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THE CITIZENSHIP RULES, 1956
S.R.O. 1574. -- In exercise of the powers conferred by Sec. 18 of
the Citizenship Act, 1955 (57 of 1955, the Centr!" #o$ern%enthereby %!&es the fo""owin' r"es, n!%e"y)
PART I
Preliminary
1. S!r" "i"le an# $!mmen$emen". %%
(1 *hese r"es %!y be c!""ed the Citizenship +"es, 195.
( *hey sh!"" co%e into force !t once.
In "e&e r'le&, 'nle&& "e $!n"e(" !"er)i&e re*'ire&,%%
+. e-ini"i!n&.
(! the Act %e!ns the Citizenship Act, 1955 (57 of 1955/
(!! *he 0Centr!" #o$ern%ent %e!ns !ny officer not be"ow
the r!n& of ! 2epty Secret!ry to the 'o$ern%ent of Indi!in the 3inistry of 4o%e Aff!irs or its ei$!"ent/
(b Co""ector %e!ns the chief officer in ch!r'e of the
re$ene !d%inistr!tion of ! district, !nd inc"des sch other
officer !s the Centr!" #o$ern%ent %!y, by notific!tion inthe 6ffici!" #!zette, !ppoint to perfor% the fnctions of the
Co""ector nder these r"es in respect of !ny !re!/
(c for% %e!ns ! for% in Sched"e I/
(d sched"e %e!ns ! sched"e to these r"es /
(e Secret!ry %e!ns Secret!ry, Speci!" Secret!ry, !n
Addition!" Secret!ry or ! oint Secret!ry to the #o$ern%entof Indi! in the 3inistry of 4o%e Aff!irs /
(f section %e!ns ! section of the Act
+A. A//li$a"i!n -!r re0i&"ra"i!n y #e&$en" 'n#er &'%&e$"i!n 213
!- &e$"i!n 4. %
An !pp"ic!tion for re'istr!tion of ! %inor chi"d nder the
pro$isions of sb-section (1 of section sh!"" be %!de in:or% I; !nd be !cco%p!nied by !n ndert!&in' in writin'
fro% the p!rents of %inor th!t he or she does not ho"d thep!ssport of !ny other contry.otific!tion >o. #S+5(? dt. 11.@.@@5.
PART II
Ci"ien&i/ !- In#ia y Re0i&"ra"i!n
. !rm !- a//li$a"i!n -!r re0i&"ra"i!n 'n#er Se$. 5 213 2a3.
(1 An !pp"ic!tion for re'istr!tion !s ! citizenship of Indi! %!de
nder Sec. 5 (1 (! sh!"" be in :or% I !nd sh!"" be !cco%p!niedby !n ndert!&in' in writin' th!t heshe wi"" renonce the
citizenship of hisher contry in the e$ent of hisher !pp"ic!tionbein' s!nctioned.
( *he o!th of !""e'i!nce specified in the Second Sched"e to theAct sh!"" be !ffir%ed (or sworn, sbscribed !nd !ttested before
re'istr!tion.
(B >o !pp"ic!tion nder sb-r"e (1 sh!"" "e n"ess the !pp"ic!nt
w!s ordin!ri"y resident in Indi! for ! period of 5se$en ye!rsotwithst!ndin' !nythin' cont!ined in sb-r"e (B, in
the c!se of ! forei'n n!tion!" who h!s been %!rried to !n
Indi!n citizen for not "ess th!n se$en ye!rs, whose
%!rri!'e is sti"" sbsistin' !nd who h!s $isited Indi! !t
"e!st once in e$ery ye!r drin' !ny se$en ye!rs ot of
nine ye!rs, the Centr!" #o$ern%ent %!y, if it thin&s fit,
exe%pt sch forei'n n!tion!" fro% the oper!tion of th!t
sb-r"e.otific!tion >o. #S+18(? dt 8.@.@@ for thewords 0*he !thority.
2. Inserted by >otific!tion >o. #S+18(? dt 8.@.@@.
3. Sbstitted by >otific!tion >o. #S+18(? dt 8.@.@@ for thewords 0the Co""ector.
4. Sbstitted by >otific!tion >o. #S+18(? dt 8.@.@@ for thewords 0*here sh!"".
5. Sbstitted by >otific!tion >o. #S+5(? dt. 11.@.@@5 for thewords 0fi$e ye!rs.
6. Sbstitted by >otific!tion >o. #S+5(? dt. 11.@.@@5 for thefo""owin')-
0( >otwithst!ndin' !nythin' cont!ined in sb-r"e (B, in the
c!se of ! wo%!n %!rried to ! person in the ser$ice of #o$ern%ent
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of Indi!, the Centr!" #o$ern%ent %!y, if in the speci!"circ%st!nces of the c!se it thin&s fit, exe%pt sch wo%!n fro%
the oper!tion of th!t sb-r"e.
(5 >otwithst!ndin' !nythin' cont!ined in sb-r"e (B in the c!se
of ! wo%!n who h!s been %!rried to !n Indi!n citizen for not "ess
th!n fi$e ye!rs whose %!rri!'e is sti"" sbsistin' !nd who h!s$isited Indi! !t "e!st once, the Centr!" #o$ern%ent, %!y, if in thespeci!" circ%st!nces it thin&s fit, exe%pt sch wo%!n fro% the
oper!tion of th!t sb-r"e.
7. Sbstitted by >otific!tion >o. #S+5(? dt. 11.@.@@5 for thefo""owin')-
D!rm !- a//li$a"i!n -!r re0i&"ra"i!n 'n#er Se$. 5 213 2#3, %%
An !pp"ic!tion for the re'istr!tion of ! %inor chi"d of citizen of
Indi! !s ! citizen thereof %!de nder Sec. 5 (1 (d sh!"" be in:or% in !nd sh!"" inc"de the fo""owin' p!rtic"!rs, th!t is to s!y,--
(! ! st!te%ent whether the !pp"ic!nt is ! p!rent or'!rdi!n of the chi"d, !nd if he is ! '!rdi!n, how he bec!%e !
'!rdi!n/
(b ! st!te%ent showin' th!t e!ch of the p!rents of the
chi"d is, or, if dece!sed, w!s !t the ti%e of de!th, ! citizen ofIndi!/
(b) (b ! st!te%ent of the re!sons for which it is desiredth!t the chi"d sho"d be re'istered !s ! citizen of Indi!.
8. Sbstitted by >otific!tion >o. #S+5(? dt. 11.@.@@5 for thefo""owin')-
06. !rm !- a//li$a"i!n -!r re0i&"ra"i!n 'n#er Se$. 5 243.
An !pp"ic!nt for the re'istr!tion of ! %inor chi"d !s ! citizen ofIndi! %!de nder Sec. 5 ( sh!"" be in :or% ID !nd sh!"" inc"de
the p!rtic"!rs)--
(! ! st!te%ent whether the !pp"ic!nt is ! p!rent or '!rdi!n ofthe chi"d !nd if he is ! '!rdi!n, how he bec!%e the '!rdi!n/
(b ! st!te%ent showin' whether the chi"d w!s !dopted by the
!pp"ic!nt !nd if so, doc%ent!ry e$idence to this effct/
(c ! st!te%ent of the re!sons for which it is desired th!t thechi"d sho"d be re'istered !s ! citizen of Indi!.
9. Sbstitted by >otific!tion >o. #S+5(? dt. 11.@.@@5 for thefo""owin')-
7. A'"!ri"y "! )i$ a//li$a"i!n i& "! e ma#e.
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An !pp"ic!tion for re'istr!tion sh!"" be %!de to the Co""ectorwithin whose Erisdiction the !pp"ic!nt is ordin!ri"y resident.
6n receipt of the !pp"ic!tion the Co""ector or !ny otherofficer !thorized on his beh!"f sh!"" isse !n
!c&now"ed'e%ent in :or% IA.
10. Sbstitted by >otific!tion >o. #S+5(? dt. 11.@.@@5 for thewordsC"s. (!, (c, (d !nd (e of sb-section (1 of Sec. 5.
11. Sbstitted by >otific!tion >o. #S+5(? dt. 11.@.@@5 for thewords 0section 5(1 (!, (c, (d !nd (e .
12. Sbstitted by >otific!tion >o. #S+5(? dt. 11.@.@@5 for thewords 0one hndred !nd twenty d!ys.
1B.6%itted the words 0its reco%%end!tion by >otific!tion >o.#S+5(? dt. 11.@.@@5.
14. Sbstitted by >otific!tion >o. #S+5(? dt. 11.@.@@5 for thewords 0sixty d!ys.
15. Sbstitted by >otific!tion >o. #S+5(? dt. 11.@.@@5 for thewords 0one hndred !nd ei'hty d!ys.
16. Sbstitted by >otific!tion >o. #S+5(? dt. 11.@.@@5 for thewords 0its reco%%end!tion.
17. Sbstitted by >otific!tion >o. #S+5(? dt. 11.@.@@5 for thefo""owin')-
(1) (1 ?$ery person who is re'istered !s ! citizen of Indi! nderSec. 5 (1 (! or Sec. 5 (1 (d sh!"" be issed ! certific!te ofre'istr!tion in :or% D d"y si'ned by !n officer not be"ow the
r!n& of Fnder Secret!ry to the #o$ern%ent of Indi!.
18. 6%itted by >otific!tion >o. #S+5(? dt. 11.@.@@5. Hrior too%ission it re!d !s nder)-
(2) ( ?$ery person who is re'istered !s citizen of Indi! nderSec. 5 (1 (c or Sec. 5 ( sh!"" be issed ! certific!te ofre'istr!tion in :or% DI d"y si'ned by !n officer not be"ow the
r!n& of Fnder Secret!ry to the #o$ern%ent of Indi!.
19. Inserted by >otific!tion >o. #S+5(? dt. 11.@.@@5.
20. Sbstitted by >otific!tion >o. #S+5(? dt. 11.@.@@5 for thewords 0sb-r"e (.
21. Sbstitted by >otific!tion >o. #S+5(? dt. 11.@.@@5 for thefo""owin')-
D11. Re0i&"er !- /er&!n& re0i&"ere# 'n#er Se$. 5 2132a3.
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4SbEect to the pro$isions of r"e 11A, there sh!""< be &ept
by the Centr!" #o$ern%ent in the 3inistry of 4o%e Aff!irsL
(! ! re'ister cont!inin' the n!%es of the %inor chi"drenMs
re'istered !s citizens of Indi! nder Sec. 5 (1 (d, in :or%
DIII--HA+* I.
