"Form DS-3053" means "Statement of Consent or Special Circumstance for Minor's Passport". So, your spouse just fill the form following the instructions at the link I cited about, and go to the US Consulate to sigh it. I have not seen there is 第5項 on Form DS-3053. Maybe you got a different form?
Read this:
http://www.us-passport-service-guide.com/ds-3053-statement-of-consent-for-issuance-of-a-passport-to-minor-under-age-16.html
Read this:
http://www.us-passport-service-guide.com/ds-3053-statement-of-consent-for-issuance-of-a-passport-to-minor-under-age-16.html