FORM - 17

[DECLARATION BY ONE OF THE PARENTS FOR OBTAINING A PASSPORT IN

INDIA FOR HIS/HER MINOR CHILD/CHILDREN]

Consulate General of India

Jeddah
-SWORN AFFIDAVIT
[To be submitted in duplicate with copy/copies of birth certificate of child(ren), Passport
and Iqama copy of the deponent parent]

I,
______________________________________________, holder of Passport No.
____________
issued at_________________on ________________residing at_________________
Saudi Arabia, [Mobile No. ___________________] do solemnly swear and affirm that:

I am married to Mr./Mrs. ____________________________ son/daughter of

__________________.
He/she
is
presently
residing
at
_____________________________________________________________________________
__________________________ .

My wife/husband is holding an Indian Passport No. _________________ issued

on _____________ at ______________.

There is no Indian passport(s) in the name (s) of our child/children listed

below:
Sl.
No.

Date of
Birth

Name

Sex

Relationship

1.
2.
3.

His/her/their name(s) is/are not included in mothers/fathers passport.

The passport(s) is/are required by the child/children for visiting Saudi
Arabia to stay with me.

A copy of my passport will be submitted along with new passport

application.

I convey my consent for obtaining passport(s) for my child/children listed

above.

This affidavit is true and that it conceals nothing and no part of it is false.
We understand that we are liable to be prosecuted if this affidavit or any
part of it is in anyway found to be incorrect or false.
Signature of the Parent

Sworn and Signed before me.

Seal and Signature of the Consular Officer