Application For Surrender Of Indian Passport/citizenship - United Kingdom

APPLICATION FORM

HIGH COMMISSION /CONSULATE GENERAL OF INDIA

Photograph

APPLICATION FOR SURRENDER OF

INDIAN PASSPORT / CITIZENSHIP

50 MM * 50 MM

IMPORTANT:

All columns of the application form must be filled correctly in BLOCK LETTERS and BLACK INK. Incomplete application forms will not be

accepted. Before filling this form, please go through the website & read the Important Note & Disclaimer given at the bottom of the page

I have acquired British/ Foreign nationality on ____________ and consequently have obtained British/ Foreign Passport.

carefully.

Therefore I hereby renounce my Indian citizenship and surrender my Indian Passport.

NAME:

NAME (As per the Indian Passport):

FATHER’S NAME (As per the Indian Passport):

SPOUSE NAME (As per the Indian Passport):

DATE OF BIRTH:

PLACE OF BIRTH:

INDIAN PASSPORT DETAILS

PASSPORT NUMBER :

PLACE OF ISSUE:

DATE OF ISSUE:

DATE OF EXPIRY:

BRITISH /FOREIGN PASSPORT DETAILS

PASSPORT NUMBER :

PLACE OF ISSUE:

DATE OF ISSUE:

DATE OF EXPIRY:

PERMANENT ADDRESS:

CITY:

POST CODE:

EMAIL:

TELEPHONE NO:

MOBILE:

I may be issued a surrender certificate.

DECLARATION: I solemnly affirm that the information given here is correct and nothing has been concealed and I am aware that it is an offence under the Indian

Passport Act, 1967 to knowingly furnish false information or suppress material information.

I understand that my surrender of Indian passport application is being handled through VF Services (UK) Limited (VFS), service providers in the United Kingdom

appointed by High Commission of India, London. I am aware that the grant or refusal of Surrender Certificate is at the sole discretion of the High Commission of India

and VFS is not responsible for the same or for any delay in the receipt of the surrender certificate. The processing of your application including processing time is subject

to the procedures and timescales of the Indian High Commission over which VFS has no control I hereby agree to the VF Services (UK) Terms and Conditions including

Disclaimer and VFS Data Protection Policy current at the date of my application (downloadable from ). I accept that application fees are not

refundable, except as covered by VFS's refund policy, and are payable even if a Surrender Certificate is not granted. I accept that VFS limits its liability for replacement

of lost passports or other travel documents, to refund of my application fee, and reimbursement of government fees in accordance with the VFS refund policy. I am

responsible for the accuracy of my application form, and I accept that if VFS checks my application form, it does not guarantee that it will find any errors, and does not

verify information I have provided. I accept that VFS excludes all other liability in relation to my application and advice or information given to me, including for breach

of contract or negligence. I am aware that and agree that I may be required or legally liable to a pay penalty or other fee to the High Commission of India, London and its

Consulates in accordance with the Indian Passport Act, 1967 or otherwise, including if I have misused my Indian passport at any time. I acknowledge and agree that my

application and associated data will be processed in a accordance with the VFS Data Protection Policy (downloadable from ), and that my data

may be processed by an affiliated company which may be a part of the VFS group of companies or a sub-contractor for VFS, and that such processing may take place in

India but subject to the same standards as apply in the United Kingdom.

PLACE & DATE_________________________ Signature of the Applicant:_____________________________

:

Documents Required for Application

1.Photocopy of British/Foreign Passport 2. Photocopy of Indian Passport with all used pages

3.Original Indian Passport 4.Copy of British/Foreign naturalisation certificate 5.Copy of the supporting documents should be self-

attested

Note: If the applicant has had more than one foreign passport since naturalization, he/she is required to submit the original first foreign passport obtained after

naturalization & self-attested photocopies of all the pages of that foreign passport.