(b ! re'ister cont!inin' the n!%es of persons whose!pp"ic!tions for re'istr!tion !s citizens of Indi! nder Sec. 5
(1 (! h!$e been reEected, in :or% DII--HA+* II/
(c) (c ! re'ister cont!inin' the n!%es of %inor chi"drenwhose !pp"ic!tions for re'istr!tion !s citizens of Indi!
nder Sec. 5 (1 (d, h!$e been reEected in :or% DIII--HA+* II.
22. 6%itted by >otific!tion >o. #S+5(? dt. 11.@.@@5. prior too%ission it re!d !s nder)-
16%A. Re0i&"ra"i!n !- $i"ien& !- Sin0a/!re 'n#er
Se$. 5 213 2$3.
(1 An !pp"ic!tion by ! citizen of Sin'!pore
for re'istr!tion !s ! citizen of Indi! nder
Sec. 5 (1 (c sh!"" be in :or% KIK.
( *he o!th of !""e'i!nce in the for%specified in the Second Sched"e to the Act
sh!"" be !ffir%ed (or sworn, sbscribed !nd!ttested before re'istr!tion.
(B An !pp"ic!tion nder sb-r"e (1 sh!""not "ie, n"ess the !pp"ic!nt.--
(! is of f"" !'e !nd c!p!city /
(b is of 'ood ch!r!cter/
(c h!s resided in Indi! thro'hot thetwe"$e %onths i%%edi!te"y precedin' the
d!te of his !pp"ic!tion /
(d h!s drin' the twe"$e ye!rsi%%edi!te"y precedin' the d!te of his
!pp"ic!tion resided in Indi! for periods
!%ontin' to in !''re'!te to not "essth!n ei'ht ye!rs/ !nd
(e intends to reside per%!nent"y in Indi!.
16%. Cer"i-i$a"e !- re0i&"ra"i!n "! e 0ran"e# "!/er&!n& re0i&"ere# 'n#er Se$. 5 213 2e3.
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(1) (1 ?$ery person who is re'istered !s ! citizen ofIndi! nder Sec. 5 (1 (e sh!"" be issed !certific!te of re'istr!tion in :or% KK. Jhen sch !
certific!te is issed, ! dp"ic!te copy thereof sh!""be prep!red !nd preser$ed for ! record by the
issin' !thority.
(2) ( *here sh!"" be &ept by the Centr!" #o$ern%entin the 3inistry of 4o%e Aff!irs, ! re'ister cont!inin'
the n!%es of the persons re'istered !s citizens ofIndi! nder Sec. 5 (1 (e, in :or% KKI.
16%C. Re0i&"ra"i!n !- $i"ien& !- Cana#a 'n#er Se$. 5213 2e3.
(1 An !pp"ic!tion by ! citizen of C!n!d! forre'istr!tion !s ! citizen of Indi! nder Sec. 5
(1 (e sh!"" be in :or% KKII.
( An !pp"ic!tion nder sb-r"e (1 sh!""
not "ie, n"ess the !pp"ic!nt,--
(! is of f"" !'e !nd c!p!city /
(b h!s either resided in Indi! or h!sbeen in the ser$ice of ! #o$ern%ent in
Indi!, or p!rt"y the one !nd p!rt"y theother, thro'hot the period or twe"$e
%onths i%%edi!te"y precedin' thed!"e of the !pp"ic!tion /
(c h!s drin' the se$en ye!rsi%%edi!te"y precedin' the s!id periodor twe"$e %onths resided in Indi! or
been in the ser$ice of the #o$ern%ent
in Indi!, or p!rt"y the one !nd p!rt"ythe other, for periods !%ontin' in
the !''re'!te to not "ess th!n forye!rs /
(d h!s !n !de!te &now"ed'e of !"!n'!'e specified in the ?n'"ish Sched"e to
the Constittion /
(e is of 'ood ch!r!cter/ !nd
(f h!s !n intention to %!&e Indi! hisper%!nent ho%e )
Hro$ided th!t the Centr!" #o$ern%ent%!y, if in the speci!" circ%st!nces of !ny
p!rtic"!r c!se it thin&s fit,--
(i !""ow ! continos period of twe"$e
%onths endin' not %ore th!n six%onths before the d!te of the
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!pp"ic!tion to be rec&oned / for theprposes of C"!se (b !bo$e, !s if it
h!d i%%edi!te"y preceded th!t d!te/
(3) (B (ii !""ow periods of residence or ser$ice e!r"ier th!nei'ht ye!rs before the d!te of the !pp"ic!tion to be
rec&oned in co%ptin' the !''re'!te %entioned in C".(c !bo$e.
23. Sbstitted by >otific!tion >o. #S+8(? d!ted @.@7.@@5 forthe words 0two ye!rs.
PART III
Na"'ralia"i!n an# Re&'m/"i!n !- In#ian Ci"ien&i/
17. !rm !- a//li$a"i!n -!r na"'ralia"i!n.
(1 An !pp"ic!tion for ! certific!te of n!tr!"iz!tion sh!"" be %!de
in :or% KII to the Co""ector within whose Erisdiction the !pp"ic!nt
is ordin!ri"y resident !nd the Co""ector sh!"" tr!ns%it e$ery sch!pp"ic!tion to the Centr!" #o$ern%ent thro'h the St!te
#o$ern%ent !"on'with his report.
( Sch !pp"ic!tion sh!"" be !cco%p!nied by--
(i dty st!%ped !ffid!$its fro% the !pp"ic!nt !nd tworespect!b"e Indi!n citizens testifyin' to the ch!r!cter of the
!pp"ic!nt !nd the correctness of the st!te%ents %!de inthe !pp"ic!tion / !nd
(ii ! certific!te to the effect th!t the !pp"ic!nt h!s !n!de!te &now"ed'e of one of the "!n'!'es specified in
the ?i'hth Sched"e to the Constittion.
1?xp"!n!tion 1
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4o%e Aff!irs !nd !"so inc"des sch officer !s the Centr!"#o$ern%ent %!y, by notific!tion in the 6ffici!" #!zette, !ppoint.. e$lara"i!n !- in"en"i!n "! re&'me In#ian $i"ien&i/.
(1 A dec"!r!tion of intention to res%e citizenship nder thepro$iso to Sec. 8 ( sh!"" be in :or% KD !nd the o!th of !""e'i!nce
in th!t for% sh!"" be d"y sbscribed !nd !ttested.
( ?$ery sch dec"!r!tion sh!"" be re'istered in the 3inister of
4o%e Aff!irs of the #o$ern%ent of Indi!.
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(B >o sch dec"!r!tion sh!"" be re'istered n"ess the dec"!r!nth!s t!&en the o!th of !""e'i!nce 'i$en !t the end of the for%.
2["(3A) Every person who a!es sch #ec$ara%&on sha$$ be &sse# a
cer%&'&ca%e o' resp%&on o' n#&an c&%&ensh&p &n *or +,A- #$y
s&ne# by an o''&cer no% be$ow %he ran! o' an /n#er ecre%ary %o %he
overnen% o' n#&a- an# where sch a cer%&'&ca%e &s &sse#- a
#p$&ca%e copy %hereo' sha$$ be prepare# an# preserve# 'or recor# by
%he &ss&n a%hor&%y."
( *here sh!"" be &ept by the Centr!" #o$ern%ent in the 3inistry
of 4o%e Aff!irs ! re'ister in :or% KDI cont!inin' the n!%es ofpersons whose dec"!r!tion of intention to res%e Indi!n citizenship
!re re'istered nder this r"e.
.
1. Sbstitted by >otific!tion >o. #S+5(? dt. 11.@.@@5 for thewords 0?xp"!n!tion.
. Inserted by >otific!tion >o. #S+5(? dt. 11.@.@@5.
PART IF
Ren'n$ia"i!n an# e/ri=a"i!n !- Ci"ien&i/ !- In#ia
+1. e$lara"i!n !- ren'n$ia"i!n !- $i"ien&i/.
(1 A dec"!r!tion of rennci!tion of citizenship of Indi! %!de nder
Sec. 8 (1 sh!"" be in :or% KDII, !nd sh!"" st!te--
(! nder wh!t pro$ision of the "!w the !pp"ic!nt is !n
Indi!n citizen/ !nd
(b the circ%st!nces in which the !pp"ic!tion is !"so
forei'n citizen or n!tion!".
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( *he dec"!r!tion sh!"" be re'istered in the 3inistry of 4o%eAff!irs of the #o$ern%ent of Indi!.
(B *here sh!"" be &ept by the Centr!" #o$ern%ent in the 3inistryof 4o%e Aff!irs ! re'ister in :or% KDIII cont!inin' the n!%es of
persons whose dec"!r!tion of intention to renonce citizenship !re
re'istered nder this r"e.
.
++. N!"i$e !- /r!/!&e# #e/ri=a"i!n !- $i"ien&i/.
(1 Jhen it is proposed to %!&e !n order nder Sec. 1@ depri$in'! person of his citizenship of Indi!, notice nder sb-section ( of
th!t section sh!"" be 'i$en--
(! in ! c!se where th!t personNs where!bots !re &nown,
by c!sin' the notice to be de"i$ered to hi% person!""y orby sendin' it to hi% by post/
(b in ! c!se where the personNs where!bots !re not&nown, by sendin' it to his "!st &nown !ddress.
( Jhere the Centr!" #o$ern%ent h!s 'i$en notice !s !fores!id!nd the person to who% it is 'i$en h!s the ri'ht on %!&in'
!pp"ic!tion therefor to h!$e his c!se referred to Co%%ittee ofIniry nder Sec. 1@ (5, the !pp"ic!tion sh!"" be %!de--
(! if th!t person is in Indi! !t the ti%e when the notice is
'i$en to hi%, within three %onths fro% the 'i$in' of the notice /
(b in !ny other c!se, within sch ti%e not bein' "ess th!nthree %onths fro% the 'i$in' of the notice, !s the Centr!"
#o$ern%ent %!y deter%ine)
Hro$ided th!t the Centr!" #o$ern%ent %!y in speci!"circ%st!nces !t !ny ti%e extend the "i%e within which the
!pp"ic!tion %!y be %!de.
(B Any notice 'i$en in !ccord!nce with the pro$isions of this r"esh!"", in ! c!se in which the person to who% it is 'i$en h!s the
ri'ht, on %!&in' !pp"ic!tion therefor, to h!$e his c!se referred to! Co%%ittee of Iniry nder Sec. 1@ (5, inc"de ! st!te%ent of
the ti%e within which sch !pp"ic!tion %st be %!de.
