8/18/2019 Child Indian Passport Affidavit One Parent

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SPECIMEN FORM OF AFFIDAVIT TO BE SUBMITTED BY THE PARENT(S) STAYING

ABROAD, DULY ATTESTED BY THE INDIAN MISSION CONCERNED, IN RESPECT OF THE

CHILD FOR WHOM AN APPLICATION IS BEING SUBMITTED TO PASSPORT OFFICES BY

THE OTHER PARENT FOR ISSUE OF PASSPORT.

I_____________________________________________________________________________ SON OF

 ____________________________________________________ RESIDING AT USA________________

 _____________________________________________________________________________________,

DO HEREBY DECLARE THAT I AM HOLDING PASSPORT NO. ______________________, ISSUED

ON (dd/mm/yy) _______/________/__________, VALID UPTO __________/__________/__________,

ISSUED AT ___________________________, I UNDERSTAND THAT MY WIFE / HUSBAND IS

APPLYING FOR ISSUE OF PASSPORT FOR MY SON/DAUGHTER ___________________________.

I FURTHER DECLARE THAT THE PARTICULARS OF THE SAID CHILD ARE NOT INCLUDED IN

MY PASSPORT AND I HAVE NO OBJECTION TO ISSUE FOR A SEPARATE PASSPORT FOR MY

SON/DAUGHTER.

PARTICULARS OF THE CHILD:

 NAME : _____________________________________________________________________________

DATE OF BIRTH : (dd/mm/yy) _______________/_________________/_________________________

SEX : (circle one) MALE FEMALE

PLACE OF BIRTH IN INDIA : (CITY) ____________________________________________________

(STATE) ___________________________________________________

MOTHERS NAME : ___________________________________________________________________

FATHERS NAME : ____________________________________________________________________

PARENTS SIGNATURE: ______________________________________(FATHER OR MOTHER)

THIS DECLARATION TO BE NOTARIZED BY ATTESTATION OF THE CONSULAR

 NOTARY PUBLIC OFFICIAL OF INDIAN MISSION

ABROAD