Service Required Application Reference Number 12-0003296889 Applying For FRESH Type of Application NORMAL Type of Passport Booklet NORMAL Validity Required 10 Years Applicant Details Applicant's Name ANURAG CHOUDHARY Date of Birth (DD/MM/YYYY) 21/03/1996 Place of Birth (Village/Town/City) BIDAR District BIDAR State/UT KARNATAKA Country INDIA Gender | MALE | Marital Status | SINGLE |
Citizenship of India by BIRTH | |
Employment Type STUDENT Is either of your parent (in case of minor)/ spouse, a government servant? Y Educational Qualification 10TH PASS AND ABOVE Are you eligible for Non-ECR category? Y Family Details Father's Name NARENDER KUMAR Mother's Name SURESH CHOUDHARY Present Address Details Residing Since(MM/YYYY) 10/2011 Address SMQ NO 244/4 54ASP AIR FORCE SEC-17 GURGAON HARYANA GURGAON GURGAON PIN 122002 Mobile/Tel No 8800927805 First Reference Name And Address SGT GK SHUKLA SMQ NO. 244/3 54ASP AIR FORCE SECTOR-17 GURGAON HARYANA 122002 Mobile/Tel No 9999357458 Second Reference Name And Address SGT DS MALIK SMQ NO. 244/2 54 ASP AIR FORCE SECTOR-17 GURGAON HARYANA 122002 Permanent Address Address VILL AND PO ADAMPUR-DADHI BHIWANI HARYANA BHIWANI INDIA CHARKHI-DADRI PIN 127310 Emergency Contact Details Name and Address ANURAG CHOUDHARY S/O JWO NARENDER KUMAR SMQ NO. 244/4 54ASP AF SECTOR-17 GURGAON HARYANA122002 Mobile/Tel No 8800927805 Other Details Self Declaration I owe allegiance to the sovereignty, unity and 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 and I affirm that the information