Affidavit for a Passport of a Minor Child by either parent (who are separated but not formally divorced) (Annexure "C")

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)

I, (name of single parent) solemnly declare and affirm as follows:

1. That I am the mother/father of (name of the child) who is a minor child 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 minor).

OR

That no legally valid marriage ever existed between me and Mr./Ms.(the father/mother the minor child)

OR

The father/mother of (name of the child) has deserted me after conception/ delivery

3. That (name of the minor) is exclusively under my care and custody since separation/delivery.

Signature & address of Deponent

Date:

(Sworn before the First Class Judicial Magistrate or Notary Public)

Source: http://passport.gov.in/cpv/ANNEXUREC_singleparent.htm