AFFIDAVIT TO BE SUBMITTED WITH THE APPLICATION FOR A PASSPORT FOR A
MINOR CHILD BY EITHER PARENT (WHO ARE SEPARATED BUT NOT FORMALLY
DIVORCED) OR BY A SINGLE PARENT OF THE CHILD BORN OUT OF WED LOCK
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 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 the 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. The father/mother (other parent) of
the child has no visitation or other rights on the child.
4. I also confirm that in the event of a court case arising due to issue of passport
to the minor child_______________________________(name of the minor child) I will be
solely responsible for defending the case and not the Passport Issuing Authority.
Embassy of India, The Hague has the right to provide my contact details to the
father/mother of the child, if he/she requests for the same.
Date: Signature & address of the
Deponent
Place:
Note: The Affidavit can be sworn before/attested by a Judicial Magistrate or Executive
Magistrate in India or Notary Public or can be sworn before/attested by the Consular
Officer at Embassy of India, The Hague.
