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ANNEXURE ‘H’

DECLARATION OF APPLICANT PARENT OR GUARDIAN IF PASSPORT IS

FOR MINOR (On Plain Paper)

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. His/Her date of

birth/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/not holding valid Indian passport(s).

___________________________ / ___________________________ / ___________________

Father (Signature) Mother (Signature) Legal Guardian (Signature)