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 of

_________________________(name of the child) son/daughter of Shri
_________________________________ and Smt _______________________________ of whom
I/we/am/are the Parents/Single Parent/Applicant Parent/Guardians.

He/She is a Citizen of India and have not acquired any other

Citizenship.

His/Her date of birth is ____________/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 valid Indian passport(s).

_____________________ _____________________ OR ________________________

Father (Signature) Mother (Signature) Legal Guardian (Signature)
Date : Date : Date :