Declaration of Applicant Parent or Guardian If Passport Is For Minor: On Plain Paper

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Annexure C

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http://passport.gov.in/cpv/ANNEXUREH_minor.htm

GOV ER NMENT OF I NDI A


MI NI S TR Y OF EXTER NAL AF F AI R S
CPV DI V I S I ON, DELHI

ANNEXURE H
DECLARATION OF APPLICANT PARENT OR GUARDIAN IF PASSPORT IS FOR MINOR: ON PLAIN PAPER
I/We affirm that the particulars given above are in respect of (name of the child)
son/daughter of Shri. and
Shrimati of whom I/we am/are the
Parents/Single Parents/Applicant Parent/Guardians. He/She is a Citizen of India. His/Her date of birth/place of Birth is ----------. I/We
undertake the entire responsibility for his/her expenses. 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. It is also certified that I/we
am/are holding/not holding valid Indian passport(s) and the name of the child mentioned is not included in Passport of either
parent.
_____________
Father (Signature)

_________________
Mother (Signature)

OR___________________
Legal Guardian (Signature)

____________________________________________________________________________________________________________

4/4/2014 7:55 AM

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