Affidavit to Be Sworn by Father or a Mother Who Claims to Be the Sole Guardian of the Child

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AFFIDAVIT TO BE SWORN BY FATHER OR A MOTHER WHO CLAIMS
TO BE THE SOLE GUARDIAN OF THE CHILD
I (full name) __________________________________________________________
of (full address) _______________________________________________________
_____________________________________________________________________
aged ________ years and upwards, make oath and say as follows:-
1) I am the father/mother of (full names of child) _______________________________
born the ____ day of ________________ in the year of __________ . I beg to refer to the birth
certificate of the said child upon which, marked with the letter “X”, I have signed my name prior to the
swearing hereof.
2) I say that I am the sole guardian of the said child and that:
a) there is no Court Order giving the father/mother or any other person Guardianship over the said
child:
b) that I have not entered into any arrangement or agreement which has the effect of making, or
purports to make the father/mother or any other person guardian of the said child jointly with me;
c) that no other person is a guardian by operation of law;
d) that no other circumstances exist whereby there is a guardian.
AFFIDAVIT TO BE SWORN BY FATHER OR A MOTHER WHO CLAIMS
TO BE THE SOLE GUARDIAN OF THE CHILD
I (full name) __________________________________________________________
of (full address) _______________________________________________________
_____________________________________________________________________
aged ________ years and upwards, make oath and say as follows:-
1) I am the father/mother of (full names of child) _______________________________
born the ____ day of ________________ in the year of __________ . I beg to refer to the birth
certificate of the said child upon which, marked with the letter “X”, I have signed my name prior to the
swearing hereof.
2) I say that I am the sole guardian of the said child and that:
a) there is no Court Order giving the father/mother or any other person Guardianship over the said
child:
b) that I have not entered into any arrangement or agreement which has the effect of making, or
purports to make the father/mother or any other person guardian of the said child jointly with me;
c) that no other person is a guardian by operation of law;
d) that no other circumstances exist whereby there is a guardian.
3)
I make this Affidavit from facts within my own knowledge save where otherwise appears.
Sworn and declared by the above named __________________________________________________
this ______ day of _________________, 20_____ at ________________________________________
before me (print full name) ____________________________________________________________
[who is personally known to me],
or
[who is identified to me by _____________ who is personally known to me]
or
[whose identity has been established to me before the taking of this Affidavit by the production to me
of passport no. [passport number] issued on [date of issue] by the authorities of [issuing state], which
is an authority recognised by the Irish Government]
or
national identity card no. [identity card number] issued on [date of issue] by the authorities of [issuing
state] [which is an EU Member State, the Swiss Confederation or a Contracting Party to the EEA
Agreement]
or
[Aliens Passport no. (document equivalent to a passport) [passport number] issued on [date of issue]
by the authorities of [issuing state] which is an authority recognised by the Irish Government]
or
refugee travel document no. [document number] issued on [date of issue] by the Minister for Justice
and Equality]
or
travel document (other than refugee travel document) [document no.] issued on [date of issue] by the
Minister for Justice and Equality
Signature of Deponent
OFFICIAL
_____________________________________
SEAL OR
Signature of Person Administering Oath/Declaration
STAMP
and Telephone Number ________________________________________
NOTES
At appropriate places please delete either the word “father” or the word “mother” and make any other
amendments or deletions as appropriate
This document must be sworn or declared before a person authorised by law to administer oaths.
NOTES
AFFIDAVIT 1
Where a person claims to be the sole guardian of a child and in order to comply with
the terms of the Status of Children Act, 1987 it is necessary to complete the attached
Affidavit form [AFF 1].
This should be completed in the presence of a Solicitor or Commissioner for Oaths.
This Affidavit should be accompanied by -
 the regular passport application form, APS1 [where the applicant is resident in
the State] or APS2 [where the applicant is resident abroad] ;
 the child’s long form birth/adoption certificate and previous passport, if
applicable; and,
 in the case of children born in Ireland on or after 1 January 2005 the Long
Form Birth certificate or Irish passport of the parent. Where the parent is not
an Irish citizen other documents in regard to the parent are required. Full
New Citizenship Changes
details on these requirements are set out in the notice
effective from 01 January 2005
on www.passport.ie.
_____________
Passport Service
May 2013

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