.
+. Or#er #e/ri=in0 a /er&!n !- In#ian $i"ien&i/ "! e/'li&e#.%%
An order depri$in' ! citizen of Indi! of the citizenship of Indi! sh!""be pb"ished in the #!zette of Indi!.
.
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+4. Can$ella"i!n !- $er"i-i$a"e !- na"'ralia"i!n in $a&e !-#e/ri=a"i!n !- $i"ien&i/.
(1 Jhere !n order h!s been %!de depri$in' ! person n!tr!"izedin Indi! of his citizenship of Indi!, the person so depri$ed or !ny
other person in possession of the re"e$!nt certific!te of
n!tr!"iz!tion sh!"", if reired by notice in writin' 'i$en by theCentr!" #o$ern%ent, de"i$er p the s!id certific!te to sch person!nd within sch ti%e !s %!y be specified in the notice.
( (! If the s!id certific!te is so de"i$ered, it sh!"" bec!nce""ed.
(b If the s!id certific!te is not so de"i$ered, the Centr!"#o$ern%ent sh!"" direct th!t it sh!"" be tre!ted !s
c!nce""ed, bt withot preEdice to !ny !ction which %!y bet!&en nder sb-r"e (B.
(B If !ny person f!i"s to co%p"y with !ny notice 'i$en nder sb-
r"e (1 he sh!"" be pnish!b"e with fine which %!y extend to onethos!nd rpees.
.
+5. C!mmi""ee "! -!ll!) /r!$e#'re in S$e#'le II in !l#in0
in*'iry.
A Co%%ittee of Iniry !ppointed nder Sec. 1@ sh!"", whi"eho"din' the iniry nder sb-section ( of th!t section, fo""ow the
procedre "!id down in Sched"e II.
.
PART IF A
OFERSEAS CITIZENSHIP O INIA%RE;ISTRATION AN
RENUNCIATION
25A. Eligibility for registration as overseas citizen of India.
o person- who &s c&%&en o' ano%her con%ry- sha$$ be e$&&b$e 'or re&s%ra%&on as an overseas c&%&en o' n#&a- &'%ha% con%ry #oes no% per&% #a$ c&%&ensh&p &n soe 'or or %he o%her.
.
+5. A//li$a"i!n -!r re0i&"ra"i!n 'n#er &e$"i!n 7A.%
An !pp"ic!tion for re'istr!tion by ! person !s !n o$erse!s citizen ofIndi! nder section 7A sh!"" be %!de in :or% KIK. A f!%i"y
consistin' of sposes !nd p to two %inor chi"dren c!n !pp"y in thes!%e for%.
.
+5C. A'"!ri"y "! )i$ a//li$a"i!n& are "! e ma#e.
*he !pp"ic!tions sh!"" be sb%itted in dp"ic!te,-
(! in Indi!, -
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(&) %o %he *ore&ners e&ona$ e&s%ra%&on ''&cer e$h&- ba&-
o$!a%a- Ar&%sar an# h&e' &ra%&on ''&cer- henna&- who sha$$
%rans&% %he app$&ca%&ons %o %he &n&s%ry o' oe A''a&rs: or
(&&) %o %he *ore&ners &v&s&on- &n&s%ry o' oe A''a&rs:
(b otside Indi!, -
(&) %o %he n#&an &ss&on or ;os% hav&n
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sbseent"y !%ended $ide notific!tion >o. @1198-:.I d!ted19th A'st, @@, who is otherwise e"i'ib"e for re'istr!tion !
o$erse!s citizen of Indi! %!y !pp"y in :or% KIK !nd be consideredfor 'r!nt of re'istr!tion in the s!%e %!nner !s other !pp"ic!nts.
.
5#. Certific!te of re'istr!tion to be 'r!nted to personsre'istered, !nd re'ister of persons re'istered nder section7A. -
(1 ?$ery person who is re'istered !s !n o$erse!s citizen of
Indi! nder section 7A sh!"" be issed ! certific!te of
re'istr!tion in :or% KK, d"y si'ned by !n officer not be"owthe r!n& of !n Fnder Secret!ry to the #o$ern%ent of Indi!
or by sch other officer !s %!y be specified by the Centr!"#o$ern%ent, by ! notific!tion in the 6ffici!" #!zette.
( Jhen ! certific!te is issed nder sb-r"e (1, !dp"ic!te copy thereof sh!"" be prep!red !nd preser$ed for
record by the issin' !thority.
(B *here sh!"" be &ept by the issin' !thority, ! re'ister
cont!inin' n!%es of the persons re'istered !s o$erse!scitizen of Indi! nder section 7 A in :or% KKI.
( *he issin' !thority sh!"" tr!ns%it the det!i"s in :or%KKI, to the 3inistry of 4o%e Aff!irs in the first wee& of
e$ery sbseent %onth.
.
+5H. e$lara"i!n !- ren'n$ia"i!n !- !=er&ea& $i"ien&i/. %
(1 A dec"!r!tion of rennci!tion of o$erse!s citizenshipnder section 7C sh!"" be %!de in :or% KKII.
( *he dec"!r!tion sh!"" be re'istered in the office of theissin' !thority.
(B 6n receipt of sch dec"!r!tion, the issin' !thoritysh!"" isse !n !c&now"ed'e%ent in :or% KKII A !nd stri&e
off sch n!%e fro% the re'ister in :or% KKI.
.
+5I. Can$ella"i!n !- re0i&"ra"i!n a& !=er&ea& $i"ien .%
(1 *here sh!"" be &ept by the issin' !thority, ! re'ister
cont!inin' n!%es of persons whose re'istr!tion !s o$erse!scitizen of Indi! w!s c!nce""ed nder section 72 in :or% KKII;.
( *he issin' !thority sh!"" tr!ns%it the det!i"s in :or%KKII ;, to the 3inistry of 4o%e Aff!irs in the first wee& of
e$ery sbseent %onth..otific!tion >o. #S+5(? dt. 11.@.@@5.
PART F
S'//lemen"al
+6. Faria"i!n& in -!rm !- a//li$a"i!n !r #e$lara"i!n.
Jhere ! person wishes to %!&e !n !pp"ic!tion or dec"!r!tion nder!ny of these r"es !nd for% referred to in the r"e is, in the opinion
of the Centr!" #o$ern%ent or other !thority to who% the
!pp"ic!tion is to be sent for re'istr!tion, nsit!b"e to thep!rtic"!r c!se, the Centr!" #o$ern%ent or th!t other !thority, !s
the c!se %!y be, %!y !thorise the !pp"ic!tion or dec"!r!tionbein' %!de in so%e other for%.
.
+7. Cer"i-i$a"e !- $i"ien&i/ in $a&e !- #!'".
A certific!te of citizenship in c!se of dobt issed nder Sec. 1Bsh!"" be in :or% DI !nd sh!"" be si'ned by !n officer not be"ow the
r!n& of Fnder-Secret!ry.
.
+:. Per&!n& e-!re )!m a//li$a"i!n an# #e$lara"i!n may ema#e !r y )!m !a" !- alle0ian$e may e a#mini&"ere#.
(1< An !pp"ic!tion or dec"!r!tion %!de in !ccord!nce with theser"es sh!"" not be !ccepted or re'istered !nd the o!th of !""e'i!nce
reired by Sec. 5 ( or Sec. ( sh!"" be of no effect n"ess it issi'ned in the presence of or !d%inistered by one of the fo""owin'
persons)
(i in Indi!--
the Co""ector, 2epty Co%%issioner, 2istrict3!'istr!te
(ii ?"sewhereL
Any Cons"!r 6fficer !s defined in r"e (d of the
Citizens (+e'istr!tion !t Indi!n Cons"!tes +"es, 195)
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Hro$ided th!t if the !pp"ic!nt, dec"!r!nt or deponent isser$in' in Indi! in the n!$!", %i"it!ry or !ir forces of the
Fnion the !pp"ic!tion or dec"!r!tion %!y be si'ned in thepresence of, or the o!th !d%inistered by, !ny officer
ho"din' ! co%%ission in !ny of these :orces.
B( >otwithst!ndin' !nythin' cont!ined in r"es 7 !nd 9,
!n !pp"ic!tion nder sb-r"e (5 of r"e for re'istr!tion
nder c"!se (c of sb-section (1 of section 5 !s !n
Indi!n citizen fro% ! forei'n n!tion!" %!rried to !n Indi!n
citizen sh!"" be %!de to the Indi!n Cons"!te or ?%b!ssy
or 3ission where heshe is ! resident who in trn sh!""
forw!rded or tr!ns%it it to the Centr!" #o$ern%ent for
consider!tion.have no% prev&os$y renonce# or been #epr&ve# o' %he c&%&ensh&p o' n#&a.
(' %he app$&can% has renonce# h&s or her n#&an c&%&ensh&p- here s%a%e %he #a%e onwh&ch %he #ec$ara%&on o' rennc&a%&on was a#e: or &' he or she has been #epr&ve# o'h&s or her c&%&ensh&p- s%a%e %he #a%e on wh&ch an# %he a%hor&%y by who- %he or#ero' #epr&va%&on was a#e.)
11. have>have no% prev&os$y app$&e# 'or re&s%ra%&on as a c&%&en o' n#&a an# %heapp$&ca%&on has>has no% been reworn an# sbscr&be# %h&s........................ #ay o' ........................20..............................be'ore e.
&na%re..........................
es&na%&on.......................
&na%re an# #es&na%&on o' %he o''&cer a%hor&se# n#er r$e 28 o' %he &%&ensh&p $es- 1956- be'ore who %here&s%ra%&on- #ec$ara%&on or oa%h o' a$$e&ance &s a#e or %a!en- (&.e. %he o$$ec%or- ep%y o&ss&oner- &s%r&c%a&s%ra%e)
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(h&s *or cop$e%e &n a$$ respec%s sha$$ be sb&%%e# &n %r&p$&ca%e %o %heo$$ec%or>ep%y o&ss&oner>&s%r&c% a&s%ra%e w&%h&n whose esen%&a$ ;er&%.
3. Evence o' %he #a%e o' b&r%h o' %he paren%s v&. a copy o' %he passpor% or b&r%hcer%&'&ca%e or #o&c&$e cer%&'&ca%&on. &sse# by %he cope%en% a%hor&%y c$ear$y s%a%&n%ha% he>she &s a c&%&en o' n#&a.
