Passport Annexure D — Parent/Guardian Declaration for Minor Passport — Chhattisgarh

PASSPORT ANNEXURE D

(Declaration of Parent/Guardian for Minor Passport)

(On plain paper — No stamp paper/notarisation required)

Date: 5 April 2026

Place: ________

Application Reference Number (ARN): ________

We, the parents/guardians of minor ________ (Date of Birth: ________), do hereby declare that:

Father's Details:

Name: ________

Nationality: ________

Mobile: ________

Mother's Details:

Name: ________

Nationality: ________

Mobile: ________

Residential Address: ________

1. The above-mentioned minor child is a citizen of India.

2. We both give our consent for the issuance of passport for our minor child ________.

3. We declare that all information given above is true and correct.

4. We are aware that legal action may be taken under the Passports Act 1967 if any information is found to be false.

Father's Signature: _______________

Name: ________

Mother's Signature: _______________

Name: ________

Note: As per 2020-21 reforms, this declaration is valid as a self-declaration on plain paper. No stamp paper or notarisation is required.