Passport Application
Government of India, Ministry of External Affairs
Online Application Receipt
ATM facility available in PSK
for all Bank Cards
Applicant Details :
Application Reference No 13-1011214097
Batch
9
Service Type
FRESH
Type of Application
Normal
Sequence No. 4
Application Submitted Date17/12/2013
Date of Birth
27/02/1989
Reporting Time 11:15 AM
Gender
MALE
Employment Type
NOT EMPLOYED
Marital Status
SINGLE
Place of Birth
TIRUNELVELI,TIRUNELVELI
CITY,TAMIL NADU
Given Name
TILAK
Surname
CHANDRAMOHAN
Father's Name
CHANDRAMOHAN SUNDARARAJ
Mother's Name
JEYASEELI CHANDRAMOHAN
Present Address
758/A-1, MUTHU NAGAR, 1ST STREET, KOVILPATTI, THOOTHUKUDI - 628501, TAMIL NADU, INDIA
Applicants References :
First Reference Details
[Link], 770/1 MUTHU NAGAR 1ST STREET, KOVILPATTI - 628501, 9600358016,
04632229266
Second Reference Details [Link], 754/1, MUTHU NAGAR, KOVILPATTI - 628501, 8903223769, 04632223769
Payment Details:#
Total Fee (Rs.)
Paid Fee (Rs.)
Date and Time
Transaction Id
Appointment Details :
1500.00
1500.00
17/12/2013 10:51 AM
CP03534808
PSK Location
Tirunelveli City,
NO. 13, SOUTH BYPASS ROAD,
XAVIER COLONY, TIRUNELVELI
Date & Time of
Appointment
Appointment Id
Reporting Time
18/12/2013 & 11:30 AM
100004959043013
11:15 AM
Thanks for showing your interest in 'Passport Seva SMS Services' enrolment. Please pay Rs 30/- (THIRTY ONLY) in cash as the
Enrolment Charges during your visit to Passport Seva Kendra.
Note:
Applicant should reach the Passport Seva Kendra by the reporting tim e m entioned above for pre-checking of docum ents to
avoid any hassles in issuance of token.
Applicant should bring all the originals and one set of photo copy, photo copies should be self attested by the applicant. In case
of m inor either of the parents has to sign on all photo copies.
One accom panying person from the fam ily w ill be allow ed along w ith Senior Citizens, Physically Challenged, Illiterate and Minor
applicants only.
Applicant w ill not be issued token at Passport Seva Kendra, if they report after scheduled appointm ent tim e.
Minor applicants below 4 years of age need to carry a recent coloured passport size (4.5 x 3.5 cm ) photograph w ith a w hite
background w hile visiting Passport Seva Kendra. Other applicants need not carry any photograph as photograph w ill be
captured at the Passport Seva Kendra.
Carrying of corrosive substances or explosives, arm s or any sharp objects w hich m ay cause physical harm or violence are
prohibited inside the PSK. Electronic item such as cam era is prohibited inside the PSK.
# Details as per the Payment Date. Payment once made for availing passport services will not be refunded.