Indian Passport ANNEXURE ‘G’

 DECLARATION BY APPLICANT PARENT OR GUARDIAN IF PASSPORT IS FOR MINOR WHEN ONE PARENT HAS NOT GIVEN CONSENT

(In the form of a sworn affidavit before Judicial Magistrate or Executive Magistrate on non-judicial stamp paper of minimum value)

I/We…………………………………………………………………………………..(name of the Parent/Guardian applying for passport) solemnly declare and affirm the following:

1. That I/We am/are the mother/father/parents/guardians of………………………………… ………………………..(name of the minor child) who is a minor and on whose behalf I/We have made an application for his/her passport.

2. Signature/Consent of Mr./Mrs.……………………………………………………..(name of the father/mother) who is father/mother/ parents of the child has not been obtained by me for the following reasons:

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

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