Annex Ured
Annex Ured
Annex Ured
I/We, parent(s) of minor child whose details are mentioned below solemnly declare and affirm as
under:-
1. That I/We am/are the mother/father/parents/guardians of the above minor child on whose
behalf I/We am/are submitting passport application vide ARN no...............................................
3. The minor child mentioned above is a citizen of India. I/We solemnly declare that he /she
has not lost, surrendered or has been deprived of his/her citizenship of India.
5. I hereby certify and undertake that if any information provided in the above declaration is
found incorrect or misleading, following action may be taken by the Passport Authority for:
Date:
Place:
Note:
1. Section 5 of the Passports Act 1967 read with Rule 5 of the Passports Rules, 1980
stipulates that Passport Authority may make all such enquiry 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.
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