Scribd
Upload
12 views2 pages

India Passport Application Form

The document is a passport application form for Minhaj Ishaq Shaikh, a married female applicant from Latur, Maharashtra, applying for a fresh normal passport. It includes personal details such as date of birth, address, family information, and enclosures like an Election Photo Identity Card and Aadhaar Card. The applicant affirms the accuracy of the information provided and acknowledges the legal implications of false information.

Uploaded by

affanshaikh9070
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
12 views2 pages

India Passport Application Form

The document is a passport application form for Minhaj Ishaq Shaikh, a married female applicant from Latur, Maharashtra, applying for a fresh normal passport. It includes personal details such as date of birth, address, family information, and enclosures like an Election Photo Identity Card and Aadhaar Card. The applicant affirms the accuracy of the information provided and acknowledges the legal implications of false information.

Uploaded by

affanshaikh9070
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

PASSPORT APPLICATION FORM

Government of INDIA, Ministry of External Affairs

Service Required
Application Reference Number 24-0015597044
Applying For FRESH
Type of Application NORMAL
Type of Passport Booklet NORMAL
Applicant Details
Applicant's Name MINHAJ ISHAQ SHAIKH
Date of Birth (DD/MM/YYYY) 23/04/1995
Validity Required NA
Place of Birth (Village/Town/City) LATUR
District LATUR
State/UT MAHARASHTRA
Region/Country INDIA
Gender FEMALE
Marital Status MARRIED
Citizenship of India by BIRTH
PAN LWNPS4491M
Voter Id AVB7470701
Employment Type HOME MAKER
Is either of your parent (in case of minor)/spouse, a
N
government servant?
Educational Qualification 10TH PASS AND ABOVE
Are you eligible for Non-ECR category? Y
Aadhaar Number 631743649552
Family Details
Father's Name AARIF ISMAIL SAYYED
Mother's Name NAJMUN AARIF SAYYED
Spouse's Name ISHAQ ISAMIYA SHAIKH
Present Residential Address Details
NEW KAZI MOHALLA, NEAR SOFIYA MASJID, LATUR, LATUR, LATUR,
Address
MAHARASHTRA
PIN 413512
Police Station VIVEKANAND CHOWK
Mobile/Tel No. 9881449134
E-mail AFFANSHAIKH9070@[Link]
Permanent Residential Address
NEW KAZI MOHALLA, NEAR SOFIYA MASJID, LATUR, LATUR, LATUR,
Address
MAHARASHTRA
PIN 413512
Police Station VIVEKANAND CHOWK
Mobile/Tel No. 9881449134
Emergency Contact Details
Name and Address BILAL AARIF SAYYED . BUDDHA NAGAR LATUR
Mobile/Tel No. 9763797975
E-mail SAYYEDBILAL7086@[Link]
Other Details
Enclosures
[Link] Photo Identity Card (EPIC) issued by the Election Commission of India
[Link] 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 LATUR
Date 09/09/2024

You might also like