Sworn Affidavit

SPECIMEN OF SWORN AFFIDAVIT / DECLARATION OF PARENTS WHO APPLY FOR PASSPORT IN FAVOUR OF MINOR CHILD / CHILDREN IN _________

(To be submitted in duplicate with copy/copies of birth certificate of child(ren) and copy each of Passport and ________)

I _______,holder of passport _______ issued at _______ on  _______ residing in _______, husband / wife of smt/ shri _______ s/o or d/o_______ residing in _______ at _______ do solemnly swear and affirm that:

1.THERE IS NO PASSPORT (S) IN THE NAME (S) OF MY CHILD / CHILDREN LISTED BELOW

NAME DATE OF BIRTH SEX RELATIONSHIP

a) ______________

b) ______________

c) ______________

1. His /her / their names (s) is / are not included in mother’s/father’s passport.
2. The passport is / are required by the child / children for visiting _______ to stay with
his/her/their Parents.
3. The photocopy of my passport is submitted along with new passport application.

I declare my consent for obtaining passport (s) for my child / children listed above

DEPONENT

Signed before me :-

VICE CONSUL(CONSULAR)