Looking for a Registration Application Form Templates? Download it for free!

Form I - Application For Registration Of Birth Of A Minor Child At An Indian Consulate Under Section 4 (1) Of The Citizenship Act, 1995 Page 2

PART II

9. I, _________________________________________ a citizen of India and a parent of

____________________________________ to whom the foregoing particulars relate,

hereby apply on behalf of my child for the registration of his birth.

Date ________________________ Signature of parent _______________________

10. I, _________________________________________ being the parent of _________

___________________________ do solemnly and sincerely declare that my child to

whom the foregoing particulars relate does not hold the passport of any other country.

11. I ________________________________________ do solemnly and sincerely declare

that the foregoing particulars stated in the application are true and I make this solemn

declaration conscientiously believing the same to be true.

Date ______________________

Signature of parent ________________________

Made and subscribed this _________________ day of ___________20 _____ before me.

*** Signature ____________________

*** Designation ____________________

* If a citizen of India by registration or naturalization, please mention to the number and

date of the certificate of registration or naturalization, as the case may be.

** Signature and designation of the officer authorized under rule 38 of the Citizenship

Rules, 2009, before whom the declaration is made or oath of allegiance is taken.

( i.e. any consular officer as defined in rule 2 (d) of the Citizen ( Registration at

Indian Consulates) Rules, 1956.

( This form complete in all respect shall be submitted in duplicate to the Indian Mission/

Post in the country in which the applicant is ordinarily resident.)

Form I - Application For Registration Of Birth Of A Minor Child At An Indian Consulate Under Section 4 (1) Of The Citizenship Act, 1995 Page 2