AnnexureD (1)
AnnexureD (1)
AnnexureD (1)
Name :
Date of birth :
Place of birth :
4. I/we solemnly declare that he /she has not lost, surrendered or been deprived of his/her citizenship of
India and that the information given in respect of him/her in this application is true.
5. It is also certified that I/we am/are holding /not holding valid India passport(s).
Place: Date: