This form is an official State of Connecticut Superior Court form which complies with all applicable state codes and statutes. USLF updates all state forms as is required by state statutes and law.
Affidavit Concerning Child For Passport
State:
Connecticut
Control #:
CT-JD-FM-164
Format:
PDF
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FAQ
Consent is required from: a parent or guardian with parental responsibility (PR) for a child under 16 years of age or a child 16 or 16 years of age who is subject to a court order. the young person who is over the age of 16 years and not subject to a court order.
I/ We affirm that the particulars given above are of ___________________________ (name of the child) son/daughter of Shri ___________________________ and Smt. ________________________________ of whom I/we am/are the Parents/Single Parent / Applicant Parent/ Guardians. He/She is a Citizen of India.
(Full name of the applicant) and holder of Indian passport number???????..,?????... Solemnly declare and affirm as follows: (i) I want to change my name from ???????????????????????????????????.. (name how it is written in the existing passport) to ??????????????????????????????????.
I/ We affirm that the particulars given above are of ___________________________ (name of the child) son/daughter of Shri ___________________________ and Smt. ________________________________ of whom I/we am/are the Parents/Single Parent / Applicant Parent/ Guardians. He/She is a Citizen of India.
(Full name of the applicant) and holder of Indian passport number???????..,?????... Solemnly declare and affirm as follows: (i) I want to change my name from ???????????????????????????????????.. (name how it is written in the existing passport) to ??????????????????????????????????.