4. A copy o' ?an! cha$$an &n or&&na$ aon%&n %o s. 500>F#epos&%e# &n %he %a%e?an! o' n#&a n#er ea# o. "0070F%her A#&n&s%ra%&ve erv&cesF%her erv&cesFrece&p%s n#er &%&ensh&p Ac%."
.
#$%& I A
(ee r$es 7 an# 9)
Ac6noledge8ent for t(e a))lication for grant of citizens(i) 9nder section 5-!
-a* -c* -d*-e* -fand -g of t(e citizens(i) Act* !+55
ece&ve# app$&ca%&on 'ro &ss>s.>r.................................. #>o- w>o-s>o .................................................... resen% o'....................... 'or re&s%ra%&on n#erc$ases (a) or (c) or (#) or(e) or (') or () o' sb sec%&on (1) o' sec%&on 5 o' %he&%&ensh&p Ac%- 1955. o%e F%r&!e o% wh&chever &s no% app$&cab$e.
a%e#=.................
&na%re w&%h sea$ o' %he rece&v&n o''&cer
.
#$%& I3
(ee r$e 2A)
'(e Citizens(i) Act* !+55,section :-!
A//ICA'I$0 #$% 'HE %E1IS'%A'I$0 $# 3I%'H $# A &I0$%
CHID A' A0 I0DIA0 C$0SUA'E U0DE% SEC'I$0 :-! $# 'HE
AC'.
o%e= ;$ease wr&%e>pr&n% &n ?@ @EE
;A;
1. (a) *$$ nae o' %he &nor ch&$#= ...............................................................
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(b) ' he>she has been !nown by ano%her nae- en%er %ha% naehere= ........................................................................
2. eD= ..........................................................................................
3. ;$ace an# #a%e o' b&r%h= ........................................................................
4. ;resen% a##ress=....................................................................
5. (&) *a%herBs '$$ nae= ........................................................................
(ii Citizen of Indi! by birthdescent re'istr!tion n!tr!"iz!tion)............. ...........
6. (&) o%herBs '$$ nae (w&%h aen srnae)=.............................................
(ii Citizen of Indi! by birthdescentre'istr!tion n!tr!"iz!tion
......................
7. ;ro'ess&on or ccpa%&on o'F
(a) *a%her= .................................................................................
(b) o%her= .................................................................................
8. ;asspor% par%&c$ars o'F
(a) *a%her= .................................................................................
(b) o%her= .................................................................................
A))lication
9. ................................. a c&%&en o' n#&a an# a paren% o' ........................... %o who%he 'oreo&n par%&c$ars re$a%e. hereby app$y on beha$' o' y ch&$# 'or %here&s%ra%&on o' h&s>her b&r%h.
a%e ....................
&na%re o' app$&can%...........................
10. ...................................... be&n %he paren% o' .................................. #o so$en$yan# s&ncere$y #ec$are %ha% y ch&$# %o who %he 'oreo&n par%&c$ars re$a%e #oes no%ho$# %he passpor% o' any o%her con%ry .
11. .......................................#o so$en$y an# s&ncere$y #ec$are %ha% %he 'oreo&npar%&c$ars s%a%e# &n %he app$&ca%&on are %re an# a!e %h&s so$en #ec$ara%&onconsc&en%&os$y be$&ev&n %he sae %o be %re.
a%e ................
&na%re o' app$&can%...........................
a#e an# sbscr&be# %h&s ..................#ay o' ...........20.... be'ore e.
&na%re.............................
es&na%&on..........................
' a c&%&en o' n#&a by re&s%ra%&on or na%ra$&a%&on- p$ease re'er %o %he nber an# #a%e o' %he cer%&'&ca%e o're&s%ra%&on or na%ra$&a%&on- as %he case ay be.
E= n %he even% o' %he ch&$# whose par%&c$ars are &ven above acG&r&n orob%a&n&n %he passpor% o' any o%her con%ry sbseGen% %o %he a!&n o' %h&sapp$&ca%&on- %he sa ch&$# sha$$ cease %o be a c&%&en o' n#&a by #escen% &' w&%h&n s&Don%hs o' a%%a&n&n '$$ ae he>she #oes no% renonce %he c&%&ensh&p o' %he o%hercon%ry &n %ers o' sec%&on 4(1 A) o' %he Ac%.
&na%re an# #es&na%&on o' %he o''&cer a%hor&e# n#er r$e 28 o' %he&%&ensh&p $es- 1956- be'ore who %he #ec$ara%&on &s a#e or oa%h o' a$$e&ance
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&s %a!en- (&.e. any cons$ar o''&cer as #e'&ne# &n r$e 2 (#) o' %he &%&ens(e&s%ra%&on a% n#&an ons$a%es) $es- 1956.
(h&s 'or when cop$e%e# sho$# be sb&%%e# &n #p$&ca%e %o %he n#&an&ss&on>;os% &n %he con%ry &n wh&ch %he app$&can% &s or#&nar&$y resen%.).H
.
2[#$%& II
(ee r$e 4)
'(e Citizens(i) Act* !+55,section 5-l-c
A//ICA'I$0 #$% %E1IS'%A'I$0 AS A CI'IE0 $# I0DIA U0DE%
SEC'I$0 5-! -c $# 'HE AC' &ADE 34 A /E%S$0 H$ IS;HAS 3EE0
&A%%IED '$ A CI'IE0 $# I0DIA
o%e= ;$ease wr&%e>pr&n% &n ?@ @EE
/A%' I
;A;
1. .......... ................................................................. (here en%&on nae an#
cop$e%e a##ress o' app$&can% &nc$#&n s%ree% or $ane or v&$$ae or %own- po$&ces%a%&on an# %a%e) o' '$$ ae an# capac&%y an# was born a% (w&%h ehs&$- &s%r&c% an#%a%e).................................................................... ...........................................on ............ ............
2. y 'a%herBs '$$ nae &s>was ...................................................an# he was borna%..............................on........................
3. was arr&e# a%.................................on...............%o hr&>% ............. ............... ............. .(here &nser% '$$ nae o' hsban#>w&'e)
4. y hsban#>w&'e was born a%................................... on..................... an# he>she&s>was a c&%&en o' n#&a by b&r%h>#escen%>re&s%ra%&on>na%ra$&a%&on (%&c! wh&ch ever&s app$&cab$e).
5. y (hsban#Bs>w&'eBs) 'a%herBs '$$ nae &s>was.................................an# he>shewas born a%................................ .on.....................
6. y arr&ae &s s%&$$ sbs&s%&n>has %er&na%e#= ................................
7. e%a&$s o' resence &n n#&a =
(! 2!te of entry in Indi!) ...........................................................
(b) have rese# n#&a %hroho% %he per&o# o' 12 on%hs&e#&a%e$y prece#&n %he #a%e o' app$&ca%&on.
Ces>o
(c) r&n %he e&h% years &e#&a%e$y ;rece#&n %he saper&o# o' %we$veon%hs- have rese# &n n#&a 'or ;er&o#
Ces>o
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aon%&n &n %he area%e %o o% $ess %han s&D years.
e%a&$s w&%h a##ress o' resence &n n#&a 'or %he$as% n&ne years
*ro o Cears on%hs
8. (a) ;ro'ess&on or occpa%&on= .................................................................
(b If in ser$ice, !ddress of
e%p"oyer)......................................................
9. ;asspor% par%&c$ars=
a) on%ry= ...................................
b) ber= ...................................
c) ;$ace an# #a%e o' &sse= ...................................
#) ,a$ p %o= ...................................
10. ;ar%&c$ars o' v&sa=
a) ber an# #a%e o' v&sa= ..................................
b) ;$ace o' &sse= ..................................
c) ae o' &ss&n a%hor&%y= ..................................
#) ,a$ p %o= ..................................
/A%' II
11. have>have no% prev&os$y renonce# or been #epr&ve# o' %he c&%&ensh&p o'n#&a. (' %he app$&can% has renonce# h&s or her n#&an c&%&ensh&p- here s%a%e %he #a%e
on wh&ch %he #ec$ara%&on o' rennc&a%&on was a#e: or &' he or she has been #epr&ve#o' h&s or her c&%&ensh&p s%a%e %he #a%e on wh&ch an# %he a%hor&%y by who- %he or#ero' #epr&va%&on was a#e) 12. have>have no% prev&os$y app$&e# 'or re&s%ra%&on as ac&%&en o' n#&a an# %he app$&ca%&on has >has no% been re
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1. (a) *$$ nae o' %he &nor ch&$#=..............................................................
(b) ' he>she has been !nown by ano%her nae- en%er %ha% nae
here........................................................................
2. eD= ........................................................................................
3. ;$ace an# #a%e o' b&r%h=.....................................................................
4. ;resen% a##ress..............................................................................
5. (&) *a%herBs '$$ nae= .......................................................................
(ii Citizen of Indi! by
birthdescentre'istr!tionn!tr!"iz!tion)........................
6. (&) o%herBs '$$ nae= ........................................................................
(ii Citizen of Indi! by
birthdescentre'istr!tionn!tr!"iz!tion)........................
7. ron#s on wh&ch %he &norBs paren%s c$a& n#&an &%&ensh&p=............................
8. &norBs #e%a&$s o' resence &n n#&a= F
I&%h who res&n A##ress *ro o
/A%' II
A))lication
9. ........................................... a a c&%&en o' n#&a an# a paren%>ar#&ano' .......................... %o who %he 'oreo&n par%&c$ars re$a%e. hereby app$y onbeha$' o' y>%he ch&$# 'or h&s>her re&s%ra%&on as a c&%&en o' n#&a.
a%e .................
&na%re o' app$&can%...........................
10. - .................................#o so$en$y an# s&ncere$y #ec$are %ha% %he 'oreo&npar%&c$ars s%a%e# &n %he app$&ca%&on are %re an# a!e %h&s so$en #ec$ara%&onconsc&en%&os$y be$&ev&n %he sae %o be %re.
a%e ....................
&na%re .................................
a#e an# sbscr&be# %h&s ......................#ay ..................20..........be'ore e.
&na%re..............................
es&na%&on...........................
11. - %he n#ers&ne#- hereby s%a%e %ha% a an n#&an c&%&en o%herw&se %han by na%ra$&a%&on: %ha% a ahoseho$#er: an# %ha% a no% %he so$&c&%or or aen% o'....................... voch 'or %he correc%ness o' %he s%a%een%sa#e by ................&n h&s app$&ca%&on 'or n#&an c&%&ensh&p.
a%e...................
&na%re ........................................
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ae .............................................
*$$ pos%a$ a##ress ............................
