[DECLARATION BY PARENTS]
SWORN AFFIDAVIT
TO WHOMSOVER IT MAY CONCERN
Our Son/Daughter
has acquired US Citizenship on the basis of parent's on :
We, hereby declare that the above particulars are true and we agree that in case any false information is given in the affidavit,
appropriate action can be taken as per the Government of India Rules and Regulations against us including but not limited to
revoking of issuance of OCI card in respect of my ward and any other action including penalty as deemed fit by the Government
of India and its agencies
Applicant's Father:
Name
Passport No.
Date of Naturalization
Signature
Applicant's Mother:
Name
Passport No.
Date of Naturalization
Signature
[Signature of the parents to be attested by the Nortary]
Applicant's Father Details Applicant's Mother Details