Application For Citizenship Of Fiji Page 7

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SECTION H
CITIZENSHIP BY NATURALIZATION
(THE APPLICANT MUST BE AN ADULT PERSON WHO HAS BEEN RESIDENT IN FIJI FOR A TOTAL OF 5 OF THE 10
YEARS IMMEDIATELY BEFORE THE APPLICATION FOR NATURALIZATION IS MADE)
DETAILS OF APPLICANT
H1.
Date of first entry into Fiji
H2.
Type of entry Permit issued on arrival
(Provide Proof e.g. Passport)
eg. Visitor, Residential, Exemption
H3.
Date first work/residence/exemption
H4.
Employer/Organisation
Permit issued
H5.
Any change/variation of Permit/Employer
H6.
Have you been convicted of any Crime
Yes
No
Yes
No
If Yes, give details
If Yes, give details.
H7.
Have you ever suffered from any
H8.
Indicate any language (s) which you can
Contagious or infections disease?
read and write
Yes
No
If yes, give details.
H9.
If this application is approved, do you intend to live in Fiji?
Yes
No
H10.
In your opinion, what are some of the responsibilities of a Fiji Citizen?
a. _________________________________________________________________________________________
b. __________________________________________________________________________________________
H11.
Give details of work/residence permit held during the last five years.
ADDRESS
DATE FROM
DATE TO
SECTION I
Declaration
I hereby declare that the information I have supplied in this form is complete, truthful and correct.
Signature of Applicant …………………………………… Date

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