Form RN3
Official copy
                                                               BUILDING A SAFE, JUST AND
                                                                  TOLERANT SOCIETY
                declaration of renunciation of British National
                              (Overseas) status
                                                              British Nationality Act 1981
    IMPORTANT: Please read the guide belonging to this form before you fill it in. Both copies of this application
    form should be completed, signed and submitted. Please write in BLOCK LETTERS.
    This application form, when officially signed and stamped to show that the declaration has been registered,
    will be formal evidence of the applicant’s renunciation.
    NOTE: The information you provide in section 1 of this form will be stored on a computer which is registered under
    the Data Protection Act.
1                                            I
                                     full name
                                            of
                                  full address
                                                  am of full capacity and
                               was born on
                                  date of birth   Day                                 Month                               Year
                                            at
                    place and country of birth
2                                                 I am a British National (Overseas). (Enclose your British National (Overseas) passport.)
3            Either 3 or 4 must be completed.
            If both apply please complete both
                                                  I hold the following citizenship(s) or nationality other than British National (Overseas)
                                                  status.
4                                                 I am about to acquire the following citizenship or nationality after making this declaration
                                                  of renunciation.
                                                  (Evidence of other citizenship held or about to be acquired must accompany this declaration. See section
                                                  3 in the guide)
5    To be completed only by a married person
                            under 18 years old
                   (See section 1 in the guide)
                                                  I was married on Day                              Month                             Year
6      WARNING: To give false information on this form knowingly or recklessly is a criminal offence punishable with up to 3 months’ imprisonment
       or a fine not exceeding £5000 or both (Section 46(1) of the British Nationality Act 1981 as amended).
       “I wish to renounce this status for the following reason(s).”
       I, (full name)
       declare that to the best of my knowledge and belief the details given on this form are true and that I wish to renounce my
       British overseas territories citizenship.
       (Signature of declarant)                                                                               Date
Printed by Mitchell & Wright Printers Ltd., The Print Works, Banastre Road, Southport PR8 5AL. Tel. (01704) 535529   November 2002
                                                                                                                                              Form RN3
                                                                                                                                         Applicant’s copy
                                                               BUILDING A SAFE, JUST AND
                                                                  TOLERANT SOCIETY
                declaration of renunciation of British National
                              (Overseas) status
                                                              British Nationality Act 1981
    IMPORTANT: Please read the guide belonging to this form before you fill it in. Both copies of this application
    form should be completed, signed and submitted. Please write in BLOCK LETTERS.
    This application form, when officially signed and stamped to show that the declaration has been registered,
    will be formal evidence of the applicant’s renunciation.
    NOTE: The information you provide in section 1 of this form will be stored on a computer which is registered under
    the Data Protection Act.
1                                            I
                                     full name
                                            of
                                  full address
                                                  am of full capacity and
                               was born on        Day
                                  date of birth                                       Month                               Year
                                            at
                    place and country of birth
2                                                 I am a British National (Overseas). (Enclose your British National (Overseas) passport.)
3            Either 3 or 4 must be completed.
            If both apply please complete both
                                                  I hold the following citizenship(s) or nationality other than British National (Overseas)
                                                  status.
4                                                 I am about to acquire the following citizenship or nationality after making this declaration
                                                  of renunciation.
                                                  (Evidence of other citizenship held or about to be acquired must accompany this declaration. See section
                                                  3 in the guide)
5    To be completed only by a married person
                            under 18 years old
                   (See section 1 in the guide)
                                                  I was married on Day                              Month                               Year
6                                                 WARNING: To give false information on this form knowingly or recklessly is a criminal offence
                                                  punishable with up to 3 months’ imprisonment or a fine not exceeding £5000 or both (Section 46(1)
                                                  of the British Nationality Act 1981 as amended).
                                                  I, (full name)
                                                  declare that to the best of my knowledge and belief the details given on this form are true
                                                  and that I wish to renounce my British National (Overseas) status.
                                                  (Signature of declarant)                                                       Date
7          Declaration by countersignatory (your attention is drawn to the WARNING in part 6 of this form).
           Full names and address
           Daytime telephone number
           I confirm that I am aged 18 or over, that I know the declarant personally and that he/she is of full capacity. I am willing to give
           full details of my knowledge of the declarant (see sections 1 and 3 in the guide).
           (Signature of countersignatory)                                                                           Date
Printed by Mitchell & Wright Printers Ltd., The Print Works, Banastre Road, Southport PR8 5AL. Tel. (01704) 535529                 November 2002