And Date
12
Telephone No of
Surname
13
Father/Guardian(s) Name
1
Address
2
Telephone No. and Date
14
Telephone No. of
Father or the guardian(s) name
15
Address
Name of any
Other contact persons'
Or relative No.
Affidavit (with photograph):
1
2
Signature of the applicant Affidavit
Part B: Additional Data
This Part provides for the application of some provisions relating to the registration
Of Indian citizens under section 7A of the Citizenship Act. In particular:
(1) a citizen of India who is at least twenty-one years of age may choose
to be registered in Australia as an “Australian citizen” in lieu of the citizenship
Affirmation.
(2) registration in Australia (including the Australian citizenship oath of allegiance)
May be given by a declaration under subsection (3). The
declaration must be executed under the hand and seal of an authorized
officer of the government of the Commonwealth or in the presence of two
officers of the government of the Commonwealth appointed to act as the
declarer and of the Registrar of the Australian Citizenship
Association.
(3) The declaration may be made by:
(a) an authorized officer who is an officer of the Australian Government; or
(b) an officer of the Australian Defense Force (within the meaning given by
The National Defense Act).
(4) A person may require the person's signature, in a document submitted to
the Registrar under section 6 of the Citizenship Act, by any of the
Mentioned persons as well as by an authorized officer.
(5) A declaration made under this section may be revoked or amended by an authorised
Officer at any time.
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FORM XIX
(See rule 25B)
Application for registration as an overseas citizen of India under section 7A of the
Citizenship Act ,1955.
Note: Please see Instructions below before filling up the form
PART
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