Affidavit by One Parent for Minor’s Passport (Annexure C)

ANNEXURE 'C'

SPECIMEN DECLARATION BY APPLICANT'S PARENT FOR ISSUE OF PASSPORT TO MINOR WHEN ONE PARENT HAS NOT GIVEN CONSENT

(On plain paper)

I, the father/mother of the minor child whose details are mentioned below solemnly declare and affirm as under:-

Name of the minor child:……………………………..
Date of Birth:……………………………………………

Name of father ……………..…………..….
Citizenship………..…………..…………….
Passport No……………………………….
Contact No…………..…………..………….
Email ID……….…………..………………..
Address…………………………………………………………………………………………

Name of Mother……………..…………..…
Citizenship………..…………..……………
Passport No……………………………….
Contact No…………..…………..…………
Email ID……….…………..………………..
Address…………………………………………………………………………………………

That I am the mother/father of the above minor child, on whose behalf I am submitting a passport application vide ARN no............................

The Signature/consent of Shri/Smt………………………………………………………………..(name of the father/mother), who is the father/mother of the child, has not been obtained by me for the following one or more reasons:

(a) The father/mother of the minor applicant 'Residing abroad' and unable to provide consent. [Supporting documents of such parent (resident abroad) to be enclosed: Copy of Passport; Proof of residence abroad (Long-term/Resident Visa, departure/immigration stamp)]

(b) The father/mother of the minor applicant is 'Travelling abroad' and unable to provide consent. [Supporting documents of such parent (travelling abroad) to be enclosed: Copy of Passport; Proof of travel abroad (Visa, departure/immigration stamp, ticket/boarding pass)]

(c) The parents are divorced/judicially separated, and custody of the minor has been assigned to one parent (the parent who is applying for the passport), without visitation rights to the other parent. [Supporting Documents to be enclosed: Copy of court order/decree regarding divorce/judicial separation]

(d) The parents are divorced/judicially separated, and custody of the minor has been assigned to one parent (the parent who is applying for the passport), with visitation rights to the other parent. [Supporting documents to be enclosed: Copy of court order/decree regarding divorce/judicial separation; consent of her parent (having visit visitation rights) is also required.]

(e) There is an ongoing court case for divorce/judicial separation (including on the issue of custody of a minor child), and the court has not given any order prohibiting the issue of a passport without the consent of the father/mother. [Supporting documents to be enclosed: Copy of divorce petition/application]

(f) There is an ongoing court case for divorce/judicial separation (including on the issue of custody of a minor child), and there is a prohibitory order prohibiting the issue of a passport without the consent of the father/mother. [Supporting documents to be enclosed: The consent of both the parents or permission from the court]

(g) The parents are divorced/judicially separated, or there is an ongoing court case for divorce/judicial separation; however, the custody of the minor child has not been invoked/prayed in the divorce petition, or the custody of the minor is not disputed. [Supporting documents to be enclosed: Copy of divorce decree/court order or Divorce petition/application, as the case may be.]

(h) One of the parents is wilfully denying to give his/her consent. [Supporting documents to be enclosed: Copy of communication/documents from other parent denying consent. PIA to decide if the documents submitted are sufficient to establish this.]

(i) One of the parents has deserted/abandoned the child/parent after the conception/birth of the child, and the whereabouts of such a parent are not known. [Appropriate Supporting documents to be enclosed. PIA to decide if the documents submitted are sufficient to establish this.]

* Please put a cross mark on all other options above which are not applicable.

The minor child mentioned above is a citizen of India. I 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. That I only am taking care of ……..…………………………….……… (name of the minor child), and he/she is exclusively in my physical custody.
I also affirm that in the case of a court case arising due to the issue of a passport to the minor child …………………………..….. (name of the minor child) in the above scenario(s), I would be solely responsible for defending the case and not the Passport Issuing Authority.

I hereby certify and undertake that if any information provided in the above declaration is found incorrect or misleading, the following action may be taken by the Passport Authority for:

a) Cancellation (impounding/revocation) of the passport issued on the basis of this declaration;
b) Initiating criminal proceedings under relevant provisions of Bharatiya Nyaya Sanhita, 2023 and the Passports Act, 1967

Signature of father/mother:……………………...…………..…
Name of father/mother:…………………….……..……………..
Passport no: (preferably)…………………………………………………………; or
Aadhaar Card No ………..…………..……………………………………………; or
Voter ID Card No …………………..……………………………………………..; or
PAN Card No.…………..…………..………………………………………………; or
Driving License No.……….……………………………………….…..………….

Date:
Place:

Note:

1. Non-submission of consent of the other parent is only for the issuance of the passport and will not have any bearing on mentioning the names of both parents in the passport.

2. Section 5 of the Passports Act 1967 read with Rule 5 of the Passports Rules, 1980 stipulates that the Passport Authority may make all such enquiries and may require an applicant to furnish such additional information, documents or certificates as may be considered necessary by the Passport Authority for the proper disposal of the application required.