Indian Passport Sample Forms by hdb45780

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									               DECLARATION OF RENUNCIATION OF CITIZENSHIP OF INDIA ON
                     ACQUISITION OF CITIZENSHIP OF ANOTHER COUNTRY

1. I _____________________________________________________ (here insert name and address of declarant)
am of full age and capacity and was born at (with Tehsil, District, State and Country) ______________________
on__________________.
2. I have/have not been married.
3. I have acquired US/Foreign nationality on _______________ and consequently have obtained US/Foreign
passport no. : ______________ dated ________________.
4. I hereby renounce my citizenship of India and surrender my Indian Passport No: ______________ Date of
Issue: ____________Place of Issue: _________________
5. Names and full particulars of my minor children, if any, who are/were Citizens 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.

    Made and subscribed this __________ day of __________________

Phone No:                                                                              Name:
E-mail:                                                                                        Signature:
US Address:

Documents required:
1. Indian passport in original
2. Copy of US Naturalization Certificate
3. Fee and penalty, if any
4. Return mail fee of $ 20 or return mail envelope
                                                Surrender Certificate
                                                                                              Date:
This is to certify that Mr./Ms. __________________________________ has renounced his/her Indian
citizenship and acquired ___________________ (name of the country) Citizenship. His/Her Indian Passport
mentioned above has been cancelled and returned to the passport holder.



Signature & stamp (Consulate Officer)

								
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