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    Renunciation of Indian Citizenship Surrender Certificate Form

    Uploaded by

    Tom
    This document is a declaration of renunciation of Indian citizenship upon acquiring citizenship of another country. It includes fields for the declarant to provide their name, address, date and place of birth, marital status, date and details of acquiring foreign citizenship, renunciation of Indian citizenship and surrender of Indian passport, and details of any minor children with Indian citizenship. The declarant must sign and date the declaration and provide required documents including their Indian and foreign passports, naturalization certificate, residence proof, and applicable fees. Upon approval, a surrender certificate is issued certifying the individual's renunciation of Indian citizenship and cancellation of their Indian passport.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Renunciation of Indian Citizenship Surrender Certificate Form

    Uploaded by

    Tom
    465 views1 page
    This document is a declaration of renunciation of Indian citizenship upon acquiring citizenship of another country. It includes fields for the declarant to provide their name, address, date and place of birth, marital status, date and details of acquiring foreign citizenship, renunciation of Indian citizenship and surrender of Indian passport, and details of any minor children with Indian citizenship. The declarant must sign and date the declaration and provide required documents including their Indian and foreign passports, naturalization certificate, residence proof, and applicable fees. Upon approval, a surrender certificate is issued certifying the individual's renunciation of Indian citizenship and cancellation of their Indian passport.

    Original Description:

    Template to renounce

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    This document is a declaration of renunciation of Indian citizenship upon acquiring citizenship of another country. It includes fields for the declarant to provide their name, address, date and place of birth, marital status, date and details of acquiring foreign citizenship, renunciation of Indian citizenship and surrender of Indian passport, and details of any minor children with Indian citizenship. The declarant must sign and date the declaration and provide required documents including their Indian and foreign passports, naturalization certificate, residence proof, and applicable fees. Upon approval, a surrender certificate is issued certifying the individual's renunciation of Indian citizenship and cancellation of their Indian passport.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    465 views1 page

    Renunciation of Indian Citizenship Surrender Certificate Form

    Uploaded by

    Tom
    This document is a declaration of renunciation of Indian citizenship upon acquiring citizenship of another country. It includes fields for the declarant to provide their name, address, date and place of birth, marital status, date and details of acquiring foreign citizenship, renunciation of Indian citizenship and surrender of Indian passport, and details of any minor children with Indian citizenship. The declarant must sign and date the declaration and provide required documents including their Indian and foreign passports, naturalization certificate, residence proof, and applicable fees. Upon approval, a surrender certificate is issued certifying the individual's renunciation of Indian citizenship and cancellation of their Indian passport.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    DECLARATION OF RENUNCIATION OF CITIZENSHIP OF INDIA

    ON ACQUISTION 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 ________________(date)

    2. I have/have not been married.


    3. I acquired US /Foreign Nationality on _____________ (date) 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________________
    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 ________________

    Name, Phone Number, Email address, US address:

    ________________________________________________________________________________________________________
    _____________________________________________________________________________________________________

    Signature: ____________________________

    Documents Required:
    1. Indian passport original along with a photocopy of first three and last two pages (if you do not have original passport, then
    photocopy should be submitted along with the self-affidavit for Lost Indian Passport, If you do not have photocopy of Indian
    passport also then state the same)
    2. US naturalization Certificate copy
    3. Photocopy of US passport (first two and last two pages and page containing any amendment)
    4. Residence proof (Utility bill/driving license/lease deed)
    5. Fees: US$ 175/- for those who acquired citizenship on or after 1 June 2010, others US$ 20/-
    6. Mailing fees: US$ 20 (if you are seeking surrender certificate by mail)
    (Note: fees should be paid only in form of cashier’ cheque/Money order/Postal Order while submitting application by mail and for
    OCI card. You can pay cash at the counter for surrender certificate for all consular services except for OCI card)

    Surrender Certificate
    File No: 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 (Consular Officer)

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