FORM-I
APPLICATION FOR REGISTRATION AS A CITIZEN OF INDIA UNDER SECTION 5(l)(a) OF THE ACT MADE BY A PERSON OF INDIAN ORIGIN
[Rule-3]
CITIZENSHIP ACT, 1955-SECTION 5(l)(a)
PART-I
1. I, A-B of (here insert address of applicant showing village or town, police station, and name of the State) am of full age and capacity and was born at (with tehsil, district and province or State) on
..
2. My fathers full name is/was
.. and he was born at
3. My mothers full name is/was
. and she was born at
on
.
4. 1 am single /married /a widower /a widow /divorced /from my wife /husband.
5. My wifes /husbands full name is/was
..
6. My age on the date of the application is
7. Marks of identification: -
8. (a) I am ordinarily resident in India and have been so resident for the 1[five years] immediately preceding the date of application.
[Here state the address at which the applicant was ordinarily resident during the past 1[five years] with date in each case.
(b) I an in the service of a Government in India:
1[Here state the name and the department in which the applicant is employed, whether the Department forms part of the Government of India, or a State Government, the capacity in which the applicant is employed and the date of his or here appointment.]
9. Profession or occupation other than government service:
[Here state details regarding designation, name and address of employer, station of posting, etc.]
10. Passport particulars, if any: -
(a) Number
(b) Place and date of issue
(c) Name of issuing authority
11. Particulars of visa, if any, held by the applicant:
(a) Number and date of visa
(b) Place of issue
(c) Name of issuing authority
(d) Period of authorised residence specified in the visa
(e) If extended, please quote authority
12. Description of immovable property and / or business interests in India
Place
Brief description of property/business
At present possession of
13. Detail of family members who are staying in India with the applicant
14. Detail of members of family and other relationship left in a country other than India
1. Substituted by Notification No. GSR 392 (E), dt. 15-1-1987.
PART-II
15. (a) Profession or occupation while residing in Pakistan.
(b) Whether applicant is/was in employment under the Central or any Provincial or State Government of Pakistan; if so, the capacity in which he/she is /was employed.
16. Whether the applicant at any time applied for the grant of any long-term visa for India for permanent resettlement in India, if so, with what result.
17. Whether the applicant was, at the time of partition residing in territory now included in Pakistan or India (Give full address).
If the latter, state-
(a) The date of migrating from India;
(b) The circumstances in which applicant left India for Pakistan.
18. Place(s) of residence in India prior to migration.
Form
To
Place of residence and address
a)
b)
c)
d)
19. Description of immovable property and/or business interest in Pakistan owned or acquired by or allotted to applicant or to any person with whom he has joint property partnership or who is his employee or agent for purposes of ownership of allotment.
Place
Brief description of property/business interest
At present in possession of
20. Whether the property shown in item l2 or l9 has been treated as evacuee property.
21. Whether the applicant has at any time been convicted for contravention of Passport/Permit Regulations or any other offence. If so, full details to be given.
22. Civil or criminal proceeding spending against applicant in (l) India and (2) Pakistan [Full details to be given].
PART-III
23. I have /have not previously renounced or been deprived of the citizenship of India. [If the applicant has renounced his or her Indian citizenship, here state the date on which the declaration of renunciation was made; or if he or she has been deprived of his or her citizenship state the date on which and the authority by whom, the order of deprivation was made.]
24. I have/have not previously applied for registration, as a citizen of India and the application has not been rejected.
25. Names and full addresses of two references in India to whom the applicant is well known.
(1)
(2)
26. I declare that my intention is to make India my permanent home; and hereby apply to be registered as a citizen of India.
I, A-B do solemnly and sincerely declare that the foregoing particulars stated in this application 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
I, the undersigned, hereby state that I am an Indian citizen otherwise than by naturalisation; that I am a householder; 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
.
Name (in BLOCK LETTERS)
..
Date:
.
Full postal address
I, A-B
. do solemnly affirm (or swear) that I will bear true faith and allegiance to the Constitution of India as bylaw established, and that will faithfully observe the laws of India and fulfill my duties as a citizen of India.
Signature
Affirmed/Sworn and subscribed this
day of
19
..before me.
*Signature
*Designation
*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.
