EFTA00037130.pdf

Type: pdf
Source set: data-set-8
Extracted text

UK Visas 
& Immigration 
UK Visas and Immigration 
Department 55 
Reporting Centre 
Ground Floor 
Union Street 
Liverpool 
L3 9PP 
Tel: 
Please refer to www.gov.uk/contact-ukvi-inside-
outside-uk 
Web: 
www.gov.uk/uk-visas-immigration 
Ref: 
Date: 
033972218 
04 March 2024 
DECLARATION OF RENUNCIATION 
This declaration, if signed and sealed, is formal evidence of renunciation of the 
nationality indicated below by: 
Name : 
Date of Birth 
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Place and Country of Birth : Johannesburg, South Africa 
Nationality : British Citizen 
The declaration is registered on the understanding that the person named holds 
another nationality or citizenship or expects to acquire another nationality or 
citizenship within six months of the date of renunciation. If another nationality or 
citizenship is not held or is not acquired within six months, this renunciation will 
not take effect and the person named will be considered to have retained the 
British nationality (or nationalities) indicated above. 
EFTA00037130
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