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1) The document is a declaration by a parent or guardian applying for a passport for a minor child when one parent has not provided consent. 2) It declares that the consent of the other parent could not be obtained for reasons such as the other parent being unavailable or separated from the applicant. 3) It affirms that the applicant is solely responsible for the child's care and custody and would be responsible for any legal proceedings resulting from issuing the passport without consent from both parents.

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0% found this document useful (0 votes)
76 views2 pages

Details 1

1) The document is a declaration by a parent or guardian applying for a passport for a minor child when one parent has not provided consent. 2) It declares that the consent of the other parent could not be obtained for reasons such as the other parent being unavailable or separated from the applicant. 3) It affirms that the applicant is solely responsible for the child's care and custody and would be responsible for any legal proceedings resulting from issuing the passport without consent from both parents.

Uploaded by

pdk jyot
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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ANNEXURE ‘C’ 10 11 19 part 1

SPECIMEN DECLARATION BY APPLICANT’S PARENT OR GUARDIAN FOR


ISSUE OF PASSPORT
TO MINOR WHEN ONE PARENT HAS NOT GIVEN CONSENT
(On plain paper)
I/We ……………………………………………………………………………………….. (name of the
parent / guardian
applying for passport) resident of
…………………………………………………………………………………………
……………………………………………………………………..................................................................
.. solemnly
declare and affirm as under :-
(I) That I/we am/are the mother/father/parents/guardians of
………….............................................................
………………………… (name of the minor child) who is minor and on whose behalf I/we have made an
application for his/her passport.
(II) Signature/consent of Shri/Smt.
…………..........................................................................................(name
of the father/mother) who is the father/mother/parents of the child has not been obtained by me for the
following one or more reasons:-
(a) The father/mother of the minor applicant is travelling abroad/is on sea/travelling in India and
unable to file consent; or/and
(b) The father/mother is separated and no court case is pending before the court regarding
divorce/marital dispute/custody of the child; or/and
(c) The father/mother has deserted and the whereabouts are not known; or/and
(d) There is an ongoing court case for divorce/custody of the minor child and the court has not given
any order prohibiting the issue of passport without the consent of father/mother; or/and
(e) There is a court order for the custody of the minor child with a parent who is applying for the
passport and consent of other parent (who has visitation rights) is not available or he/she is
refusing to give consent/the other parent is not availing the visitation rights and his/her
whereabouts are not known; or/and
(f) The parents are judicially separated and custody of the minor child has not been defined in the
court’s decree; or/and
(g) The father/mother of ………….............................................................................................. (name
of minor child) has deserted me after the conception/delivery. That ………….................................
………….................................... (name of minor child) is exclusively under my care and custody
since separation/delivery.
(III) That I/we only am/are taking care of
………………………………………………………………..…................
(name of the minor child) and he/she is exclusively in my/our physical custody.
(IV) I/we also affirm that in the case of a court case arising due to issue of a passport to the minor child
…………………………………………………………………………....…............... (name of the minor
child),
I/we would be solely responsible for defending the case and not the Passport Issuing Authority.
Signature of the parent(s)/
Guardian(s) applying for the Passport
Date: Place:
Name(s): ………………………………………………………………
Aadhaar Card No: …………………………………………………..... or
Voter ID Card No:……………………………………………………… or
Passport no: ……………………………………………………………

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