' a c&%&en o' n#&a by re&s%ra%&on or na%ra$&a%&on- p$ease re'er %o %he nber an##a%e o' %he cer%&'&ca%e o' re&s%ra%&on or na%ra$&a%&on as %he case ay be.
&na%re an# #es&na%&on o' %he o''&cer a%hor&e# n#er r$e 28 o' %he&%&ensh&p $es- 1956 be'ore who %he re&s%ra%&on- #ec$ara%&on or oa%h o'a$$e&ance &s a#e or %a!en- (&.e. %he o$$ec%or- ep%y o&ss&oner- &s%r&c%a&s%ra%e)
(h&s *or cop$e%e &n a$$ respec%s sha$$ be sb&%%e# &n %r&p$&ca%e %o %heo$$ec%or>ep%y o&ss&oner>&s%r&c% a&s%ra%e w&%h&n whose
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2. y 'a%herBs '$$ nae &s>was ...................................................an# he was borna% ........................ on ............................ an# he was re&s%ere# as a c&%&en o' n#&an#er sec%&on 5(1 )(a)>sec%&on 6($)ve cer%&'&ca%e o.............. #a%e#.............
3. y o%herBs '$$ nae &s>was ...............................................an# she was borna% ........................ on ............................ an# she was re&s%ere# as a c&%&en o' n#&an#er sec%&on 5(1 )(a)>sec%&on 6( 1 )ve cer%&'&ca%e o.............. #a%e#..................
4. y w&'eBs>hsban#Bs '$$ nae &s>was ...................................................... an#she>he was born a%...................................................on .........................
5. (a) ;ro'ess&on or occpa%&on =.....................................................................
(b If in ser$ice, !ddress of
e%p"oyer)...........................................................
6. ;asspor% par%&c$ars=
a) on%ry ............................
b) ber ............................
c) ;$ace an# #a%e o' &sse ............................
#) ,a$ p %o ............................
7. ;ar%&c$ars o' v&sa=
a) ber an# #a%e o' v&sa= ..............................
b) ;$ace o' &sse= ..............................
c) ae o' &ss&n a%hor&%y= ..............................
#) ,a$ p %o= ..............................
8. e%a&$s o' 'a&$y ebers who are s%ay&n &n n#&a w&%h %he app$&can%=
.o. ae ;resen% A##ress e$a%&onsh&p Ae
/A%' II
9. have>have no% prev&os$y renonce# or been #epr&ve# o' %he c&%&ensh&p o' n#&a.
(' %he app$&can% has renonce# h&s or her n#&an c&%&ensh&p- here s%a%e %he #a%e onwh&ch %he #ec$ara%&on o' rennc&a%&on was a#e: or &' he or she has been #epr&ve# o'h&s or her c&%&ensh&p- s%a%e %he #a%e on wh&ch an# %he a%hor&%y by who- %he or#ero' #epr&va%&on was a#e.)
10. have>have no% prev&os$y app$&e# 'or re&s%ra%&on as a c&%&en o' n#&a an# %heapp$&can% has>has no% been re
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11.1 #ec$are %ha% y &n%en%&on &s %o a!e n#&a y peranen% hoe an# n#er%a!e%ha% sha$$ renonce %he c&%&ensh&p o' y con%ry &n %he even% o' y app$&ca%&onbe&n sanc%&one#.
12. - ....................................................(her en%&on nae o' %he app$&can%) #oso$en$y an# s&ncere$y #ec$are %ha% %he 'oreo&n par%&c$ars- s%a%e# &n %h&sapp$&ca%&on are %re- an# a!e %h&s so$en #ec$ara%&on consc&en%&os$y be$&ev&n
%he sae %o be %re.
a%e=.....................
&na%re=................................
a#e an# sbscr&be# %h&s ....................#ay .....................o' ..................20.............be'ore e.
&na%re................................
es&na%&on.............................
13. - %he n#ers&ne#- hereby s%a%e %ha% a an n#&an c&%&en o%herw&se %han by na%ra$&a%&on- %ha% J a ahoseho$#er- an# %ha% a no% %he so$&c&%or or aen% o'..................... voch 'or %he correc%ness o' %he s%a%een% a#e
by .................... &n h&s>her app$&ca%&on 'or n#&an c&%&ensh&p.
&na%re.................................
ae ....................................
*$$ ;os%a$ A##ress......................
$at( of Allegiance
- .................................................. .(here en%&on %he nae o' %he app$&can%) #oso$en$y a''&r an# swear &n %he nae o' o# %ha% w&$$ bear %re 'a&%h an#a$$e&ance %o %he ons%&%%&on o' n#&a as by $aw es%ab$&she#- an# %ha% w&$$ 'a&%h'$$yobserve %he $aws o' n#&a an# '$'&$$ y #%&es as a c&%&en o' n#&a.
&na%re................................
A''&re#>worn an# sbscr&be# %h&s ....................#ay ................ o' .............. 20......be'ore e.
&na%re.........................
es&na%&on.......................
&na%re an# #es&na%&on o' %he o''&cer a%hor&se# n#er r$e 28 o' %he &%&ensh&p$es- 1956- be'ore Fwho %he #ec$ara%&on &s a#e or oa%h o' a$$e&ance &s %a!en.(&.e. %he o$$ec%or- ep%y o&ss&oner- &s%r&c% a&s%ra%e)
(h&s 'or when cop$e%e# sho$# be sb&%%e# &n %r&p$&ca%e %o %he o$$ec%or>ep%yo&ss&oner>&s%r&c% a&s%ra%e w&%h&n whose esen%&a$ per&%.
3. op&es o' n#&an &%&ensh&p er%&'&ca%es &sse# n#er ec%&on 5(1) (a) or 6(1) o'%he &%&ensh&p Ac%- 1955 o' bo%h %he paren%s.
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4. A copy o' ?an! cha$$an &n or&&na$ aon%&n %o s. 500>F #epos&%e# &n %he %a%e?an! o' n#&a n#er ea# o. "0070F%her A#&n&s%ra%&ve erv&cesFo%hererv&cesFrece&p%s n#er &%&ensh&p Ac%. "
.
#$%& III 3
(ee r$e 5 ?)
'(e Citizens(i) Act* !+55,section 5-l-f
A//ICA'I$0 #$% %E1IS'%A'I$0 AS A CI'IE0 $# I0DIA U0DE%
SEC'I$0 5-l -f $# 'HE AC'* &ADE 34 A /E%S$0 H$ $% EI'HE%
$# 'HE /A%E0'S AS A CI'IE0 $# I0DE/E0DE0' I0DIA
o%e= ;$ease wr&%e>pr&n% &n ?@ @EE.
/A%' I
;A;
1. - ................................................................................(here en%&on naean# cop$e%e a##ress o' app$&can% &nc$#&n s%ree% or $ane or v&$$ae or %own- po$&ces%a%&on an# %a%e) o' '$$ ae an# capac&%y an# was born a%(w&%h ehs&$- &s%r&c% an#%a%e) .................................. ....................... ................................on ..........................
2. y 'a%herBs '$$ nae &s >was................................................ ...an# he was borna%...................... on..............................
3. y o%herBs '$$ nae &s >was .............................................. an# she was borna%....................... .on..............................
4. or e&%her o' y paren%s cease# %o be an n#&an c&%&en by v&r%e o' sec%&on 9(1)conseGen% %o y or %he&r acG&r&n %he c&%&ensh&p o' ................................. (nae o'con%ry) on........................................
5. y w&'eBs>hsban#Bs '$$ nae &s>was ................................. an# she>$&e was borna%..................... ..on.............................
6. e%a&$s o' resence &n n#&a =
(a) a%e o' en%ry &n n#&a. .............................................
(b) have rese# &n n#&a %hroho%%he per&o# o' 12on%hs &e#&a%e$yprece#&n %he #a%e o' app$&ca%&on
Ces>o
7. (a) ;ro'ess&on or occpa%&on= ............................................
(b) ' &n serv&ce- a##ress o' ep$oyer= ............................................
8. ;asspor% par%&c$ars=
(a) on%ry= ............................
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(b) ber= ............................
(a) ;$ace an# #a%e o' &sse= ............................
(b) ,a$ p %o= ............................
9. ;ar%&c$ars o' v&sa=
(a) ber an# #a%e o' v&sa= ............................
(b) ;$ace o' &sse= ............................
(c) ae o' &ss&n a%hor&%y= ............................
(c) ,a$ p %o= ............................
10. e%a&$s o' 'a&$y ebers who are s%ay&n &n n#&a w&%h %he app$&can%=
.o. ae ;resen% A##ress e$a%&onsh&p Ae
/A%' II
11. have>have no% prev&os$y renonce# or been #epr&ve# o' %he c&%&ensh&p o'n#&a.
(' %he app$&can% has renonce# h&s or her n#&an c&%&ensh&p- here s%a%e %he #a%e on
wh&ch %he #ec$ara%&on o' rennc&a%&on was a#e: or &' he or she has been #epr&ve# o'h&s or her c&%&ensh&p s%a%e %he #a%e on wh&ch an# %he a%hor&%y by who- %he or#er o'#epr&va%&on was a#e.)
12. have>have no% prev&os$y app$&e# 'or re&s%ra%&on as a c&%&en o' n#&a an# %heapp$&ca%&on has>has no% been re
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&na%re................................
ae.....................................
*$$ ;os%a$ A##ress......................
$at( of Allegiance
16. - ............................................ .(here en%&on %he nae o' %he app$&can%) #oso$en$y a''&r an# swear &n %he nae o' o# %ha% w&$$ bear %re 'a&%h an#a$$e&ance %o %he ons%&%%&on o' n#&a as by $aw es%ab$&she#- an# %ha% w&$$ 'a&%h'$$yobserve %he $aws o' n#&a an# '$'&$$ y #%&es as a c&%&en o' n#&a.
&na%re.................................
A''&re#>worn an# sbscr&be# %h&s .................................... ..#ayo'...............................20............................. .be'ore e.
&na%re.................................
es&na%&on.............................
&na%re an# #es&na%&on o' %he o''&cer a%hor&e# n#er r$e 28 o' %he &%&ensh&p $es- 1956- be'ore who %he
#ec$ara%&on &s a#e or oa%h o' a$$e&ance &s %a!en. (&.e. %he o$$ec%or>ep%y o&ss&oner- &s%r&c% a&s%ra%e)
(h&s 'or when cop$e%e# sho$# be sb&%%e# &n %r&p$&ca%e %o %he o$$ec%or>ep%y o&ss&oner>&s%r&c% a&s%ra%e w&%h&n whose esen%&a$ ;er&%.
