Passport Annexure E: applicant's declaration on plain paper
Annexure E is the specimen declaration the applicant makes on a plain paper. It states the names of your parents and spouse, how long you have lived at your address, that you are an Indian citizen, and that no conviction, pending criminal case, warrant or summons stands against you. You fill it in yourself and sign it. Take it with your passport application when the passport office asks for it.
Issued by: Ministry of External Affairs (Passport Seva), under the Passports Act, 1967
The form itself is in English, exactly as the issuing office prints it.
How to fill it in
- Top: your name, "son/daughter/wife of Shri" with your father's or husband's name (strike out what does not apply), your address and your date of birth.
- Point 1: write your father's name, your mother's name and your wife's or husband's name.
- Point 2: write the date from which you have been living continuously at the address given above.
- Point 3: strike out the ways of becoming a citizen that do not apply to you (by birth, descent, registration or naturalization).
- Points 4 to 6 say you have no conviction in the last five years for a serious offence, no criminal proceedings pending, and no warrant or summons against you. Point 7 is about repatriation at the Government of India's expense: strike out the alternative that does not apply. Read points 8 to 10 as well.
- Write the place and date and sign as the applicant. Sign only statements that are true for you.