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 of minimum value)
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 a 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 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.
Date:
Signature & address of Deponent
(Sworn before the First Class Judicial Magistrate or Notary Public)