Application For The Surrender Of Indian Passport Citizenship printable pdf download

Application For The Surrender Of Indian Passport Citizenship

APPLICATION FOR THE SURRENDER OF INDIAN PASSPORT/ CITIZENSHIP

APPLICANTS FROM:

ACT & QLD:- Apply at High Commission of India, 3 Moonah Place,Yarralumla,ACT - 2600.

NSW & SA:- Apply at Consulate General of India, Level 3, 109 Pitt Street, Sydney, NSW - 2000

VIC & TAS:- Apply at Consulate General of India,344, St. Kilda Road, Melbourne, VIC - 3000

WA & NT:- Apply at Consulate General of India, Lots 70-74, Level 6, 12 St. Georges Terrace, Perth WA

- 6000

I have acquired Australian/ Foreign nationality on ____________ and consequently have obtained

Australian/ Foreign Passport. Therefore I hereby renounce my Indian citizenship and surrender my

Indian Passport. My personal particulars are outlined below:

NAME

INDIAN PASSPORT DETAILS

PASSPORT NUMBER

DATE OF ISSUE

PLACE OF ISSUE

AUSTRALIAN/FOREIGN PASSPORT DETAILS

PASSPORT NUMBER

DATE OF ISSUE

PLACE OF ISSUE

PHONE NUMBER

E-MAIL

ADDRESS

I may be issued a surrender certiﬁcate. I have retained a copy of my Indian passport and I will not ask

for the same in future.

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;

Signature _______________________

Place ________________________

Date _________________________

Application For The Surrender Of Indian Passport Citizenship