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RENUNCIATION CERTIFICATE - VFS Global

Govt. Form Reference # RENUNCIATION CERTIFICATERENUNCIATION OF CITIZENSHIP OF INDIA ON ACQUISITION OF CITIZENSHIP OF ANOTHER COUNTRYam of full age and capacity and was born , am3. I have acquired US / Foreign nationality onand consequently have obtained US / Foreign passport #:datedDate of IssueDate of hereby renounce my Citizenship Of India and surrender my Indian Passport Number : Place of 's 's Date of and full particulars of my minor children, if any, who are / were Citizens of India Name of Minor (s) Date of Birth Place of Issue I, do solemnly and sincerely declare that the foregoing particulars stated in this declaration are and I make this solemn declaration conscientiously believing the same to be true.

RENUNCIATION CERTIFICATE RENUNCIATION OF CITIZENSHIP OF INDIA ON ACQUISITION OF CITIZENSHIP OF ANOTHER COUNTRY 1. I, am of full age and capacity and was born at on 2. I am 3.I have acquired US / Foreign nationality on and consequently have obtained US / Foreign passport #: dated Date of Issue Date of Issue

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