FORM L
Application for registration as a citizen of India under Section 5 (1) (b) of the Act
[See rule 23 (2)]
To
The _______________________________________
(Designation of Diplomatic or Consular Representative)
(Name of Place)
(Name of Country)
Sir
I request that I and my minor children whose details are given below may be registered as Citizen(s) of
India under the provision of Section 5 (1) (b) of the Citizenship Act, 1955.
2. I hereby declare that all the particulars given below are true to the best of my knowledge and belief
Particulars
1. Name of applicant in full _______________________________________________
2. Name of father or husband ________________________________________________
3. Name(s) and age(s) of minor children _______________________________________
4. Present Address ________________________________________________________
5. Date of birth or approximate age ____________________________________________
6. Place of birth of applicant _________________________________________________ (with
details of Tehsil, District, State (Province) and country)
7. If applicant was not born in undivided India, state whether either of his parents or any of his
grand parents was born in undivided India _____________________________
8. Name of the country in which applicant is ordinarily residing _______________
9. (a) Is applicant domiciled in the country mentioned against No. 8 above? ____ (b) If not, in which
country is he domiciled _____________________________
10. Has applicant voluntarily acquired the citizenship of any country other than India? ________
11. I have/have not previously renounced or been deprived of the citizenship of India.
(If the applicant has renounced his or her Indian citizenship, state the date on which the declaration of
renunciation was made; and if he or she has been deprived of his or her Indian citizenship state the date
on which and the authority by which the order of deprivation was made.
Signed (Signature of Applicant)
Made and subscribed this _________day of _____________ 20____, before me.
Signed (Consular Officer)
Oath of allegiance
1., A.B. do solemnly affirm (or swear) that I will bear true faith and allegiance to the Constitution of
India as by law established and that I will faithfully observe the laws of India and fully my duties as a
citizen of India.
Signed (Signature of Applicant)
Affirmed and subscribed this________ day of
________________20_____before me.
Sworn
Signed (Consular Officer)
* Name and designation of the officer authorized under rule 28 of the Citizenship Rules, 1956
before whom the registration, declaration or oath of allegiance is made or taken, see also rule “23(3)
of the citizens (Registration at Indian Consulate) Rules, 1956”
