Application Form For Indian Passport (Page 4 of 4) in pdf

Application Form For Indian Passport Page 4

15. DECLARATION:

I SOLEMNLY AFFIRM THAT

I owe allegiance to the sovereignty and integrity of India, and

Information given above in respect of myself, my son/daughter/ward is correct

ii)

and nothing has been concealed and I am aware that it is an offence under the Passport Act

1967 to knowingly furnish false information or suppress material information, which attract

penal and other punishments under the acts.

Place…………………………

Date…………………………

….……………………………..

Signature of applicant or Thumb Impression of his legal guardian( Left Thumb for male and right

thumb for female). Applicants must ALSO sign in the boxes given below. The signature will be

affixed in your passport. Please sign strictly within these boxes with a black ballpoint pen. For new-born

children parents are requested to put the thumb impression of their baby in these boxes.

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Application Form For Indian Passport Page 4