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51 views3 pages

Form A

Uploaded by

zoyakhan6677889
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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APPENDIX-I

FORM ‘A’
(Vide Rules 3, 4, 5, 6 & 7)
Application for a Certificate of Citizenship of Pakistan at the
Commencement of the Pakistan Citizenship Act, 1951 (II of 1951)

1. Full name of applicant :


(block letters)
2. Father’s/ husband’s name:
(block letters)
3 Address in Full: in Pakistan:
in other country:
4. Trade or occupation:
Place Tehsil
5. Place and date of birth: District Prov./Admn
Date day of 19
6. Nationality or nationalities of the applicant:
7. The applicant claims Pakistan (a) his own birth in the territories now
nationality because of -- included in Pakistan.
(b) his parents birth in the territories now
included in Pakistan.
(c) his grand-parents birth in territories
now included in Pakistan.
*8. The applicant claims Pakistan (a) his (b) his parents or
Citizenship because of his (c) his grand-parents birth in the
domicile in the territories now territories included in India on the 31st
included in Pakistan and day of March 1937.
because of --
*9. The applicant claims (a) having acquired citizenship of no
Citizenship of Pakistan for other country.
being naturalized as a British (b) having acquired citizenship of another
subject in Pakistan and -- country has before the 13th April, 1951
renounced it by depositing a
declaration in writing to that effect
with an authority appointed or
empowered by that other government
to receive it.
10. The applicant claims (a) he is not a national or citizen of that or
Citizenship of Pakistan, any other country outside Pakistan.
because being ordinarily (b) that on the faith of that declaration
resident in a country outside and by reason of his (a) own birth, or
Pakistan he is making the (b) that of his parents, or (c) of his
declaration within one year of grand-parents, he claims to be a
the 13th April, 1951 that --- citizen of Pakistan.
11. Name and address and
nationality of parent or grand- (in block letters)
parent though whose birth in
Pakistan or in the territories
included in India on the 31st
March 1937 citizenship is
claimed.
12. Place and date of birth Place Tehsil
of parent mentioned in 11 District Prov./Admn
Date Day of 19
13. (1) Documentary evidence in (1)
support of the claim of birth
of self, parent or grand-
parent.
(2) Documentary evidence of (2)
renunciation of other
nationality; and
(3) documentary evidence of (3) Number, date and place of issue of the
domicile domicile certificate.

14. Whether married or single, widower or widow?


15. Full name of wife or husband
16. Full names of children and
their ages

17. Whether the applicant has at


any time previously applied for
the grant of a certificate of
citizenship?

18. Details of place where 14-08-1947


applicant was permanently Place Tehsil.
District.
residing between 14th August Province.
1947, and 13th April 1951, or
was domiciled on 13th April
1951.
13-04-1951
Place Tehsil.
District.
Province. .
19. Exact date of migration from
what now constitutes India, to
Pakistan and details of place of
permanent residence in India
before migration.
20. Names and complete address, (i)
with relationship, if any, of two
referees in Pakistan (ii)

21. Whether the applicant is also a


national of any other (foreign)
country. If so, give particulars
of nationality certificate and
passport issued by that
country.

I do solemnly affirm that the above statement is true to the best of my


knowledge and belief.

Signature
Place:
Date:
Attestation:
Designation:
Place and Date:

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