Declaration Declaration

Declaration

Declaration form filled by individuals applying for surrender of Indian passport/Citizenship, when original Indian passport is not endorsed or the certificate of submission from the foreign authority containing the India passport number with the application.

Declaration

This is to certify that I, _____________________________,S/o,D/o,W/o,____________________ last held Indian Passport No___________ dated_________ Issued at___________________, which was submitted to the German Authority/Any other foreign Authority_______________________ on ________________, while acquiring German/ Other nationality. I am unable to furnish a certificate of submission of my Passport to the German Authority/Any other foreign Authority ____________________, as the Authority has expressed its inability to issue such a certificate.

Signature__________________

Date __________________

(*) in case of a minor, both parents are to sign this certificate on behalf of the minor.