ANNEXURE ‘H’
DECLARATION OF APPLICANT PARENT OR GUARDIAN IF PASSPORT IS FOR MINOR: ON PLAIN PAPER
I/We affirm that the particulars given above are in respect of (name of the child) …………………………………… son/daughter of Shri. ………………………………………………… and Shrimati ……………………………………………………… of whom I/we am/are the Parents/Single Parents/Applicant Parent/Guardians. He/She is a Citizen of India. His/Her date of birth/place of Birth is ----------. I/We undertake the entire responsibility for his/her expenses. I/We solemnly declare that he/she has not lost, surrendered or been deprived of his/her citizenship of India and that the information given in respect of him/her in this application is true. It is also certified that I/we am/are holding/not holding valid Indian passport(s) and the name of the child mentioned is not included in Passport of either parent.
_____________ / _________________ OR ___________________
Father (Signature) Mother (Signature) Legal Guardian (Signature)