3. Evence %ha% %he app$&can% or e&%her o' h&s paren%s was a c&%&en o' n#epen#en%
n#&a v&. copy o' passpor% or b&r%h cer%&'&ca%e- or #o&c&$e cer%&'&ca%e &sse# by %hecope%en% a%hor&%y c$ear$y s%a%&n %ha% he>she was a c&%&en o' n#&a.
4. A copy o' ?an! cha$$an &n or&&na$ aon%&n %o s. 500>F #epos&%e# &n %he %a%e ban! o' n#&a n#er ea# o."0070F%her A#&n&s%ra%&ve erv&cesF%her erv&cesFrece&p%s n#er &%&ensh&p Ac%".
.
#$%& III C
(ee r$e 5)
'(e Citizens(i) Act* !+55,section 5-!-g
A//ICA'I$0 #$% %E1IS'%A'I$0 AS A CI'IE0 $# I0DIA U0DE%
SEC'I$0 5-!-g $# 'HE AC' &ADE 34 A /E%S$0 H$ IS
%E1IS'E%ED AS A0 $=E%SEAS CI'IE0 $# I0DIA U0DE% SEC'I$0 7
A 0ote> /lease rite;)rint in 3$C? E''E%S
/A%' I
;A;
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-............................................................................. .(here en%&on '$$ nae an#cop$e%e a##ress o' app$&can% &nc$#&n s%ree% or $ane or v&$$ae or %own- po$&ces%a%&on an# %a%e) o' '$$ ae an# capac&%y an# was born a% (w&%h ehs&$- &s%r&c% an#%a%e)...................................................................................................on...........................
2. y 'a%herBs '$$ nae &s >was.....................................................an# he was borna% ......................on...........................
3. y o%herBs 'a$$ nae &s >was ................................................... an# she was borna%...................... on...........................
4. was re&s%ere# as an overseas c&%&en o' n#&a n#er sec%&on 7 A ve cer%&'&ca%e o're&s%ra%&on o. ......... - .#a%e#....................
5. y w&'eBs>hsban#Bs '$$ nae &s>was .................................... an# he>she was borna%..................... on............................
6. e%a&$s o' resence &n n#&a=
(! 2!te of entry in Indi! ...............
(b
e%a&$s w&%h a##ress o' resence &nn#&a
*ro o
B
7. (&) ;ro'ess&on or occpa%&on= .................................=..
(&&) ' &n serv&ce- a##ress o'ep$oyer=
....................................
8. ;asspor% par%&c$ars=
(a) on%ry= ................................
(b) ber= ...............................
(c) ;$ace an# #a%e o' &sse= ...............................
(#) ,a$ p %o= ...............................
9. ;ar%&c$ars o' v&sa=
(a) ber an# #a%e o' v&sa= ................................
(c) ;$ace o' &sse= ...............................
(c) ae o' &ss&n a%hor&%y= ...............................
(#) ,a$ p %o= ...............................
10. e%a&$s o' 'a&$y ebers who are s%ay&n &n n#&a w&%h %he app$&can%=
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.o. ae ;resen% A##ress e$a%&onsh&p Ae
/A%' II
11. have>have no% been #epr&ve# o' %he c&%&ensh&p o' n#&a.
(' %he app$&can% has been #epr&ve# o' h&s or her n#&an &%&ensh&p- here %a%e %he#a%e on wh&ch %he #ec$ara%&on o' rennc&a%&on was a#e: or &' he or she has been#epr&ve# o' h&s or her c&%&ensh&p s%a%e %he #a%e on wh&ch an# %he a%hor&%y by who-%he or#er o' #epr&va%&on was a#e).
12. have>have no% prev&os$y app$&e# 'or re&s%ra%&on as a c&%&en o' n#&a an# %heapp$&ca%&on has>has no% been re
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&na%re.........................
es&na%&on..........--..-.-...
&na%re an# #es&na%&on o' %he o''&cer a%hor&se# n#er r$e 28 o' %he &%&ensh&p $es- 1956- be'ore who %here&s%ra%&on- #ec$ara%&on or oa%h o' a$$e&ance &s a#e or %a!en- (&.e. %he o$$ec%or- ep%y o&ss&oner- &s%r&c%a&s%ra%e)
(h&s 'or when cop$e%e# sho$# be sb&%%e# &n %r&p$&ca%e %o %he o$$ec%or>ep%yo&ss&oner>&s%r&c% a&s%ra%e w&%h&n whose esen%&a$ ;er&%.
3. A copy o' %he cer%&'&ca%e o' re&s%ra%&on as overseas c&%&en o' n#&a n#er sec%&on7A.
4. A copy o' ?an! cha$$an &n or&&na$ aon%&n %o s. 500>F#epos&%e# &n %he %a%e?an! o' n#&a n#er ea# o- "0070F%her A#&n&s%ra%&ve erv&cesF%her erv&cesFrece&p%s n#er &%&ensh&p Ac%. "".H
.
3
[@#$%& I=(ee r$e 6)
'(e Citizens(i) Act* !+55, section 5-: A//ICA'I$0 #$%
%E1IS'%A'I$0 $# A &I0$% CHID U0DE% SEC'I$0 5-: $# 'HE
AC'.
o%e= ;$ease wr&%e>pr&n% &n ?@ @EE
;A;
1. (&) *$$ nae o' %he &nor ch&$# an# %he con%ry o' or&&n=..................................
(&&) ' he>she has been !nown by ano%her nae- en%er %ha% nae here= ....................................
(&&&) ;resen% a##ress: ....................................
(&v) ccpa%&on= ....................................
(v) ;$ace an# #a%e o' b&r%h= ....................................
(v&) a%&ona$&%y or c&%&ensh&p a% b&r%h= ....................................
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(v&&) ;resen% na%&ona$&%y- &' #&''eren%= ................................
(v&&&) ' s%a%e$ess- s%a%e how na%&ona$&%y was $os%= ..................... .............
2.(&) *a%herBs '$$ nae an# %he con%ry o' or&&n: ....................................
(&&) a%&ona$&%y or c&%&ensh&p= ....................................
3.(&) o%herBs '$$ nae an# %he con%ry o' or&&n. ...................................
(&&) a%&ona$&%y or c&%&ensh&p= ....................................
4. ;ar%&c$ars o' resence w&%h a##ress= (a)
n#&a *ro o Cears on%hs
(b)
%hercon%r&es
*ro o Cears on%hs
5. he &norBs &n%en%&ons w&%h rear# %o '%re resence- &' %h&s app$&ca%&on &s
ran%e#- are as 'o$$ows= F
6. (&) a%e o' any prev&os app$&ca%&on 'or na%ra$&a%&on orre&s%ra%&on
=
(&&) e'erence nber- &' !nown =
(&&&) ;ar%&c$ars o' any chane o' na%&ona$&%y
or o' c&%&ensh&p s&nce b&r%h =
a%&ona$&%y or c&%&ensh&p acG&re# a%e o' acG&s&%&on
(&v) easons 'or an# %he anner o' chane o' na%&ona$&%y or c&%&ensh&p= 7. e%a&$s o'a$$ procee#&ns o' any !&n# (c&v&$ or cr&&na$) %a!en aa&ns% %he &nor &n a cor% o'$aw=
a%re a%e ;$ace K#en% o' %he or%
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8. he &norBs !now$e#e o' a pr&nc&pa$ n#&an $anae (%o be en%&one#) &ss$&h%>'a&r>oo#>eDce$$en%=.................................
9. easons 'or wh&ch %he app$&can% #es&res %o acG&re c&%&ensh&p o' n#&a= .................
10. aes an# par%&c$ars o' near re$a%&ons &n n#&a=
. o. ae ;resen% A##ress e$a%&onsh&p Ae
A))lication
11. [op$e%e e&%her (a) or (b) or (c) or (#) o' %h&s por%&on o' app$&ca%&on an# crosso% wh&chever sec%&ons are &nappropr&a%eH.
he &nor ch&$#
(a) ......................... %he &nor ch&$# %o who %he 'oreo&n par%&c$ars re$a%e- herebyapp$y 'or re&s%ra%&on as c&%&en o' n#&a an# a%%ach %he consen% o' anyparen%>ar#&an %o %h&s app$&ca%&on. he paren% who &s a c&%&en o' n#&a
(b) - ....................a a c&%&en o' n#&a an# a paren% o' ..............%o who %he'oreo&n par%&c$ars re$a%e. hereby app$y on beha$' o' y ch&$# 'or h&s>her
re&s%ra%&on as a c&%&en o' n#&a.
The parent who is not a citizen of India
(c) -............a a paren% o'----.----..... .%o who %he 'oreo&n par%&c$ars re$a%e an# aa na%&ona$>c&%&en o' %he %a%e o' .............an# hereby app$y on beha$' o' ..........'orh&s>her re&s%ra%&on as a c&%&en o' n#&a.
The guardian
(#) - .....................a %he (so$e) na%ra$>appo&n%e# ar#&an o' ...............%o who %he'oreo&n par%&c$ars re$a%e- who has no $&v&n paren%>whose paren% or paren%s are$&v&n an# resen% &n .......................... a #$y a%hor&e# by %he cor% or by %he
&nor ch&$#Bs 'a%her (or o%her &n %he even% o' h&s #ea%h) whose consen% &s a%%ache#-an# hereby app$y on beha$' o'................... .'or h&s>her re&s%ra%&on as a c&%&en o'n#&a.
he reasons 'or %h&s app$&ca%&on are .......................................................
a%e=.........................
&na%re o' app$&can%...........................
Declaration
12. #o so$en$y an# s&ncere$y #ec$are %ha% %he par%&c$ars s%a%e# &n %h&s app$&ca%&onare %re an# n#er%a!e %o &n'or %he ecre%ary &e#&a%e$y- be'ore %he re&s%ra%&on
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now app$&e# 'or &s e''ec%e# &' %he par%&c$ars &ven above reG&re aen#en%- &nconseGence o' any chane &n (a) y c&rcs%ances: (b) %he c&rcs%ances o' %he&nor &r$ ch&$# an# a!e %h&s so$en #ec$ara%&on consc&en%&os$y be$&ev&n %hesae %o be %re.
&na%re o' app$&can%........................
&nor ch&$# >;aren%>ar#&ana#e an# sbscr&be# %h&s .......................... #ay o' ..................19............. be'ore e.
&na%re...........................
es&na%&on........................
