Annexure D for Passport Filled Sample PDF and How to Fill It

Annexure D is one of the most asked-about forms during a child passport application, especially when one parent is applying alone. Most people search for an annexure d for passport filled sample because the format is legal in nature and hard to understand without real data. The lines look simple, but filling them the wrong way can block your file or delay your Passport Seva Kendra appointment.

This guide shows the actual annexure d for passport sample and explains how each field must be written, signed, and verified before submission. If you are not sure how to fill annexure d for passport or which details go where, this blog clears it with a real PDF sample that matches the Ministry of External Affairs format.

We explain annexure d for passport how to fill step by step, using real names, passport numbers, ARN, Aadhaar info, and contact details that match passport file records. You will also get the filled PDF with signature placement, declaration wording, and supporting ID fields marked.

Whether you are submitting at PSK or uploading through the passport status portal, this is the only sample you need to prepare Annexure D properly and avoid rejection.

What is Annexure D in passport application

Annexure D in passport application is self declaration signed by both parents when applying for a minor passport. This form confirms that the child is a citizen of India and that both parents agree to the application and take full responsibility.

It includes the child’s name and date of birth, and the complete details of both parents. This means their Aadhaar or PAN number, passport number, phone number, and home address. The form must also clearly state that the information is true and complete.

This document is checked by the Passport Seva Kendra at the time of submission. The Regional Passport Officer uses it to verify that both parents consent to the passport. It is required for all minor applications, whether new or renewal.

Annexure D becomes part of the passport file. It is accepted only if it is signed by both parents and stamped by a notary. If one parent is not available, they must give a separate No Objection Letter with their signature and ID proof.

The Ministry of External Affairs treats Annexure D as a mandatory record. If it is missing, the file will not move to police verification or dispatch.

Each declaration must be signed in ink, dated properly, and submitted in original with the passport application file number clearly written. The form is not accepted if unsigned or scanned without seal during the PSK visit.

Who needs Annexure D for passport application

Annexure D is required when applying for a passport for a minor. A minor means any applicant below 18 years of age. This form confirms that both parents or the legal guardian agree to the passport application and take full responsibility.

If both parents are alive and available, each must sign Annexure D. Their full names, citizenship, passport details, Aadhaar number, and contact information must be written clearly. The declaration must be notarised and submitted along with the child’s passport file.

If only one parent is applying due to travel urgency or absence of the other, Annexure D must still be signed by the parent present. In such cases, a separate No Objection Letter from the absent parent is usually required. This letter confirms they allow the passport to be issued and do not object.

If one parent has passed away, Annexure D must be submitted by the living parent along with a copy of the death certificate. This confirms that only one legal parent is available and eligible to apply for the minor.

If a legal guardian is applying instead of the parents, they must sign Annexure D and attach the official guardianship order. This is usually issued by a family court or magistrate and confirms the guardian’s legal authority.

In all cases, the Regional Passport Officer verifies the Annexure D during document review at the Passport Seva Kendra. If the form is missing, incomplete, or not signed with legal proof, the application will not move forward.

Why Annexure D is important For Minor passport approval

Annexure D is not just an extra form. It is a legal affidavit that confirms both parents or the legal guardian agree to the passport application for a minor. Without this declaration, the file cannot move to verification, printing, or dispatch. It shows that the parents understand the passport request, accept full responsibility, and confirm that the child is an Indian citizen.

This document helps the Regional Passport Officer link the file to real identities, check Aadhaar and address proof, and confirm that both signatures are valid. The Ministry of External Affairs has made Annexure D a required part of every minor application, whether it is a new passport or a renewal.

• Confirms both parents agree on child passport
• Protects legal rights during custody checks
• Verifies identity of child through parent data
• Helps RPO match file with Aadhaar or passport
• Needed for police verification to start
• Avoids objection or delay during processing
• Connects minor file to PSK record clearly
• Required in every new or renewed minor case
• Links child file to correct family address
• Approved affidavit by Ministry of External Affairs

Every line in Annexure D has legal meaning. It must be filled with correct names, signed in front of a notary, and attached to the passport application file number. If anything is missing or unclear, the file will not pass document check at the Passport Seva Kendra.

What details must be included in Annexure D

Annexure D is not a one-line affidavit. It is a verified declaration with multiple data points. Each part of the form serves a specific purpose in the passport approval process for a minor. The Ministry of External Affairs and the Regional Passport Officer use this information to confirm identity, responsibility, and consent.

Your form will be rejected if any field is missing, mismatched, or left blank. The details listed below are not optional. They are required for every Annexure D form submitted with a child’s passport application, whether it is new or renewal.

Full name of applying parent

Write the full legal name as per your Aadhaar card or passport. This name must match the one mentioned in the online passport application form. The Regional Passport Officer uses this name to validate identity, file number, and Aadhaar verification. Do not shorten or modify your name.

Full name of the child (as in birth certificate)

Use the exact name printed on the birth certificate. Any mistake in spelling, initials, or word order can result in verification failure. If your child’s name has changed officially, attach the updated document. The passport file is matched with the birth record, so this line must be accurate.

Relationship with the child

Write either “father,” “mother,” or “legal guardian.” This shows your legal role in the child’s life. The relationship field confirms that the declaration is being signed by an authorised person. In custody cases or guardianship, this line helps prevent fraud or conflict during file processing.

