Transcription of RENUNCIATION CERTIFICATE
1 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. Made and subscribed this PODay of(Signature of the Applicant)Full Name of the ApplicantMobile NumberPhone NumberEmail AddressAddress in the USAS urrender CertificateDate:This is to certify that Mr. / Ms. has renounced his / her Indian Citizenship and acquired United States /Foreign Indian Passport mentioned above has been cancelled and returned to the Passport holder.(Signature and Stamp (Consulate Officer)Note: The applicant is advised to retain this document for life long to avail consular services in of Minor(s)Date of BirthPlaceof BirthUS/Foreign Passport#Date of IssuePlace of IssueNames and full particulars of my minor children, if any, who are / were Citizens of 's Date of 's Pf *TTue I hereby renounce my Citizenship Of India and surrender my Indian Passport Number :Date of have acquired US / Foreign nationality onand consequently have obtained US / Foreign passport # ,am of full age and capacity and was born OF CITIZENSHIP OF INDIA ON ACQUISITION OF CITIZENSHIP OF ANOTHER COUNTRYRENUNCIATION CERTIFICATEGovt.)
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