13. - %he n#ers&ne# hereby s%a%e %ha% a a hoseho$#er an# an n#&an c&%&eno%herw&se %han by na%ra$&a%&on. a no% %he so$&c&%or or aen% o'.............an# voch
'or h&s>her oo# charac%er an# $oya$%y. sppor% %h&s app$&ca%&on 'ro persona$!now$e#e o' an# &n%&a%e acGa&n%ance w&%h %he app$&can% 'or ......... ..years.
a%e .................
&na%re.......................................
ae ............................................
*$$ pos%a$ a##ress...........................
14. - %he n#ers&ne# hereby s%a%e %ha% a a hoseho$#er an# an n#&an c&%&en o%herw&se %han by na%ra$&a%&on. a no% %he so$&c&%or or aen% o' ................an# voch 'or h&s>her oo# charac%er an# $oya$%y. sppor% %h&s app$&ca%&on'ro persona$ !now$e#e o' an# &n%&a%e acGa&n%ance w&%h %he app$&can% 'or ......... ..years.
a%e ........................
&na%re ......................................
ae .........................................
*$$ pos%a$ a##ress ...........................
&na%re an# #es&na%&on o' %he o''&cer a%hor&e# n#er r$e 28 o' %he &%&enFsh&p $es- 1956 be'ore who %hee&s%ra%&on- #ec$ara%&on or oa%h o' a$$e&ance &s a#e or %a!en- (&.e. %he o$$ec%or- ep%y o&ss&oner- &s%r&c%a&s%ra%e)
.
#$%& =
(ee r$e 10(1))
CE%'I#ICA'E $# %E1IS'%A'I$0
o...................
h&s &s %o cer%&'y %ha% %he person whose par%&c$ars are &ven be$ow has been
re&s%ere# as a c&%&en o' n#&a n#er %he prov&s&ons o' sec%&on 5($)(a)>(c)>(#)>(e)>(')>5(4) o' %he &%&ensh&p Ac%- 1955F
1. ae =
2. ae o' 'a%her>o%her =
3. ae o' %he hsban#>w&'e =
4. a%e o' b&r%h =
5. ;$ace o' b&r%h =
6. a%&ona$&%y =
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7. ccpa%&on
8. ar!s o' en%&'&ca%&on =
9. A##ress =
;A;
&na%re L ea$ o' ss&n A%hor&%y
&na%re o' e&s%ere# ;erson
;$ace o' sseMMMMMMMMMMMM
a%e o' sseMMMMMMMMMMMMMH
.
#$%& =I
:"B
5"#$%& =I A
-See r9le !-2 A
CE%'I#ICA'E $# %E1IS'%A'I$0
o.................
h&s &s %o cer%&'y %ha% %he person whose par%&c$ars are &ven be$ow has beenre&s%ere# as a c&%&en o' n#&a n#er %he prov&s&ons o' sec%&on 5(1 )() o' %he&%&ensh&p Ac%- 1955F
1. ae =
2. ae o' 'a%her>hsban# =
3. a%e o' b&r%h =
4. ;$ace o' b&r%h =
5. a%&ona$&%y =
6. ccpa%&on =
7. er%&'&ca%e o' e&s%ra%&on
nber- #a%e an# p$ace o' &sse
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o' overseas c&%&ensh&p o' n#&a =
8. ar!s o' en%&'&ca%&on =
9. A##ress =MMMMMMMMMMMMMMMM
MMMMMMMMMMMMMMMMMM
MMMMMMMMMMMMMMMMMM
MMMMMMMMMMMMMMMMMM
;A;
&na%re L ea$ o' ss&n A%hor&%y
&na%re o' e&s%ere# ;erson
;$ace o' sseMNNNNNNNNNNNN
a%e o' &sse MMMMMMMMMMMMMMMMMMMM":
(ee r$es 10 (2) an# 27)
Citizens(i) Act* !+55
er%&'&e# %ha% ............................................OOOOOOOOO whose par%&c$arsan# pho%oraph are 'rn&she# be$ow- has ( ) sa%&s'&e# %he con#&%&ons $a #own &n%he
ons%&%%&on o' n#&a
&%&ensh&p Ac%- 1955
an# &s accor#&n$y recon&e# as a c&%&en o' n#&a.
;ar%&c$ars
AeOOOOOOOOOOOOO..
e&h%. .............OOOOOOOOO
a&r. ........OOOOOOOOOOO.
Eyes. .............OOOOOOOOO...
pec&a$ pec$&ar&%&es an# en%&'&ca%&onar!s. .........OOOOOOOO..
ae an# rnae
(&n ?@ @EE)........
a%e o' b&r%h. ..............
a%&ona$&%y o' or&&n. .........
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rnae an# 'orenae o' 'a%her
(&n ?@ @EE). .O..
ccpa%&on or pro'ess&on. ......
2(;resen% a##ress)
;A;
&na%re o' %he ran%eeOOOOOOOOOO
a%e an# p$ace o' &sse.
&na%re an# es&na%&on o' %he
&ss&n a%hor&%y.H
.
6[#$%& =II
(ee r$e 11 (a))
'(e Citizens(i) Act* !+55,sections 5-l-a;-e-f
%E1IS'E% $# 'HE /E%S$0S %E1IS'E%ED AS I0DIA0 CI'IE0SU0DE%
SEC'I$0S 5-l-a;-e -f
.o ae *a%herBs nae a%e o'?&r%h
@as% peranen%a##ress o%se
n#&a
a%e 'rowh&ch
resen% &nn#&a
;resen%A##ress
a%e o'e&s%raF
%&on
ear!s
1 2 3 4 5 6 7 8 9
=
E= . o. &n %h&s re&s%er sho$# correspon# w&%h %he nber &n %he re&s%ra%&on cer%&'&ca%e.
#$%& =II A
-See r9le !! -c '(e Citizens(i) Act* !+55, section 5-l-g
%E1IS'E% $# /E%S$0S %E1IS'E%ED AS I0DIA0 CI'IE0S U0DE%
SEC'I$0 5-l-g
. o. ae *a%herBsnae
a%e o'b&r%h
@as%;eranen
a%e'ro
;resen%
a%e o'e&s%F
verseas &%&en o'n#&a
ear!s
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&'app$&ca%&on
&s sanc%&one#e'erence %o#ocen%ary
evence
'rn&she# %obe &ven
1 2 3 4 5 6 7 8 9 10
.
#$%&
(ee r$e (b))
%egister of 8inors registered as Indian citizens 9nder Sec. 5 -:
. o. *$$ nae o'
app$&can% an#a##ress
;$ace an# #a%e
o' b&r%h
*$$ nae an#
a##ress o'paren%s
*$$ nae an#
a##ress o'ar#&an
a%e o'
re&s%ra%&on
e'erence %o
$e%%er 'ro%a%eovernen%'orwar#&n#e%a&$s o'app$&ca%&on
ear
1 2 3 4 5 6 7 8
.
#$%& I
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.
7[@#$%& II
(ee r$e 17(1))
'(e Citizens(i) Act* !+55 , section
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(&&) ;resen% a##ress (&' $&v&n) =NNNNN NNNNNNN
(&&&) ;resen% na%&ona$&%y (&' #ea#- &ve na%&ona$&%y a% %&e o'#ea%h)
=NNNNNN NNNNNNN
10. Ihe%her %he app$&can% &s a sbo
(c) r&n %he 'or%een years &e#&a%e$y prece#&n %he saper&o# o' %we$ve on%hs- have e&%her rese# &n n#&a or been&n %he serv&ce o' %he overnen% &n n#&a or par%$y %he one an#par%$y %he o%her- 'or per&o#s aon%&n &n %he area%e %o no%$ess %han e$even years.
Ces>o
e%a&$s w&%h a##ress o' resence &nn#&a 'or %he $as% 'or%een years
*ro o Cears on%hs
13. ' %h&s app$&ca%&on &s ran%e#- y &n%en%&on as %o '%re resence- (an#>or serv&cen#er %he overnen% &n n#&a) &s as 'o$$ows=
(a) ose o. = ........................
(b) %ree% nae = .............................
(c) ae o' v&$$ae>%own= ..........................................(#) &s%r&c% = ..........................................
(e) %a%e = ..........................................
14. easons 'or wh&ch app$&can% w&shes %o acG&re n#&an c&%&ensh&p=..........................................
15. ;asspor% par%&c$ars=
(a) on%ry= ..........................................
(b) ber= ..........................................
(c) ;$ace an# #a%e o' &sse= ..........................................
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(#) ,a$ p %o= ..........................................
16. ;ar%&c$ars o' v&sa=
(a) ber an# #a%e o' v&sa= ........................................
(b) ;$ace o' &sse= .........................................
(c) ae o' &ss&n a%hor&%y= ..........................................
(#) ,a$ p %o= ........................................
17. &ve par%&c$ars o' ch&$#ren=
*$$ nae o' ch&$# a%e o' b&r%h ;$ace o' b&r%h ;resen% a##ress
18. aes an# a##resses o' a% $eas% %wo persons whosea''av&%s %es%&'y&n %o %he charac%er o' %he app$&can% an# %hecorrec%ness o' %he s%a%een%s a#e &n %h&s app$&ca%&on area%%ache# herew&%h=
...........................................
/A%' II
19. have>have no% prev&os$y renonce# or been #epr&ve# o' %he c&%&ensh&p o'n#&a.
(' %he app$&can% has renonce# h&s or her n#&an c&%&ensh&p- here s%a%e %he #a%e onwh&ch %he #ec$ara%&on o' rennc&a%&on was a#e: or &' he or she has been #epr&ve# o'h&s or her c&%&ensh&p- s%a%e %he #a%e on wh&ch an# %he a%hor&%y by who- %he or#ero' #epr&va%&on was a#e.)
20. have>have no% prev&os$y app$&e# 'or na%ra$&a%&on as a c&%&en o' n#&a an# %heapp$&ca%&on has>has no% been re
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a% ............. ................. ...................a!e oa%h an# #o so$en$y an# s&ncere$y a''&r%ha% %he s%a%een%s con%a&ne# &n y app$&ca%&on here n%o anneDe# are %re %o %he bes%o' y !now$e#e an# be$&e'.
'- a% any %&e be'ore a cer%&'&ca%e &s &sse# %o e- %he accracy o' any o' %he'oreo&n par%&c$ars &s a''ec%e# by an a$%era%&on &n c&rcs%ances- n#er%a!e %o&n'or %he ecre%ary %o %he overnen% o' n#&a &n %he &n&s%ry o' oe A''a&rs &n
wr&%&n 'or%hw&%h.
