FORM - XVII 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



[Rule 21(1)]



1. I, A-B, of (here insert address of declarant) 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 that country.

4. I hereby renounce my citizenship of India.

I, A-B, 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…………………………..

Made and subscribed this…………………… day of……………… 19 before me.

*Signature……………….

*Designation……………..

Particulars

Full name ………………………..

Address ………………………..

Profession or occupation ………………………..

Place and date of birth ………………………..

Nationality ………………………..

Single, married, etc. ………………………..

Name and nationality of wife or husband ………………………..

Name and nationality of parents ………………………..

Names and particulars of minor children, if any ………………………..

I, the undersigned, hereby state that I am an Indian citizen otherwise than by naturalisation that I am a house-holder and that I am not the solicitor or agent of……. I vouch for the correctness of the statements made by …………….…………….. in his application for …………….

Signature

Date……………………

Name (in BLOCK LETTERS)

Full postal address………….

…………………………….

*Signature and designation of the officer authorised under rule 28 of the Citizenship Rules, 1956, before whom the registration, declaration or oath of allegiance is made or taken.