Annexure C
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G O V ER N M E N T O F I N DI A M I N I S TR Y O F E X TE R N A L A F F A I R S C P V DI VI S I O N , DE LH I
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. _____________ Father (Signature) / _________________ Mother (Signature) OR___________________ Legal Guardian (Signature)
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http://passport.gov.in/cpv/ANNEXUREH_minor.htm
3/19/2014