ANNEXURE ‘G’

DECLARATION OF APPLICANT PARENT OR GUARDIAN IF PASSPORT IS FOR MINOR (one parent not given consent)  : IN THE FORM OF A SWORN AFFIDAVIT BEFORE JUDICIAL MAGISTRATE ON NON-JUDICIAL STAMP PAPER

I/We …………………………………………………………………….solemnly declare and affirms as follows:

               (Name of the Parent/Guardian applying for passport) 

1.       That I/We am/are the mother/father/parents/guardians of …………………………………………………………..who is a minor child and on whose behalf                                                   (Name of the Minor Child)

         I/We have made an application for his/her passport. 

2.       Signature/Consent of Mr/Mrs…………………………………………………………………….who is father/mother/parents of the child has not                            (Name of the father/Mother)

been obtained by me for the following reasons:

 3.       That I/We only am/are taking care of ………………………………………………………………………………he/she is             exclusively in my physical custody.                                                        (Name of the minor child) 

4.        I/We also affirm that in the case of a court case arising due to issue of a passport to the minor child………………………………………….

                (Name of the minor child)

I/We would be solely responsible for defending the case and not the Passport Issuing Authority.

 Date :                                         

Signature & Address of the parent (s)

guardian(s) applying for  the Passport

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