DECLARATION OF APPLICANT PARENT OR GUARDIAN IF PASSPORT IS FOR MINOR (one parent not given consent) : IN THE FORM OF A SWORN AFFIDAVIT BEFORE JUDICIAL MAGISTRATE ON NON-JUDICIAL STAMP PAPER
I/We .solemnly declare and affirms as follows:
(Name of the Parent/Guardian applying for passport)
1. That I/We am/are the mother/father/parents/guardians of ..who is a minor child and on whose behalf (Name of the Minor Child)
I/We have made an application for his/her passport.
2. Signature/Consent of Mr/Mrs .who is father/mother/parents of the child has not (Name of the father/Mother)
been obtained by me for the following reasons:
3. That I/We only am/are taking care of he/she is exclusively in my physical custody. (Name of the minor child)
4. I/We also affirm that in the case of a court case arising due to issue of a passport to the minor child .
(Name of the minor child)
I/We would be solely responsible for defending the case and not the Passport Issuing Authority.
Signature & Address of the parent (s)
guardian(s) applying for the Passport