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.


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.


Date __________________

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