Please complete both forms
DECLARATION OF CITIZENSHIP AS PER PART II SECTION 3.3 (ii) OF
THE CONSULAR FUNCTION ACT NO. 4 OF 1981
I, …………………………………………………………………………………………………………… of …………………………………………………………………………………………………………….. bearing Sri Lanka Passport No: ……………………….. issued at ……………………………………… do hereby solemnly and truthfully declare and affirm that I was a citizen of Sri Lanka, on …………………………………..
(date of birth of child)
was not on this date, a citizen of any other country.
SIGNATURE :
Signature of Witness: ………………………………
Name of Witness: ………………………………
Address of Witness: ……………………………… Name & designation of officer of Mission
Date: ……………………………… ………………………………………
………………………………………
DECLARATION OF CITIZENSHIP AS PER PART II SECTION 3.3 (ii) OF
THE CONSULAR FUNCTION ACT NO. 4 OF 1981
I, …………………………………………………………………………………………………………… of …………………………………………………………………………………………………………….. bearing Sri Lanka Passport No: ……………………….. issued at ……………………………………… do hereby solemnly and truthfully declare and affirm that I was a citizen of Sri Lanka, on …………………………………..
(date of birth of child)
was not on this date, a citizen of any other country.
SIGNATURE :
Signature of Witness: ………………………………
Name of Witness: ………………………………
Address of Witness: ……………………………… Name & designation of officer of Mission
Date: ……………………………… ………………………………………
………………………………………