Renunciation Of Pakistani Citizenship (Page 3 of 4) in pdf

Renunciation Of Pakistani Citizenship Page 3

PARTICULARS

1. Full Name: ____________________________________________________

2. Father’s Name: ________________________________________________

3. Nationality of Father: ___________________________________________

4. Mother’s Name: _______________________________________________

5. Nationality of Mother: __________________________________________

6. Profession or Occupation: _______________________________________

7. Address: ______________________________________________________

8. Place & Date of Birth: ___________________________________________

9. Second (new) Nationality: _______________________________________

10.Single/Married/Widow/Divorced: ______________________________

11.Name of the wife/Husband: ____________________________________

12.Names and full particulars of minor children, if any, residing abroad, at the time

of making declaration:

Name

Sex

Date & place of birth

(a)

____________________

________

____________________

(b)

____________________

________

____________________

(c)

____________________

________

____________________

13.Applicant’s full address in Pakistan: _____________________________

_____________________________________________________________

_______________________________________

Signature or thumb impression

Renunciation Of Pakistani Citizenship Page 3