Parental Authorization for Minors (Children under 18 years old) (To be used for Renunciation Applications only) Indian Embassy/Consulate General Of India We, the undersigned, Mr. and Mrs. Capacity The both parents or guardians should provide a copy of his/her ID card with signature and the child birth certificate. 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 Date of Birth residing at do hereby authorize Do hereby that the do authorize for the saidCertificate/Declaration minor do hereby hereby authorize theissuance issuanceof ofOCI Renunciation for the said minor. Renunciation do hereby issuance of Renunciation / OCI card for the said minor. Myauthorize child to the leave the United States of Certificate/Declaration America The issuance of Renunciation Certificate/Declaration Parental authorization form needs to be notarized The issuance of OCI card PLACE Date: DATEPlace : (Mother’s Signature) ( Mother's Signature) ( Father's Siganture) (Father’s Signature) PARENTAL AUTHORISATION FORM MUST BE NOTARIZED.