Passport Application for Salimbhai Shekh
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divyesh.tilavatPassport Application for Salimbhai Shekh
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divyesh.tilavatPASSPORT APPLICATION FORM
Government of INDIA, Ministry of External Affairs
Service Required
Application Reference Number 24-0019053390
Applying For FRESH
Type of Application NORMAL
Type of Passport Booklet NORMAL
Applicant Details
Applicant's Name SALIMBHAI YUSUFBHAI SHEKH
Date of Birth (DD/MM/YYYY) 12/10/1990
Validity Required NA
Place of Birth (Village/Town/City) MORBI
District MORBI
State/UT GUJARAT
Region/Country INDIA
Gender MALE
Marital Status MARRIED
Citizenship of India by BIRTH
Employment Type SELF EMPLOYED
Is either of your parent (in case of minor)/spouse, a government
N
servant?
Educational Qualification 7TH PASS OR LESS
Are you eligible for Non-ECR category? N
Aadhaar Number 501455950593
Family Details
Father's Name YUSUFBHAI ABDULBHAI SHEKH
Mother's Name NURZABEN YUFBHAI SHEKH
Spouse's Name SENILA SALIMBHAI SHEKH
Present Residential Address Details
Address GHANCHI SHERI - 6, NEAR FARUKI MASZID, MORBI, MORBI, GUJARAT
PIN 363641
Police Station A DIVISION MORBI CITY
Mobile/Tel No. 9537977997
E-mail SALIMSHEKH78953@[Link]
Permanent Residential Address
Address GHANCHI SHERI - 6, NEAR FARUKI MASZID, MORBI, MORBI, GUJARAT
PIN 363641
Police Station A DIVISION MORBI CITY
Mobile/Tel No. 9537977997
Emergency Contact Details
Name and Address YUSUFBHAI
Mobile/Tel No. 9825419286
Other Details
Enclosures
[Link] Card issued by the Income Tax Department
[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 MORBI
Date 14/11/2024
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