Download Form for Registration as Indian citizen under section 5(1)(e) by a person whose parents are registered as Indian citizen under section 5(1)(a) of section 6(1)

FORM III A (See rule 5A) The Citizenship Act, 1955-section 5(1)(e) APPLICATION FOR REGISTRATION AS A CITIZEN OF INDIA UNDER SECTION 5(1)(e) OF THE ACT, MADE BY A PERSON WHOSE PARENTS ARE REGISTERED AS CITIZENS OF INDIA UNDER SECTION 5(1)(a) OR SECTION 6(1) Note: Please write/print in BLOCK LETTERS PART I PHOTOGRAPH 1. I, ............................(here mention name and complete address of applicant including street or lane or village or town, police station and State) of full age and capacity and was born at (with Tehsil, District and State)................................... ............on ......... 2. My father's full name is/was .................and he was born at ........ on ........., and he was registered as a citizen of India under section 5(1)(a)/section 6(1)vide certificate No...... dated..... 3. My mother's full name is/was .................and she was born at ........ on ........., and she was registered as a citizen of India under section 5(1)(a)/section 6(1)vide certificate No...... dated........ 4. My wife's/husband's full name is/was .................. and she/he was born at .................on ......... 5. (a) Profession or occupation :....................... (b) If in service, address of employer:...................... 6. Passport particulars: a) Country .......... b) Number .......... c) Place and date of issue .......... d) Valid up to .......... 7. Particulars of visa: a) Number and date of visa: .......... b) Place of issue: .......... c) Name of issuing authority: .......... d) Valid up to: .......... 8. Details of family members who are staying in India with the applicant: S. No. Name Present Address Relationship Age PART II 9. I have/have not previously renounced or been deprived of the citizenship of India. (If the applicant has renounced his or her Indian citizenship, here state the date on which the declaration of renunciation was made; or if he or she has been deprived of his or her citizenship, state the date on which and the authority by whom, the order of deprivation was made.) 10. I have/have not previously applied for registration as a citizen of India and the applicant has/has not been rejected. 11. I declare that my intention is to make India my permanent home and I undertake that I shall renounce the citizenship of my country in the event of my application being sanctioned. 12. I, ..................(her mention name of the applicant) do solemnly and sincerely declare that the foregoing particulars, stated in this application are true, and I make this solemn declaration conscientiously believing the same to be true. Date:....... Signature:............ Made and subscribed this ........day .......of ......20.....before me. *Signature............ *Designation............ 13. I, the undersigned, hereby state that I am an Indian citizen otherwise than by naturalization, that I am a householder, and that I am not the solicitor or agent of....... I vouch for the correctness of the statement made by ........ in his/her application for Indian citizenship. Signature............. Name ............ Full Postal Address.......... ............... Oath of Allegiance I, .................(here mention the name of the applicant) do solemnly affirm and swear in the name of God 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 fulfill my duties as a citizen of India. Signature............ Affirmed/Sworn and subscribed this ........day ...... of......20...before me. *Signature......... *Designation......... *Signature and designation of the officer authorized under rule 28 of the Citizenship Rules, 1956, before whom the declaration is made or oath of allegiance is taken.( i.e. the Collector, Deputy Commissioner, District Magistrate) (This form when completed should be submitted in triplicate to the Collector/Deputy Commissioner/District Magistrate within whose jurisdiction the applicant is ordinarily resident for transmission to the Central Government through the State Government or Union territory administration, as the case may be). DOCUMENTS TO BE ATTACHED WITH THE APPLICATION BY THE APPLICANT 1. A copy of the valid Foreign passport. 2. A copy of valid LTV/Residential permit. 3. Copies of Indian Citizenship Certificates issued under Section 5(1)(a) or 6(1) of the Citizenship Act, 1955 of both the parents. 4. A copy of Bank challan in original amounting to Rs.500/- deposited in the State Bank of India under Head No."0070-Other Administrative Services-Other Services-receipts under Citizenship Act.