AFFIDAVIT

I/We Shri _________  &/or Smt. _________  solemnly declare and affirms as follows:

1.    That I/We, am/are the mother/father/Presents/Guardians of _________  who is a minor child and on whose behalf I/We have made as application for his/her passport.
2.    Signature/Consent of Mr./Mrs. _________ who is father/mother/parents of the child has not been obtain by me for the following reasons:
3.    That I/We only am/are talking care of _________  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 _________.

I/We would be solely responsible for defending that case and not the passport issuing Authority.

Date: _________

Signature & Address of the Parents
_________  , _________