PARENTAL AUTHORIZATION FOR MINORS (Children under 18 years and old) We, the undersigned, Mr. and Mrs. Capacity PARENTS (Both parents or guardians should provide a copy of his / her ID card with signature and the child birth-certiļ¬cate. If separated or divorced, or in case of adoption, the legal guardian should provide a copy of the judgement) having full and complete custody of Name of the minor Date of birth (day/month/year) Residing at do hereby authorize the issuance of OCI (Overseas Citizen of India) for the said minor. JURAT WITH AFFIANT STATEMENT State of County of _________________________ SS. _________________________ _____________________________ _____________________________ Signature of Document Signer No.1 Signature of Document Signer No.2 (if any) Subscribed and sworn to (or affirmed) before me this ______ day of _________ _______ by Date Month Year _________________________________ Name of Signer No.1 _________________________________ Name of Signer No.2 _________________________________ Signature of Notary Public _________________________________ Place Notary Seal/Stamp Above (Residence, Expiration Date, etc.)
