Annexure C
Annexure C
Annexure C
(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 courts decree; or/and
(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.
Date:
Name(s): ..
Passport no..