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PASSPORT
Fresh Passport,
Change
of Name,
Passport Issue Under Tatkal Scheme
Affidavit
ANNEXURE A
SPECIMEN AFFIDAVIT TO BE SUBMITTED BY ILLITERATE
APPLICANTS AS PROOF OF DATE OF BIRTH IN CASE NO OTHER DOCUMENT MENTIONED
AT PARA A
(b) OF SECTION IV
IS AVAILABLE
(To be executed on non-judicial stamp paper)
I
S/o W/o D/o
.. presently residing at
hereby state as
follows:
I
was born on
. at
situated in the District.
.. in the
State of
.. I have no documentary proof in support of my place and date
of birth.
I
do not possess any educational qualification and I am an illiterate person.
I
take oath and solemnly declare/affirm that the particulars furnished by me
above are correct and that I have not concealed or misrepresented any facts.
Place
Date
..
Verified on this
day of
.. of the year
.. that the
contents of my above affidavit are true and correct to the best of my
knowledge and belief and nothing in material has been concealed there from.
The contents of the affidavit has been read out to me
Deponent
Attested
Signature and official seal of attesting authority
Note:
Affidavit to be
attested by the Magistrate/Notary
In case of notary, notarial stamp would be
required
ANNEXURE B
ALL CENTRAL GOVERNMENT EMPLOYEES STATE GOVERNMENT EMPLOYEES, EMPLOYEES OF STATUTORY BODIES AND PUBLIC SECTOR UNDERTAKINGS AND THEIR DEPENDENT FAMILY MEMBERS ARE REQUIRED TO PRODUCE A IDENTITY CERTIFICATE (STRIKE OUT PORTION NOT APPLICABLE)
(To be given in Duplicate
on Original Stationery)
Certified that SHRI/SHRIMATI/KUM
. Son/Wife of Shri
of is a temporary/permanent employee of
this (office address)
. from
. (date)
. and is at present
holding the post of
.. Shri/Smt./Miss/Mst.
.is/are a
dependent family member(s) of Shri/Smt
. and his/her identity
is certified. This Ministry/Department/Organization has no objection to
his/her acquiring Indian Passport. The undersigned is duly authorized
to sign this Identity Certificate. I have read the provisions of Section
6(2) of the Passports Act, 1967 and certify that these are not attracted
in case of this applicant. I recommend issue of an Indian Passport to
him/her. It is certified that this organization is a central / State
Government / Public Sector / undertaking / statutory body. The Identity
Card Number of Shri/Smt (employee)
is
Ref. No. &
Date
..
Name, Designation, address & Tel No.
ANNEXURE C
AFFIDAVIT TO BE SUBMITTED WITH THE
APPLICATION FOR A PASSPORT OF A MINOR CHILD BY EITHER PARENT (WHO
ARE SEPARATED BUT NOT FORMALLY DIVORCED) OR BY A SINGLE PARENT OF
THE CHILD BORN OUT OF WEDLOCK
(To be executed on non-judicial stamp paper)
I, (name of single parent) solemnly declare
and affirm as follows:
1.
That I am the mother/father of (name of the child) who is
a minor child and on whose behalf I have made an application for
his/her passport.
2. That I am judicially separated from the mother/father of (name of minor).
OR
That no legally valid marriage ever existed between me and Mr./Ms.(the father/mother the minor child)
OR
The father/mother of (name of the child)
has deserted me after conception/ delivery
3. That (name of the minor) is
exclusively under my care and custody since separation/delivery.
Signature & address of Deponent
(Sworn before the First Class Judicial Magistrate or Notary Public)
ANNEXURE D
SPECIMEN AFFIDAVIT TO BE SUBMITTED ALONG WITH APPLICATION FOR PASSPORT BY A WOMAN APPLICANT FOR CHANGE OF NAME AFTER MARRIAGE (JOINT AFFIDAVIT TO BE SUBMITTED ALONG WITH HER HUSBAND)
(To be executed on non-judicial stamp paper)
We 1
(maiden name of wife)
2. .
(name of husband)
solemnly declare and affirm as under:
1.That we are married under .Marriage Act/Rights/Customs and are living together as married couple since
(date of marriage)
2..That .. would henceforth be known as
(maiden name of wife) (name of wife after marriage)
by virtue of our marriage.
3.That our joint photograph is affixed below.
Date:
Signature & address of Deponents
1 .
2
Note: 1. This affidavit may be sworn before a Magistrate/Notary.
2. The joint photograph of the couple is to be pasted on the bottom left hand side of the affidavit paper and attested by the Magistrate/Notary with his/her signature and rubber stamps (half on the photograph and half on the affidavit)
3. Declaration 2 above to be ignored by applicants who seek endorsement of name of spouse in respect of reissue of a previously issued passport.
ANNEXURE E
SPECIMEN AFFIDAVIT FOR CHANGE IN NAME/DEED POLL/SWORN AFFIDAVIT
(On non-judicial stamp paper)
By this deed I, the undersigned .(New Name) previously called . (Old name), doing (give profession or vocation) and resident of (address) solemnly declare:-
1. That for and on behalf of myself and my wife and children and remitter issue wholly renounce/relinquish and abandon the use of my former name/surname of .and in place thereof I do hereby assume from this date the name/surname . and so that I and my wife, children and remitter issue may hereafter be called, known and distinguished not by my former name/surname, but assumed name/surname of
2. That for the purpose of evidencing such my determination declare that I 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 name of .. as my name/surname in place and in substitution of my former name/surname.
3. That I 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, remitter issue by such assumed name/surname of ..accordingly.
4. In witness whereof I have hereunto subscribed my former and adopted name/surname of .. and affix my signature and seal, if any, this .. day of ..
Signed sealed and delivered by the above name
Former name
Date
In the presence of:
Name .. Name .
Address . Address ..
(This deed poll/affidavit may be signed and attested in presence of a Magistrate/Notary 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 area of permanent address) and submit original newspapers at time of applying for passport in his/her new name.
Contact For Fressh Passport, Change of Name, Tatkal Scheme, Affidavit Assistance Top
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