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 Date: (Sworn before the First Class Judicial Magistrate or Notary Public)