Declaration Of Renunciation Of Citizenship - Vfs Global Page 2

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Particulars
Full name:…………………………………………………………………………
Address:……………………………………………………………………………
Profession or occupation:………………………………………………………….
Place and date of birth:…………………………………………………………….
(Second) Nationality:………………………………………………………………
Single, married, etc.:……………………………………………………………….
Name of wife or husband:………………………………………………………….
Names and nationalities of parents: ……………………………………………....
…………………………………………….....
Names and full particulars of children, if any………………………………………
…………………………………………… ………………………………………
…………………………………………… ………………………………………
F/AUS/IND/02
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