Declaration of full responsibility

This is the heart of the affidavit. The parent or guardian states that they take full legal and financial responsibility for the minor. This part is required under the rules of the Ministry of External Affairs. It protects the passport system from future disputes or claims.

Aadhaar card number or PAN of both parents

You can write either your Aadhaar number or PAN card. One must be included. These are verified during the backend process at the Passport Seva Kendra. Make sure the number is written clearly and matches your application ID.

Residential address and contact number

Add the full address including house number, locality, and PIN code. Use the same address as your proof of address document. Below that, add:

• Mobile number
• Email ID

These help the RPO reach out if verification is needed.

Signature in front of notary or magistrate

Do not sign this form at home. You must sign it in front of a licensed notary or magistrate. This gives the document legal weight and confirms that you are submitting it with consent. Forms without verified signatures are not accepted by the passport office.

How to Fill Annexure D for Passport

Filling Annexure D is not just about signing a form. Every line must match the minor’s passport file and the documents you submit. If you are not sure how to fill Annexure D for passport, this guide explains each step clearly.

One mistake can delay your file at the Passport Seva Kendra or during verification. Follow this format to fill it correctly and avoid rejection.

1. Use correct Annexure D format

Download the latest version or write it on plain white paper in the exact structure approved by the Ministry of External Affairs.

2. Write minor full name and birth date

Match the child name with the birth certificate. Do not shorten or rephrase it. Use full Name only.

3. Add both parents details clearly

Write the full name, nationality, passport number, Aadhaar or PAN, and mobile number for both parents. Make sure these match your original documents.

4. Mention relationship with the child

Write father, mother, or legal guardian. If the guardian is applying, attach the court-issued guardianship letter.

5. Add passport application file number

Write the exact file number from your online passport application. This helps the Regional Passport Officer match the form with the child’s file.

6. Declare full legal responsibility

Write a simple line confirming both parents accept full responsibility for the minor passport and all information is true.

7. Add current address and contact details

Mention complete residential address, city, PIN code, and mobile number. Add email if available.

8. Sign in front of a notary or magistrate

Do not sign the form at home. Carry valid ID and sign in front of an official. Ask them to stamp the form with date and seal.

9. Keep one stamped copy for safety

After notarisation, carry two copies. Submit one at Passport Seva Kendra and keep the second for follow-up.

Annexure D For Passport Filled Sample form PDF

If you are looking for a real example of how Annexure D should look when fully filled, this sample will help. The format shown below matches the official layout used during minor passport applications. It includes actual sample data, structure layout for easy reference. You can view it here and also download the PDF for your use.

Download Annexure D For Passport Filled Sample PDF

Annexure D format PDF download

You can download the official Annexure D format using the link below. This form matches the Ministry of External Affairs layout and is accepted at all Passport Seva Kendra and POPSK locations. Use only the original printed version with a clear notary seal.

Download Annexure D Form PDF

Where to submit Annexure D after filling

Submit the original Annexure D at your scheduled passport appointment. Give it at the Passport Seva Kendra (PSK) or Post Office Passport Seva Kendra (POPSK) where your child’s application is booked.

The form must be signed in front of a notary and carry the official seal. Scanned or photocopied versions are not accepted.

If submitted at a PSK, it is verified on the same day. At POPSK, it is sent to the Regional Passport Officer for clearance.

Carry one extra copy with you. If details are missing or not clear, staff may ask for another.

If the form is not submitted or signed properly, the passport file will stop and show pending status.

Annexure D must be submitted with the child’s file number and matched with identity proof. Only the original version is valid.

Documents to carry with Annexure D

Carry these documents along with Annexure D at the time of passport appointment:

• Self-attested copy of parent’s Aadhaar card
• Child birth certificate
• Photo ID proof of the applying parent
• Proof of address (Aadhaar, utility bill, or rent agreement)
• Printout of the online passport application summary
• Appointment confirmation slip

Common mistakes in Annexure D form

Even small errors in Annexure D can stop your child’s passport file. The Regional Passport Officer checks every field against Aadhaar, file number, and submitted proof. One wrong entry or missing stamp can trigger a document hold or rejection. If you want your application to go through smoothly, avoid the common mistakes listed below.

• Wrong or incomplete Aadhaar number of parent
• Birth certificate name does not match form
• File number is missing or incorrect
• Form is not signed before a notary
• Seal or date not added on the form
• Parent PAN or contact left blank
• Guardian letter not attached when needed
• Using scanned copy instead of original affidavit
• No declaration of responsibility mentioned
• Name mismatch between Annexure D and passport file

Annexure D for passport application is a legal document. Every line must match the minor passport file number, Aadhaar, and supporting proof. If any part is missing, the Passport Seva Kendra will not clear your submission and the file will stop until a corrected copy is submitted.

What to do if Annexure D is rejected

If your Annexure D is rejected, do not panic. Check exactly what the document counter or RPO mentioned. Most rejections happen because of one of these:

• The form was not signed in front of a notary
• A seal or date is missing
• Aadhaar or PAN number was incorrect
• The child name does not match the birth certificate
• File number was missing
• Guardian proof was not attached

Start fresh. Fill a new Annexure D. Use black ink or type it. Match every detail with the passport application file. Sign again in front of a notary. Ask for the official round seal and date.

Write your child’s file number at the top in bold. Carry this new form with a photocopy and resubmit it at the same PSK or POPSK counter. If your file is on hold, they will match it with the new submission and move it forward.

Never submit a scanned copy unless the RPO office tells you to. Originals only.