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OCI MATCH UP REQUEST FORM From Web Reference ID Applicant Name USA / Foreign Passport Number To CKGS Application Center Houston OCI MATCH UP DEPARTMENT 1001 Texas Avenue Houston TX 77002. Binz Building Suite 550. Sub Submission of Documents for OCI Match Up I acknowledge receipt of the Email from CKGS requesting me to send the following documents for Match Up* Accordingly I am enclosing the following documents as requested* Documents Submitted Sr. No Documents Tick the box below Copy of Email Received from CKGS for Match Up Original USA / Foreign Passport Duly Signed 2 Copies of this Match Up Request Form USD 15 for Pre-Paid Return Envelope If Applicable Payment to be done via Money Order or Cashier s Cheque or Demand Draft Drawn in favour of Cox and Kings Global Services USA LLC If paid Online enclose the copy of Payment Receipt Mode of Submission In Person Details Name of Person Submitting First Name / Last Name Purchased from CKGS Tick if Yes Pre-Paid Envelope Postal Company Airway Bill Number Mode of Collection Name of Person Collecting Applicants Signature CKGS Authorized Person Signature Date FOR OFFICIAL USE ONLY REMARKS Disclaimer Please read our Disclaimer Terms and Conditions available at www. Binz Building Suite 550. Sub Submission of Documents for OCI Match Up I acknowledge receipt of the Email from CKGS requesting me to send the following documents for Match Up* Accordingly I am enclosing the following documents as requested* Documents Submitted Sr. No Documents Tick the box below Copy of Email Received from CKGS for Match Up Original USA / Foreign Passport Duly Signed 2 Copies of this Match Up Request Form USD 15 for Pre-Paid Return Envelope If Applicable Payment to be done via Money Order or Cashier s Cheque or Demand Draft Drawn in favour of Cox and Kings Global Services USA LLC If paid Online enclose the copy of Payment Receipt Mode of Submission In Person Details Name of Person Submitting First Name / Last Name Purchased from CKGS Tick if Yes Pre-Paid Envelope Postal Company Airway Bill Number Mode of Collection Name of Person Collecting Applicants Signature CKGS Authorized Person Signature Date FOR OFFICIAL USE ONLY REMARKS Disclaimer Please read our Disclaimer Terms and Conditions available at www.

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