Fillable FORM XXII: (See rule 25H) The Citizenship Act, (VFS Global)

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FORM XXII: (See rule 25H) The Citizenship Act, (VFS Global)

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FORM XXII
(See rule 25H)
The Citizenship Act, 1955-section 7C(1)
DECLARATION OF RENUNCIATION OF OVERSEAS CITIZENSHIP OF
INDIA UNDER SECTION 7C(1) OF THE ACT, MADE BY AN OVERSEAS
CITIZEN OF INDIA
1. I, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (here
insert full name and address of declarant) am of full age and capacity and was born at
................................................................on ................................
2. I am registered as an overseas citizen of India.
3. I hereby renounce my overseas citizenship of India.
4. 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.
Date: . . . . . . . . . . . . . . . . . . . Signature. . . . . . . . . . . . . . . . . . . . . . . . . . .
Made and subscribed this . . . . . . . . . . . . . . . . . . . . . .. day of . . . . . . . . . . . . 20. . . . . . . . .
before me.
* Signature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
*Designation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PARTICULARS
Full Name ... ... ... ... . .. .. . ... ... ... ... ... ... ... . . . . . . . . . ... .. . ... . .. ... .
Address. . . . . . . . . .. . ... . . . .. . . . . . . . .. . .. . . . . . .. .. . .. . . . . . . . .. . ... ... . . . .. ..
Profession or occupation ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...
Place and date of birth. .. . .. . .. ... ... . . . . .. . .. . . . . .. . . . .. . .. . . .. ... . . . ..
Nationality. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of wife or husband . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Number and date of certificate of registration as an overseas citizen of India ....................................
Names and full particulars of minor children who are registered as overseas citizens of India, if any . . . . .
. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Note: Signature and designation of the officer authorised under rule 28 of the Citizenship Rules, 1956,
before whom the declaration is made or oath of allegiance is taken.
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FORM XXII: (See rule 25H) The Citizenship Act, (VFS Global)

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Completed 11 March 2022

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