Form XII Application By A Person For A Certificate Of Naturalisation


the document as attached above is mainly concerned with the statute of "Citizenship act 1955" and the usage is confined to that of filing an "Application By A Person For A Certificate Of Naturalisation"

The contents of the document goes as follows:-

Full name of applicant in country of origin (in BLOCK LETTERS

If now commonly known by another name, enter such name here

Private address

Occupatio

Business address

Place and date of bi

Nationality at birt

Present nationality, if different

State if single, married, widower, widow or divorced

Father’s full name in country of origin (in BLOCK LETTERS)

Present address (if living

Present nationality (if dead, give nationality at time of death

Full name of applicant in country of origin (in BLOCK LETTERS)……………….

If now commonly known by another name, enter such name here……………………….

Private address…………………………….

Occupation …………………………….

Business address …………………………….

Place and date of birth …………………………….

Nationality at birth…………………………….

Present nationality, if different…………………………….

State if single, married, widower, widow or divorced…………………….

2.  Father’s full name in country of origin (in BLOCK LETTERS) …………………….

Present address (if living)…………………………….

Present nationality (if dead, give nationality at time of death)………………………….

Mother’s full name in country of origin in BLOCK LETTERS)………………….

Present address (if living)…………………………….

Present nationality (if dead give nationality at time of death) ………………………….

3. Whether the applicant is a subject or citizen of any country where an Indian citizen is prevented by law or practice of that country from becoming a subject or citizen of that country by naturalisation. 

Full name of applicant in country of origin (in BLOCK LETTERS)……………….

If now commonly known by another name, enter such name here……………………….

Private address…………………………….

Occupation …………………………….

Business address …………………………….

Place and date of birth …………………………….

Nationality at birth…………………………….

Present nationality, if different…………………………….

State if single, married, widower, widow or divorced…………………….

2.  Father’s full name in country of origin (in BLOCK LETTERS) …………………….

Present address (if living)…………………………….

Present nationality (if dead, give nationality at time of death)………………………….

Mother’s full name in country of origin in BLOCK LETTERS)………………….

Present address (if living)…………………………….

Present nationality (if dead give nationality at time of death) ………………………….

3. Whether the applicant is a subject or citizen of any country where an Indian citizen is prevented by law or practice of that country from becoming a subject or citizen of that country by naturalisation.

Details of such residence and /or service

From date

To date

Address and /or details of service under a Government in India

Year

Month

Full name of applicant in country of origin (in BLOCK LETTERS)……………….

If now commonly known by another name, enter such name here……………………….

Private address…………………………….

Occupation …………………………….

Business address …………………………….

Place and date of birth …………………………….

Nationality at birth…………………………….

Present nationality, if different…………………………….

State if single, married, widower, widow or divorced…………………….

2.  Father’s full name in country of origin (in BLOCK LETTERS) …………………….

Present address (if living)…………………………….

Present nationality (if dead, give nationality at time of death)………………………….

Mother’s full name in country of origin in BLOCK LETTERS)………………….

Present address (if living)…………………………….

Present nationality (if dead give nationality at time of death) ………………………….

3. Whether the applicant is a subject or citizen of any country where an Indian citizen is prevented by law or practice of that country from becoming a subject or citizen of that country by naturalisation.

Details of such residence and /or service

From date

To date

Address and /or details of service under a Government in India

Year

Month

Date of any composition made with creditors

Date of being adjudicated blankrupt

Date discharge from bankruptcy

If married, give date and place of marriage

Husband’s or wife’s full name before marriage (in BLOCK LETTERS

If husband or wife is dead, give date and place of d

If marriage dissolved give date and place

Full name of each child

Date of birth

Place

Where now resident

And at last the signature is also attached with it along with designation also



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