SRI KARTARPUR SAHIB REGISTRATION FORM
Bar Code :
File No. : KRTPG37E0A22
INDIAN
Registration Category :
Selected Journey
Nationality
Part A
11/04/2022
INDIA
ORDINARY
Passport Type :
Passport Number :
Date Of Issue
05/07/2017
Full Name :
RUPINDER SINGH P
Date Of Birth
13/06/1975
Full Address
166C BRS NAGAR LUDHIANA, NEAR DAV SCHOOL, LUDHIANA-CITY, PUNJAB - 141001 , INDIA
Date Of Expiry
Place Of Birth(City)
R2646996
04/07/2022
Place Of Issue
CHANDIGARH
Father's Name
BACHITTAR SINGH
Gender:
LUDHIANA
Place Of Birth(Country)
INDIA
MALE
Part B
Whether Resident in
YES
Full Address
166C BRS NAGAR LUDHIANA, NEAR DAV SCHOOL, LUDHIANA-CITY, PUNJAB - 141001 , INDIA
Aadhar :
Blood Group
A-
Email Id (Primary)
Landline Number
01614672866
Landline Number
Mobile Number
9815022866
Marital Status
Spouse Nationality
INDIA
Name Of Employer
XXXXXXXX7808
Pan Number :
AZQPS5353K
RUPINDERSINGHGUJRAL@YAHOO.IN
YES
Spouse Passport
Mobile Number (Primary)
7009731959
Spouse Name
MANVEEN KAUR
R1268704
SELFEMPLOYED
Profession
Employer
Police Station Name
Have you Ever visit In Pakistan
NO
Place purpose of visit
Close Relatives In Pakistan
NO
Pakistan Relative Name
SARABHA NAGAR
Office Address
Pakistan Relative Address
,
Date of Pervious Visits to Pakistan in the last 10 years (if Any)
Part C
NO
Have you ever been convicted by a court for any criminal offence and sentenced to imprisonment
FIR Number:
Section of Law:
Police Station:
District:
Present Status:
punishment
Has any criminal case been registered against you or any arrest warrant against you pending before a court of
FIR Number:
Section of Law:
Quantum of Punishment
Present Status:
Police Station:
Police Station District:
NO
Whether you are presently bound by security proceeding under CrPC or any other similar restriction under any
NO
Whether you are/were in past, a member of any organization proscribed/banned under law, in India
NO
Part D
Are you Travelling As Group ?
Name of Member:
NO
Number of Members:
Passport No. of Member:
DECLARATION AND UNDERTAKING BY APPLICANT:
I undertake that I shall not indulge in any activity during my visit to Gurudwara Kartarpur Sahib through the Kartarpur Sahib Corridor which is detrimental to the
sovereignty, integrity and security of India or is in violation of Laws of India.
I agree to strictly abide by the rules and regulation made by the Government of India to manage and regulate the smooth operations of the Kartarpur Sahib
I undertake that I shall not use the Kartarpur Sahib Corridor for any other purpose other than pilgrimage to Gurudwara Kartarpur Sahib.
March 26, 2022
Full Name :
RUPINDER SINGH P