SPECIMEN AFFIDAVIT/DECLARATION BY APPLICANT’S PARENT(S) OR GUARDIAN FOR ISSUE OF
PASSPORT TO MINOR
I/we, MANIVANNAN AND POONKODI resident of NO:3/1, AGRAHARAM,
ARUVAPPADI PO, MAYILADUTHURAI TK, hereby affirms that the particulars given below are of SAYANA SREE , son/daughter of Shri MANIVANNAN AND POONKODI of whom I/we am/are the parents /guardian.
1. Particulars of minor child
Name : SAYANA SREE
Date of birth : 06/03/2011 Place of birth : MAYILADUTHURAI, TAMIL NADU
2. The minor child mentioned above is a citizen of India.
3. I/We undertake the entire responsibility for his/her expenses.
4. 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.
5. It is also certified that I/we am/are holding /not holding valid India passport(s).
Place : Date :
Signature of father Signature of mother
Passport No. T5532197 ; or Passport No. P8441183 ; or
Aadhaar Card No……………………….; or Aadhaar Card No……………………..; or
Voter ID Card No……………………….; Voter ID Card No…...……….…….…;
