Application for Citizenship Certificate

To

The Sub-Divisional Officer

(Citizenship Section )

________________________

Sub: Prayer for Citizenship Certificate by birth.

Sir,

I beg to state that I am in need of getting my by birth Citizenship Certificate in early date. The required information along with 2(two) nos. of Passport size photos and other evidence are furnished below.

1) Name of the Applicant :-

(In block letter )

2) Father’s name :-

3) Permanent address :-

4) Present address :

5) Place of birth :-

6) Date of birth :-

7) Educational Qualification :-

8) Occupation of Applicant :-

9) Nationality of parents and duration

of stay in India :-

10) Occupation of parents :-

11) Remarks :-

I pray and hope that you would be kind enough to grant my prayer on verification of records and evidences as required.

Date: Yours faithfully,