Purpose and completion
The declarant provides identity, residence, occupation, birth and foreign-citizenship statements, affirms document authenticity and declares renunciation.
Fields and checks
Prepare the following information as applicable to this form.
| Part | Information |
|---|---|
| Identity | Name, IC/birth/citizenship certificate number, residence and occupation |
| Statements | Mental capacity, birth, foreign citizenship and authenticity |
| Execution | Place/date, declarant and authorised witness signatures |
Declarations and supporting records
The form’s wording includes an anticipated foreign citizenship, but the live application page requires another citizenship already acquired. Confirm substantive eligibility on that page and have the declaration duly notarised as required.
Official ICA source
Written independently from ICA’s English original. The linked source supplies the complete document and subsequent updates.