No. V.1[401/24/2002 Ministry of External Affairs CPV Division New Delhi 224 January, 2014 CIRCULAR Subject: Acceptance of Affidavits sworn before/attested by Exeeutive Magistrate. It has been decided that the Affidavits (ie., Annexure ‘A’, ‘C’, ‘D’, 'E, 7 and ‘L) submitted with the Passport.Application form sworn before/ attested by Executive Magistrate may also be accepted henceforth as valid documents. ‘The consolidated list of Affidavits / Annexures with the concerned authorities before whom it should be sworn / attested by is reproduced below: no other proof is available applicants as proof of Dete of Birth in case | Executive Magistrate Annexure Subject ‘To be sworn before rT) ee ___|__attested by K Alfidavit to be submitted by illiterate | Judicial Magistrate or Undertaiings, their Spouse and Children | prescribed | upto the age of 18 years Public B Central Government employees, State |To be issued by the Government employees, employees of | Controlling authorities Statutory bodies and Public Sector|of employee ~ as Affidavit to be si by either parent (who are separated but not | or i formally divorced) or by a single parent of| Notary Public the child born out of wed lock mitted with the | Judicial Magistrate or application for a passport of a minor child Executive Magistrate applicant for change of name after marriage | or [Not Publ E ‘Alfidavit for change in name or Notary Public application prescribed authorities [BD Noint Aifidavit to be submitted along with | Judicial Magistrate or application for passport by a woman | Executive Magistrate | Judicial Magistrate or Executive Magistrate | Verification Certificate for Tatkaai/to be issued by 4 if passport is for minor when one parent | Executive Magistrate | has not given consent | Cont. G Declaraiion by applicant parent or guardian | Judicial Magistrate orDeclaration of applicant parent or guardian if passport is for minor To be signed by parents / legal guardian ‘Affidavit Executive Magistrate or Notary Public Verlication Certificate for Apex Business Organisations to be issued by prescribed authorities Affidavit for re-issue of passport, which was. obtained prior to marriage, by married applicants who are unable to provide the prescribed marriage certificate or joint aifidavit with spouse due to marital discord, separation or without formal divorce dectee by the court or due to total desertion by the spotise Judicial Magistrate or Executive Magistrate Affidevit for a passport In liew of Teat/ damaged passport | Judicial Magisirate or | Executive Magistrate or Notary Public | employees, employees of Statutory bodies and Public Sector Undertakings No Objection Certificate. — for Govt. / information and compliance. j aeRr To be issued by the Controlling authorities of employee - as prescribed The above may kindly be brought to the notice of all concerned for Eat (Muktesh K. Pardeshi) Joint Seeretary (PSP) & Chief Passport Officer Al PlAs in India & abroad All Passport Seva Kendras All Sections in CPV Division Passportindia PortalANNEXURE ‘E" SPECIMEN AFFIDAVIT FOR CHANGE IN NAME/DEED POLLISWORN AFFIDAVIT (On non-judicial stamp paper of minimum value) By this deed |, the undersigned (new name) previously called (old name), doin... (give profession or vocation) and resident of : (address) solemnly declare: 1. That for and on behalf of myself and my wife, children and remitter issue , | wholly renouncefralinguish and abandon the use of my former name/surname of ts .and in place thereof, | do hereby assume from this date the name/sumame cesses $0 that | and my wife, children and remitter issue may hereafter be called, known and distinguished not by my former name/surmame, but assumed name/surname of 2. That for the purpose of evidencing such my determination declare that | shall at all times hereafter in all records, deeds and writings and in all proceedings, dealings and transactions, private as well as upon all occasions whatsoever, use and sign the MAME Of -oe.eene as my name/sumame in place and in substitution of my former name/surname. 3. That | expressly authorize and request all persons in general and relatives and friends in particular, at all times hereafter to designate and address me, my wife, my children, and remitier issue by such assumed name/surname of 4, In witness whereof | have hereunto subscribed my former and adopted nameisumame of and affix my signature and seal, if any, this . day of Signed sealed and delivered by the above name Date. Former name In the presence of: Name... escsesees Name a Address (This deed poll/affidavit may be signed and attested in presence of a Judicial Magistrate or Executive Magistrate/Notary Public or Consular Officer in an Indian Mission abroad) Note: in case of change of name, applicant should insert advertisements in two reputed newspapers (one local newspaper of the area in which he/she is residing and 2nd in newspaper of the af@avof permanent address) and submit original newspapers at the time of applying for passport in his/her new name.