&na%re ........................
%a%&on....................
a%e .....................
A''av&%s %o be a%%es%e# by o%ary>a%h o&ss&oner>a&s%ra%e.
a%&on= ec%&on 17 o' %he &%&ensh&p Ac%- 1955- proves %ha% "Any person who- 'or %he prpose o' procr&nany%h&n %o be #one or no% %o be #one n#er %h&s Ac%- !now&n$y a!es any represen%a%&on wh&ch &s 'a$se &n a a%er&a$
par%&c$ar sha$$ be pn&shab$e w&%h &pr&sonen% 'or a %er wh&ch ay eD%en# %o K&ve years- or w&%h '&ne- wh&ch ayeD%en# %o '&'%y %hosan# years or w&%h bo%h."
A''av&%s %es%&'y&n %he charac%er o' %he app$&can% an# %he correc%ness o' %hes%a%een%s a#e &n %he app$&ca%&on.
(ve &%e 18)
n %he a%%er o' an app$&ca%&on 'or a cer%&'&ca%e o' na%ra$&sa%&on n#er %he&%&ensh&p Ac%- 1955- a#e by ........................ ....................ae#..................years- by occpa%&on...........................sono' ..................................res&n a% ........................................a!e oa%h an# #oso$en$y an# s&ncere$y a''&r %ha% a an n#&an c&%&en o%herw&se %han byna%ra$&a%&on: %ha% a a hoseho$#er: %ha% a no% a so$&c&%or or aen%o' ............................%ha% have persona$ !now$e#e o'- an# &n%&a%e acGa&n%ance
w&%h- %he sa ..........................'or.........................years: %ha% %he s%a%een%s
con%a&ne# &n h&s>her app$&ca%&on 'or na%ra$&a%&on are %re %o %he bes% o' y!now$e#e an# be$&e'.
sppor%......................................Bs app$&ca%&on 'or na%ra$&a%&on an# can voch 'orh&s>her oo# charac%er an# $oya$%y.
a%e .............................
&na%re............................
ae ...............................
*$$ pos%a$ a##ress................
op&es o' %wo &sses (&n %r&p$&ca%e) o' a newspaper or newspapers c&rc$a%&n &n %he #&s%r&c% &n wh&ch %he app$&can%reses each con%a&n&n (c$ear$y ar!e#) an a#ver%&seen% &n %he 'o$$ow&n 'or sho$# accopany %he app$&ca%&on.
>otice is hereby 'i$en th!t....................of...........................is !pp"yin'to the Secret!ry to the #o$ern%ent of Indi! in the 3inistry of 4o%e
Aff!irs for n!tr!"iz!tion !nd th!t !ny person who &nows !ny re!son whyn!tr!"iz!tion sho"d not be 'r!nted sho"d send ! written si'nedst!te%ent of the f!cts to the s!id Secret!ry.
D$CU&E0'S '$ 3E A''ACHED I'H 'HE A//ICA'I$0 34 'HE
A//ICA0'
1. A copy o' va$ *ore&n passpor%.
2. A copy o' va$ an# p %o #a%e @,>esen%&a$ ;er&% a$on w&%h cop&es o' $as%14 years @,>.;.
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3. A copy o' ?an! cha$$an &n or&&na$ aon%&n %o s. 1500>F #epos&%e# &n %he %a%e?an! o' n#&a n#er ea# o. "0070F%her A#&n&s%ra%&ve erv&cesF%her erv&cesFece&p%s n#er &%&ensh&p Ac%. "
4. ne a''av&% 'ro se$' (app$&can%) an# %wo a''av&%s 'ro %wo n#&ans %es%&'y&n%o %he charac%er o' %he app$&can% &n %he prescr&be# $anae ava&$ab$e &n %heapp$&ca%&on 'or.
5. wo $anae er%&'&ca%es cer%&'y&n %he app$&can%Bs !now$e#e &n any one o' %hen#&an $anaes spec&'&e# &n %he E&h%h che#$e o' %he ons%&%%&on.
herse$' %he par%&c$ars se% o% be$ow- an# has sa%&s'&e# %he overnen% %ha%%he con#&%&ons $a #own &n %he above case o' %he sa ............. AF?.
ow- %here'ore- &n prsance o' %he powers con'erre# by %he sa Ac%- %heovernen% hereby ran%s %o %he sa AF? %h&s cer%&'&ca%e o' na%ra$&sa%&on- an##ec$ares %ha%- pon %a!&n %he oa%h o' a$$e&ance w&%h&n %he %&e an# &n %he annerreG&re# by %he r$es a#e &n %ha% beha$' he>she sha$$- sb
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*$$ nae. ...............................................OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO.
A##ress ...................................................OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO
OOOOOOO
;ro'ess&on or occpa%&on .......................................OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO.
;$ace an# #a%e o' b&r%h ..........................................OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO..
a%&ona$&%y ............................................OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO.
&n$e- arr&e#- e%c. ............................................OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO.
ae an# na%&ona$&%y o' w&'e>hsban# ................................OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO..
ae an# na%&ona$&%y o' 'a%her ..................................OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO.
ae an# na%&ona$&%y o'o%herOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO..
$at( of Allegiance
- AF?- #o so$en$y a''&r (or swear) %ha% w&$$ bear %re 'a&%h an# a$$e&ance %o %heons%&%%&on o' n#&a as by $aw es%ab$&she#- an# %ha% w&$$ 'a&%h'$$y observe# %he$aws o' n#&a an# '$'&$ y #%&es as a c&%&en o' n#&a.
&na%re ......OOOOOO..........O.
es&na%&on ................OOOOOO.
A''&re#>worn an# sbscr&be# %h&s.OOOOOOOOOOOOOOOOOOOOOOO................#ay o'20O..be'ore eOOOOO
&na%re. ................OOOOOO
es&na%&on. ..............OOOOO
&na%re an# #es&na%&on o' %he o''&cer a%hor&se# n#er r$e 28 o' %he &%&ensh&p$es- 1956- be'ore who %he re&s%ra%&on- #ec$ara%&on or oa%h o' a$$e&ance &s a#eor %a!en.
.
http://www.manupatra.co.in/NXT/gateway.dll/bareact/rules%20and%20regulations/C/Citizenship%20Act%201955/Citizenship%20Rules%201956/Toc.htm#sc1http://www.manupatra.co.in/NXT/gateway.dll/bareact/rules%20and%20regulations/C/Citizenship%20Act%201955/Citizenship%20Rules%201956/Toc.htm#sc18/14/2019 the citizenship rules.doc
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#$%& I=
(ee r$e 19 (2))
Citizens(i) Act* !+55
%egister of Certificates of 0at9ralization and $at(s of Allegiance
.o.
*$$naean#a##ress
;ro'ess&ono'occpa%&on
;$acean##a%eo'b&r%h
;rev&osna%&ona$&%y
arr&e#-s&n$e-wower- wow-#&vorce#
*$$ nae o'w&'e>hsban#
*$$naeo'paren%s
a%e o'cer%&'&ca%eass&ne# %o%he %a%eovernen%
A%%es%a%&on byecre%ary>Ko&n%ecre%aryep%yecre%ary>/n#erecre%ary&n&s%ry o'oe A''a&rs
;ar%&c$aras %o #a%an# p$aco' %a!&no' oa%h oa$$e&ancean# ac%a&sse ocer%&'&ca%e
1 2 3 4 5 6 7 8 9 10 11
h&s 'or when cop$e%e# sho$# be 'orwar#e# &n %r&p$&ca%e %o %he h&e' ecre%ary%o %he overnen% o' %he %a%e &n wh&ch %he app$&can% &s resen%.
.
FORM XV
(ee r$e 20)
Citizens(i) Act* !+55,,Section F
Declaration of intention to res98e Indian citizens(i) 9nder Sec. F -2 of t(e Act
8ade by a )erson (o (as ceased to be an Indian citizen on t(e loss of Indian
citizens(i) by (is fat(er in accordance it( t(e )rovisions of Sec. F -! of t(e
Act.
1. - AF?- o' (here &nser% a##ress o' #ec$aran%) was born a%......OOOOOOOOOOOOOOOOOOOOOOOOOOOO.........O..
http://www.manupatra.co.in/NXT/gateway.dll/bareact/rules%20and%20regulations/C/Citizenship%20Act%201955/Citizenship%20Rules%201956/Toc.htm#sc1http://www.manupatra.co.in/NXT/gateway.dll/bareact/rules%20and%20regulations/C/Citizenship%20Act%201955/Citizenship%20Rules%201956/Toc.htm#sc18/14/2019 the citizenship rules.doc
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2. y 'a%herBs '$$ nae &s>was..................................OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO..
3. cease# %o be an n#&an c&%&en- by v&r%e o' sbFsec%&on (1) o' ec. 8 o' %he&%&ensh&p Ac%- 1955- on.......OOOOOOO.....by reason o' %he 'ac% %ha%:
(ere s%a%e %he case whereby %he #ec$aran%Bs 'a%her an# %he #ec$aran% cease# %o ben#&an c&%&ens- %he year an# #a%e &n wh&ch %hey cease# %o be n#&an c&%&ens an# a$$o%her re$evan% &n'ora%&on.)
4. ' ha# no% so cease# %o be an n#&an c&%&en- sho$# now be an n#&an c&%&en byreason o' %he 'ac% %ha%
(ere s%a%e %he ron#s on wh&ch %he #ec$aran% c$a&s %ha% he or she wo$# havebeen sch a c&%&en.)
5. hereby #ec$are y &n%en%&on %o rese n#&an c&%&ensh&p an# app$y %o %heen%ra$ overnen% %o re&s%er %h&s #ec$ara%&on.
- AF?- #o so$en$y an# s&ncere$y #ec$are %ha% %he 'oreo&n par%&c$ars s%a%e# &n %h&s#ec$ara%&on are %re- an# a!e %he so$en #ec$ara%&on consc&en%&os$y be$&ev&n %hesae %o be %re.
&na%re. .OOOOOO............
%he n#ers&ne#- hereby s%a%e %ha% a an n#&an c&%&en o%herw&se %han byna%ra$&a%&on: %ha% a a hoseho$#er an# %ha% a no% %he so$&c&%or or aen% o'....OOOOOOOOOOOOOOOOOO........................ voch 'or correc%nesso' %he s%a%een%s a#e by. OOOOO..............................&n h&s app$&ca%&on'or. ..........OOOOOOOOOO