ANNEXURE ‘K’

SPECIMEN AFFIDAVIT to be sworn before First Class Judicial Magistrate on non-Judicial stamp paper for re-issue of passport, which was obtained prior to marriage, by married applicants who are unable to provide the prescribed marriage certificate or joint affidavit with spouse due to marital discord, separation or without formal divorce decree by the Court or due to total desertion by the spouse.

I _ _ _ _ _ _ _ _ _ _ _ _ (Name of the passport applicant) solemnly declare and affirm the following:

  1. That I am married under _ _ _ _ _ _ _ _ _ _ _ _ marriage Act/Rights/Customs and has been living together with _ _ _ _ _ _ _ _ _ _ _ _ . (name of husband/wife) as married couple since _ _ _ _ _ _ _ _ _ _ _ _ (date of marriage)
  2. That I am separated from my husband/my wife from _ _ _ _ _ _ _ _ _ _ _ _ . (date) though we are not yet legally divorced by decree of a Court of Law.
    OR
    That I am separated from my husband/my wife from _ _ _ _ _ _ _ _ _ _ _ _ . (date) though we are not yet legally divorced by decree of a Court of Law. I/My wife or husband have/has already filed a divorce petition which is pending before _ _ _ _ _ _ _ _ _ _ _ _ . (name of the Court with place)
  3. That my passport be reissued in my maiden name or in my married name as _ _ _ _ _ _ _ _ _ _ _ _ (only for woman applicant).
  4. That my passport be reissued with my spouse name as _ _ _ _ _ _ _ _ _ _ _ _ . (name of spouse)
    OR
    That my passport be reissued without my spouse name. In the eventuality of a Court declining to decree divorce, I will get the passport re-issued with spouse name within three months thereof.
  5. That I solemnly affirm that the information given above is correct to the best of my knowledge and in the case of litigation arising due to re-issue of my passport in my maiden name/married name or with/without spouse name, I would be solely responsible for defending the case and not the Passport Issuing Authority.

Date:

Signature & Address of Deponent