Affidavit for a Passport of a Minor Child by Either Parent

Affidavit for a Passport of a Minor Child by Either Parent (who are separated but not formally divorced)

ANNEXURE ‘C’

AFFIDAVIT TO BE SUBMITTED WITH THE APPLICATION FOR A PASSPORT OF A MINOR CHILD BY EITHER PARENT (WHO ARE SEPARATED BUT NOT FORMALLY DIVORCED) OR BY A SINGLE PARENT OF THE CHILD BORN OUT OF WEDLOCK
(To be executed on non-judicial stamp paper of minimum value)

I, …………………….. (name of single parent), solemnly declare and affirm the following:

1. That I am the mother/father of …………………… (name of the child), who is a minor and on whose behalf I have made an application for his/her passport.
2. That I am judicially separated from the mother/father of ……………………. (name of the child). OR
   That no legally valid marriage ever existed between me and Mr./Ms. ……………………… (name of father/mother of the minor child).
   OR
   The father/mother of …………………….. (name of the child) has deserted me after conception/ delivery.
3. That ……………………. (name of the child) is exclusively under my care and custody since separation/delivery.

Date:
Signature & address of Deponent
(Sworn before the First Class Judicial Magistrate or Notary Public)