Service application · India Missions

Applicant's Given NameRequired

Surname

Date of Birth (DD-MM-YYYY)Required

Place of BirthRequired

GenderRequired

FemaleMaleOther

Marital StatusRequired

Father's full nameRequired

Mother's full nameRequired

Present Residential Address Details (where applicant presently resides)Required

E-mail IDRequired

Mobile NumberRequired

Passport NumberRequired

Date of Issue (DD-MM-YYYY)Required

Date of Expiry (DD-MM-YYYY)Required

Place of IssueRequired

I have/have not been married.Required

Have been marriedHave not been married

I hereby renounce my citizenship of India.

Name and full particulars of minor children who are citizens of India, if any

I am/ was Indian Citizen by (Birth/Descent/Registration/Naturalization)Required

Circumstances in which/reason due to which applicant intends to acquire foreign citizenship and renounce Indian citizenshipRequired

I understand that renunciation of Indian citizenship is irreversible once registered

Householder voucher — Name in BLOCK LETTERS; Full Postal AddressRequired

Householder voucher — Date; SignatureRequiredChoose signature imageWide JPG or PNG · signature only
Stored only on this device

Indian missions worldwide