The Republic of Cyprus Citizenship Law,1967-Section 5 (3)

(Μ126.E)

THE REPUBLIC OF CYPRUS CITIZENSHIP LAW,1967-SECTION 5 (3)

APPLICATION FOR THE REGISTRATION AS A CITIZEN OF THE REPUBLIC OF CYPRUS OF A PERSON WHO HAS NOT ATTAINED THE AGE OF TWENTY-ONE YEARS

Ι. PARTICULARS OF MINOR:

1. Minor’s full original name in the

Country of birth

(IN BLOCK LETTERS)

2. If original name has been altered,

give particulars and date of

alteration

3. Present private address

4. Occupation

5. Country,place and date of birth Country:

Place:

Date of birth:

6.Nationality at birth

7. Present nationality, if different

8. If different, state how change in

nationality was made

9. If stateless, state how nationality

was lost

10. State of minor is single,married,

widower, widow or divorced

11. If married, give full name andNameNationality

nationality of husband or wife

12. If husband or wife is dead, givePlaceDate

place and date of death

13. If marriage has been annulled

or dissolved, give place and date ofPlace Date

issue of relative Court Order or

Judgment

ΙΙ. PARTICULARS OF MINOR’S RESIDENCE:

14.Date of residence:

(α)In the Republic of Cyprus (full postal address

must be given):FromTO Years Months

(b) In other countries (only the name of the

country need be given)

15. If this application is granted, the minor intends to live in (insert name of country): …………………………

ΙΙΙ. PARTICULARS OF PARENTS:

Α. FATHER:

16. Full name in country of

birth

(IN BLOCK LETTERS)

17. Place of birth

Country Place

18. If living, state present

address

19.If dead, state place andPlace Date

date of death

20. Nationality (if dead, at

time of death)

Β.MOTHER:

21.Full name in country of

birthMarried name ………………………………………………………………….

(IN BLOCK LETTERS) …………………………………………………………………………………..

Maiden name……….…………………………………………………………

…………………………………………………………………………………

22. If living, state present

address

23. If dead, state place and Place Date

date of death

ΙV.PARTICULARS OF ANY PROCEEDINGS AGAINST MINOR:

24. Give details of all proccedings of any kind taken against the minor in Civil or Criminal Courts of Law:

(If the answer is in the negative, write” NONE”)

Nature of Proceedings Date Place Result

V. PARTICULARS OF PREVIOUS APPLICATION FOR NATURALIZATION OR

REGISTRATION OF MINOR:

25. Approximate date of any previous application for naturalization or

registration of minor.

(If the answer is in the negative, write ” NONE ”):

VI. APPLICATION:

26. Complete EITHER paragraph (a) or (b) or (c), whichever is appropriate. Paragraphs (d) and (e)

below MUST be completed in all cases:

(α) THE PARENT:

(To be completed only where I, (full name)………………………………………………………….

the application is made by a ………………………………………………………………………..

parent) am a parent of (full name of minor)……………………………….

………………………………………………………………………..

to whom the foregoing particulars relate. I hereby apply for his

/ * her registration as a citizen of the Republic of Cyprus.

(β) THE GUARDIAN:I, (full name of guardian)……………...…………………………….

(To be completed only where ………………………………………………………………………...

the application is made by a am the guardian of (full name of minor)…………………………...

guardian) ………………………………………………………………………...

to whom the foregoing particulars relate, and am

*(i) a citizen of the Republic of Cyprus

*(ii) a national of the foreign state of……………………………

I am authorized to act as guardian

*(i) by the Court by virtue of (give particulars of place and

date of issue of the relative Court Order or Judgment):

………………………………………………………………….

(ii) by the minor’s father / *mother, whose consent is

attached.

I hereby apply for his / *her registration as a citizen of the

Republic of Cyprus.

(C) REASONS FOR THE APPLICATION:

The reasons for which registration is applied for are:………………………………………………………….

………………………………………………………………………………………………………………………..

………………………………………………………………………………………………………………………...

…………………………………………………………………………………………………………………………

(D) DECLARATION:I, (full name)……………………………………………………….

………………………………………………………………………

do solemnly and sincerely declare that the foregoing particulars

stated in this application are true, and I make this solemn

declaration conscientiously believing the same to be true.

(Signed)……………………………………………………

Parent / * Guardian

Made and subscribed this……………………………..day of …………………………………………………………

20………. before me……………………………………………at………………………………………………

(Signed)…………………………………………………….

Judge or Registrar or Consular Officer or other

person authorized to act in this respect

REFERENCES

Ι. Name (IN BLOCK LETTERS) Mr. /*Mrs./*Miss…………………………………………………………………….

Full postal address………………….…………………………………………………………………………………..

I, the undersigned, hereby state that I am a citizen of the Republic of Cyprus otherwise than by

Naturalization or registration, that I am a (state profession or occupation)………………………..and that I

Am not the advocate or agent or a relative of (insert name of minor)…………………………………………….

……………………………………………………………………………………………………………………………

I support this application from my personal knowledge of, and close acquaintance with, the minor for………

……………………..years. I vouch for his / *her good character and loyalty and am prepared to furnish full

details about my knowledge of, and acquaintance with, the minor.

Date………..…………………………………………………………..(Signed)…………………………………….

2. Name (IN BLOCK LETTERS) Mr. / *Mrs. / *Miss………………………………………………………………….

Full postal address…………………………………………………………………………………………………….

I, the undersigned, hereby state that I am a citizen of the Republic of Cyprus otherwise than by

Naturalization or registration, that I am a (state profession or occupation)……………………………………….

And that I am not the advocate or agent or a relative of (insert name of minor)……………………………….

…………………………………………………………………………………………………………………………….

I support this application from my personal knowledge of, and close acquaintance with, the minor

for……………………….years. I vouch for his/ *her good character and loyalty and am prepared to

furnish full details about my knowledge of, and acquaintance with, the minor.

Date…………………………………………………….(Signed)………………………………………….

* Delete words not applicable.