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Albin

1. Ancy Sabu declares information for a passport application for her minor son, Albin Sabu. 2. Albin was born on May 28, 2008 in Thrissur, India and is an Indian citizen. 3. Ancy takes full responsibility for Albin's expenses and declares that he has not lost or been deprived of his Indian citizenship.

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rihladcs2023
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52 views1 page

Albin

1. Ancy Sabu declares information for a passport application for her minor son, Albin Sabu. 2. Albin was born on May 28, 2008 in Thrissur, India and is an Indian citizen. 3. Ancy takes full responsibility for Albin's expenses and declares that he has not lost or been deprived of his Indian citizenship.

Uploaded by

rihladcs2023
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ANNEXURE ‘D’

SPECIMEN DECLARATION BY APPLICANT’S PARENT(S) OR GUARDIAN FOR ISSUE OF


PASSPORT TO MINOR

(On plain paper)

I/we ANCY SABU resident of , VALIYA THEKKUM THADATHIL HOUSE, PATHAZHAKKUNDU, POOMALA P
O, THRISSUR hereby affirm that the particulars given below are ALBIN SABU (name of the child), son/daughter
of Shri. SABU VALIYATHEKKUMTHADATHIL VARGHESE and Smt. ANCY SABU of whom I/we am/are the
parents /guardian.

1. Particulars of minor child

2. Name : ALBIN SABU

Date of birth : 28/05/2008

Place of birth : THRISSUR

3. The minor child mentioned above is a citizen of India.

4. I/We undertake the entire responsibility for his/her expenses.

5. I/we solemnly declare that he /she has not lost, surrendered or been deprived of his/her citizenship ofIndia and
that the information given in respect of him/her in this application is true.

6. It is also certified that I/we am/are holding /not holding valid India passport(s).

Place: THRISSUR Date: /12/2023

Signature of father Signature of mother

Passport No.: …… ……………..……… or Passport No. ……..…S8946919……….. or

Aadhaar Card No.: ………………………………. or Aadhaar Card No. ....................................................... or

Voter ID Card No.:………………………………... Voter ID Card No.: ……………………………..…

Signature of legal guardian(s)

Passport No.................................................................... or

Aadhaar Card No ........................................................... or

Voter ID Card No.: …………………………………

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