUTIBHUSHANA SAHU
    Date of Birth (DD/MM/YYYY) 31/05/2003
    Validity Required NA
    Place of Birth (Village/Town/City) NANDIKA
    District GANJAM
    State/UT ODISHA
    Region/Country INDIA
    Gender MALE
    Marital Status SINGLE
    Citizenship of India by BIRTH
    PAN OWCPS8053P
    Employment Type NOT EMPLOYED
    Is either of your parent (in case of minor)/spouse, a
    N
    government servant?
    Educational Qualification GRADUATE AND ABOVE
    Are you eligible for Non-ECR category? Y
    Aadhaar Number 907440024819
    Family Details
    Father's Name KAILASH CHANDRA SAHU
    Mother's Name BIJAYALAXMI SAHU
    Present Residential Address Details
    11/5 DENIS COMPOUND SAVARKAR NAGAR, THANE, THANE CITY,
    Address
    MAHARASHTRA
    PIN 400606
    Police Station VARTAK NAGAR
    Mobile/Tel No. 8422043634
    E-mail [email protected]
    Emergency Contact Details
    Name and Address KAILASH SAHU ,11/5 DENIS COMPOUND SAVARKAR NAGAR
    Mobile/Tel No. 8779636281
    E-mail [email protected]
    Other Details
    Enclosures
    1.Aadhaar Card/E-Aadhaar
    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 THANE
    Date 22/01/2023

    https://portal1.passportindia.gov.in/AppOnlineProject/secure/ApplicantSelfDeclarationAction 1/1

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