ANNEXURE ‘D’

 

SPECIMEN DECLARATION BY APPLICANT’S PARENT(S) OR GUARDIAN FOR ISSUE OF PASSPORT TO MINOR

(On plain paper)

 

I/we, ………………………………………………………………………...................... resident of …………………………………hereby affirm that the particulars given below are of …………………(name of the child), son/daughter of Shri …………………………..and Smt ……………………. of whom I/we am/are the parents /guardian.

 

Particulars of minor child

Name :

Date of birth :

Place of birth :

 

1.       The minor child mentioned above is a citizen of India.

2.       I/We undertake the entire responsibility for his/her expenses.

3.       I/we solemnly declare that he /she has not lost, surrendered or been deprived of his/her citizenship of India and that the information given in respect of him/her in this application is true.

4.       It is also certified that I/we am/are holding /not holding valid India passport(s).

 

Place:

Date

 

Signature of father                                          Signature of mother                       Signature of legal guardian(s) Passport No. ...............; or                     Passport No. …………..; or              Passport no…………………; or Aadhaar Card No….....; or                      Aadhaar Card No….....;or              Aadhaar Card No…........; or Voter ID Card No…...…;                                          Voter ID Card No…...…                     Voter ID Card No…...…