Transcription of CONSULATE GENERAL OF PAKISTAN
1 CONSULATE GENERAL OF PAKISTAN 10850 WILSHIRE BLVD, SUITE # 1250 LOS ANGELES - CA 90024 TEL (310) 441-5114 (FAX) 310 4419256 INFO@ XIX FORM X (Vide Rule 19-A) Declaration of Renunciation of Citizenship under Section 14-A of PAKISTAN Citizenship Act 1951 _____Resident of _____ _____ am of full capacity and was born on at _____ _____ on _____ have/have not been married. am Citizen/National of _____under law of that country or hold valid documents assuring me of the grant of Citizenship or Nationality of that country upon renouncing Citizenship of PAKISTAN . here-by renounce my Citizenship of PAKISTAN . do solemnly affirm that the foregoing particulars in this declaration are true to the best of my knowledge and belief. Signature: _____ Place: _____ Date: _____ Attestation: _____ Designation: _____ Place and Date: _____
