04/11/2016 AppointmentReciept

MinistryofExternalAffairsGovernmentofIndia
OnlineAppointmentReceipt

ApplicantDetails:

PaymentDetails#
ApplicationReferenceNo. TotalFee(Rs.) 1500.00
161009518837
(ARN)
PaidFee(Rs.) 1500.00
ServiceType REISSUE
DateandTime 04/11/201604:52PM
TypeofApplication NORMAL
TransactionId CP63579974
GivenName SACHINTHOMAS
Surname PAVANATHARA AppointmentDetails:
Gender MALE PassportSevaKendra ALUVA,
Father'sName ANTONYPAVANATHARATHOMAS Address MOOSAVAIDYARMEMORIALBUILDING,
Mother'sName MARYBABY ALUVAPERUMBAVOORROAD,ALUVA
683101(NEARCASINOTHEATRE)
DateofBirth 07/05/1986
AppointmentId 100008858279216
PlaceofBirth PALLIPPURAM,ERNAKULAM
RURAL,KERALA AppointmentDate
07/11/2016&12:15PM
andTime
MaritalStatus SINGLE
ReportingDateand
EmploymentType PRIVATE 07/11/2016&12:00PM
Time
ApplicationSubmittedDate 04/11/2016

PresentResidentialAddress PAVANATHARAHOUSE,CONVENT
JUNCTION,PALLIPPURAMPO, Batch 12
ERNAKULAMRURAL,683515,KERALA,
INDIA
ApplicantsReferencesDetails: SequenceNo. 8
SHAJI
FirstReference KUNNUNGAPARAMBIL,PALLIPPURAM
PO,ERNAKULAM,KERALA683515
DEEPAKANTONY,THEROTH
PreviousPassportDetails
SecondReference HOUSE,PALLIPPURAM
PO,ERNAKULAM,KERALA683515 OldPassportNo. F9822288
PassportIssueDate 06/11/2006
PassportExpiryDate 05/11/2016
PlaceofIssue COCHIN
FileNumber COCB06310006

PleaseReadCarefully:
PleasereachPassportSevaKendra(PSK)at12:00PMasmentionedaboveandcarrytheprintedcopyofthisappointmentreceipt.
Check Document Advisor on website 'www.passportindia.gov.in' to know the documents required at PSK.Carry original documents and their self
attestedphotocopies.FinaldecisionwithregardtodocumentsrequiredisatthediscretionofRPOstaffatPSK.
Incaseofminorapplicants(below4yearsofage),carrytherecentpassportsizephotograph(4.5X3.5cm)withwhitebackground.
OnlyapplicantisallowedinsidethePSK.However,incaseofexceptionssuchasSeniorCitizen/PhysicallyChallenged/Illiterate/Minorapplicants,one
personfromthefamilymaybeallowedtoaccompanyinsidePSK.
AtPSK,apapertokenwillbeissuedtoyouaftercheckingofdocuments.YourapplicationwillbeprocessedatCounterAfollowedbycountersBandC.At
all stages, please be alert and watch the token display screens to know the counter at which your application will be processed. Please collect
acknowledgementslipfromtheExitcounterbeforeleavingPSK.Also,youarerequestedtofillthefeedbackformattheexitcounter.
Youhavenotoptedfor'PassportSevaSMSServices'.Toenrol,pleasegoto'EnrolforSMSServices(Optional)'linkavailableat'ApplicantHome'Pageof
thewebsite.
ATMfacilityavailableatPSKforallBankCards.
Helpustoserveyoubetter.
#DetailsasperthePaymentDate.Paymentoncemadeforavailingpassportserviceswillnotberefunded.

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