Embassy of India

Algiers

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SWORN AFFIDAVIT/DECLARATION OF PARENTS WHO APPLY FOR

PASSPORT IN FAVOUR OF MINOR CHILD/CILDREN

I ______________________________________________ holder of Indian

Passport No. _____________________ issued at _________________ on
_______________ and son of Shri ________________________________ residing at
________________________________________________________________________
solemnly affirm and declare that :

*(1) My wife Smt _________________________________ holder of Indian

Passport No. _____________________ issued at _________________ on
_______________ is applying for an Indian passport for our child Kum./Master
________________________ (name of child) born on _______________(date of
birth) at _______________ (place of birth) and is presently under her care.

*(2) There is no passport in the name of our child Kum./Master

______________________ (name of child) born on _____________(date of birth)
at _______________ (place of birth) and his/her name is not included in any other
passport.

*(3) The passport is required by our child __________________________ (name

of child) for visiting __________________________ (name of the country) for the
purpose of _________________________________________.

*(4) I __________________________________________ hold passport No.

______________ issued at ________________ on ________________ but my
wife/husband does not hold passport.

*(5) I have no objection for issuing passport to my child for the purpose
mentioned above.

_________________
(Signature of Father)
Date : ______________
Place : _____________
* Strike out whichever is not applicable.
 Embassy of India
Algiers

****

SWORN AFFIDAVIT/DECLARATION OF PARENTS WHO APPLY FOR

PASSPORT IN FAVOUR OF MINOR CHILD/CILDREN

We, Shri______________________________________________ [holder of

Indian Passport No. ___________ issued at ____________ on __________ and son of
Shri________________________________] and Smt. ___________________________
[holder of Passport No. __________ issued at ______________ on ____________ and
wife of Shri ________________________________] residing at
________________________________________________________________________
solemnly affirm and declare that :

*(1) There is no passport in the name of our child Kum./Master

______________________________ (name of child) born on ___________ (date
of birth) at __________ (place of birth) and his/her name is not included in any
other passports.

*(2) The passport is required by our child __________________________ (name

of child) for visiting __________________________ (name of the country) for the
purpose of _________________________________________.

*(3) I __________________________________________ hold passport No.

______________ issued at ________________ on ________________ but my
wife/husband does not hold passport.

*(4) We both are passport holders and photocopies of our passports are submitted
with the passport application.

*(5) We declare our No objection for issuing passport to our child for the purpose
mentioned above.

_________________
(Signature of Father)

_________________
(Signature of Mother)
Date : ______________
Place : _____________
* Strike out whichever is not applicable.