Renunciation of Indian Citizenship

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Applicant Details

First Name

Middle Name

Last Name

Gender

Email ID

Mobile Number

Pan Number

If you have PAN No then please fill it

Occupation

Marital Status

Spouse Name

Do you have minor children?

Citizen India By

Section/Form

Certificate Number

Certificate Date

Certificate Issued By

Certificate Issued Place

The circumstances in which/reasons due to which applicant intends to acquire foreign citizenship and renounce Indian citizenship

Intends to acquire foreign citizenship of

The Circumstances in which or reasons due to which applicant intends to acquire foreign citizenship and renounce Indian citizenship

Birth Details

Date of Birth

Birth Place

Tehsil

Country

State

District

Passport Details

Passport Country

Passport Number

Passport Issued Date

Passport Issued Place

Passport Valid upto

Father Details

First Name

Middle Name

Last Name

Nationality

Mother Details

First Name

Middle Name

Last Name

Nationality

Applicant Photo And Signature

Applicant Photo

Maximum size 50KB allowed(JPG format)

Applicant signature

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Enter Access Code

Access Code