Renunciation Of Pakistani Citizenship Page 2

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EMBASSY OF PAKISTAN
Pedro de Valdivia, 16, 28006 MADRID
TEL: 913458995 FAX: 913458158
FORM ‘X’
Vide Rule 14-A(I)
Declaration of Renunciation of Citizenship under Section 14-A of the Pakistan
Citizenship Act 1951
1. I________________________ Resident of______________________am of full
capacity and was born at __________________on___________________
2. I have / have not been married.
3. I am a citizen/national of ________________________under the law of that country
or hold valid documents assuring me of the grant of citizenship or nationality of that
country upon renouncing citizenship of Pakistan.
4. I here-by renounce my citizenship of Pakistan.
5. I do solemnly affirm that the foregoing particulars in this declaration are true to
the best of my knowledge and belief.
Signature____________________
Place_______________________
Date_______________________

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