FORM N
FORM XVII
[See rule 21 (1)]
THE CITIZENSHIP ACT, 1955, SECTION 8
DECLARATION OF RENUNCIATION OF CITIZENSHIP UNDER
SECTION 8
OF THE ACT MADE BY A CITIZEN OF INDIA WHO IS ALSO A
CITIZEN OR NATIONAL OF ANOTHER COUNTRY
READ INSTRUCTIONS CAREFULLY. INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED
1. I, ………………………………………………………………… (here insert
address of declaration) am of full capacity and was born
at………………………….. on……………………
2. I have/have not been married.
3. I am a citizen/national of………………………………under the law of the
country.
4. I hereby renounce my citizenship of India.
I, ……………………………………………., do solemnly and sincerely declare
that the foregoing particulars stated in this declaration are true, and I make this
solemn declaration conscientiously believing the same to be true.
Signature………………………..
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Particulars
Full name:…………………………………………………………………………
Address:……………………………………………………………………………
Profession or occupation:………………………………………………………….
Place and date of birth:…………………………………………………………….
(Second) Nationality:………………………………………………………………
Single, married, etc.:……………………………………………………………….
Name of wife or husband:………………………………………………………….
Names and nationalities of parents: ……………………………………………....
…………………………………………….....
Names and full particulars of children, if any………………………………………
…………………………………………… ………………………………………
…………………………………………… ………………………………………
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