(OCI MATCH UP REQUEST FORM From ‘Web Reference Number Applicant Name Passport Number To, (CKGS Application Center Houston (OCI MATCH UP DEPARTMENT 1001 Texas Ave, Suite 550 (Level 5), Houston, 1X77002, USA. Sub: Submission of Documents for OCI Match Up |Lam sending the following documents for Match Up as requested by CKGS. Documents Submitted SNe Documents Tick the box below 1 | rianal USA Foreign Papo Oo Z| Original PIO Card (For OC in Lieu of PIO applicants only] oO 3 [01d 0c1 booklet/card (Fr OC ceisue (Passport expired) and OCI Mscaaneous o Services applicants only) [ered Us/Foreign passpor (For Cl reise [Passport expired) applicants oni] o 3 [ Woney Order oO &_ | Payment Receipt / Order Form Oo 7 [Duly Signed Copy ofthe Match Up Request Form oO @ | US045 fr Ratu Envelope purchased from CKGS i Applcabe] + tf paying Offtine, Payment tobe done via Money Order or Cashier's Cheque Drawn in favour of Cox and Kings Global Services USA LLC” ao + Hfpald Online, enclose the copy of Payment Receot Mode of Submission Details Fre Paid Envelope archased rom CKGS (Tek FYE] oO Postal Company Firway Bill Number Passport for Match UP & PIO Card must be sent to CKGS Centers only not erect to the Embasy/ Consulate Mode of collection Details Courter Serica Parchased rom CKGS (Tek Fes] Oo Postal Company Airway Bil Number Applicants Signature (KGS Authorized Person ~ Signature Date: Date: FOR OFFICIAL USE ONLY — REMARKS. "nave tead understood and accepted the Disclaimer which s readin conjunction wih the Dedlratio & Undetakg. “Terms & Coton, relevant Document Checks nd Farms and the Privy Policy avaiable a wor nck,