Annexure 1
Schedule 1A
[Refer rule 10A]
THE CITIZENSHIP RULES, 2009
List of Documents to prove that the applicant is a national of Afghanistan or Bangladesh or Pakistan
[for applicants submitting application under section 6B]
1. Copy of the passport issued by the government of Afghanistan or Bangladesh or Pakistan
2. Registration Certificate or Residential Permit issued by the Foreigners Regional Registration
Officer (FRRO) or Foreigners Registration Officer (FRO) in India
3. Birth certificate issued by a Government authority in Afghanistan or Bangladesh or Pakistan
4. School certificate or educational certificate issued by the School or College or Board or
University authorities in Afghanistan, Bangladesh or Pakistan
5. Identity Document of any kind issued by Government of Afghanistan or Bangladesh or Pakistan
or any other Government authorities or Government agencies in these countries
6. Any License or Certificate issued by a Government authority of Afghanistan, Bangladesh or
Pakistan
7. Land or tenancy records in Afghanistan or Bangladesh or Pakistan
8. Any document that shows that either of the parents or grandparents or great grandparents of
the applicant is or had been a citizen of one of the three countries i.e. Afghanistan or Bangladesh or
Pakistan
9. Any other document issued by a Government authority or a Government agency in Afghanistan
or Bangladesh or Pakistan which will establish that the applicant is from Afghanistan or
Bangladesh or Pakistan
Note: The Above documents will be admissible even beyond their validity period.
Annexure 2
Schedule 1B
[Refer rule 10A]
THE CITIZENSHIP RULES, 2009
1. Copy of visa and immigration stamp on arrival in India
2. Registration Certificate or Residential Permit issued by the Foreigners Regional Registration
Officer (FRRO) or Foreigners Registration Officer (FRO) in India
3. Slip issued by the Census Enumerators in India to such persons while conducting census related
survey
4. Government issued license or certificate or permit in India (Including Driving License, Aadhaar
Card etc.)
5. Ration Card of the applicant issued in India
6. Any letter issued by the Government or Court to the applicant with official stamp
7. Birth certificate of the applicant issued in India
8. Land or tenancy records or registered rental agreement in India in the name of the applicant
9. PAN Card issuance document bearing the date of issuance
10. Any other document issued by the Central Government or State Government or any Public
Sector Undertakings of Central Government or State Government or any financial institutions like
Banks or any other Public Authority
11. Certificate issued by an elected member of any rural or urban body or officer thereof or a
revenue officer
12. Record and account details relating to and issued by the Banks (Including Private Banks) or Post
Office accounts in the name of the applicant
13. Insurance policies issued by the Insurance companies in India in the name of the applicant
14. Electricity connection papers or Electricity Bills or other Utility Bills in the name of the applicant
15. Court or Tribunal Records or Processes in India in respect of the applicant
16. Document showing service or employment under any employer in India supported by
Employees Provident Fund (EPF)/ General Provident Fund/ Pension/ Employees State Insurance
Corporation (ESIC) documents
17. School leaving certificate of the applicant issued in India
18. Academic certificate issued by a school or college or a board or a university or a government
institution
19. Municipality trade license issued to the applicant
20. Marriage Certificate
List of Documents to prove that the applicant has entered into India on or before
31.12.2014 [for applicants submitting application under section 6B]
Note: (i) The above documents should have been issued by an Indian Authority and will be
admissible even beyond their validity period
(ii) The documents should establish that the applicant had entered India on or before
31.12.2014
Annexure 3
Schedule 1C
[Refer rule 10A]
THE CITIZENSHIP RULES, 2009
Specimen of the Affidavit to be sworn before and attested by a judicial Magistrate or an
Executive Magistrate or an Oath Commissioner or a Notary Public to be submitted along
with the application [To be executed on non-judicial stamp paper of rupees Ten]
SCHEDULE 1C
AFFIDAVIT
I, ……………………………………. Son/ daughter/ wife of …………………………. Resident of
.................................................................................................................................................................... d
o
hereby solemnly declare and affirm as follows: -
(v) That I am an Afghan/ Bangladeshi/ Pakistani national belonging to Hindu/ Sikh/ Buddhist/
Jain/ Parsi/ Christian community in that country (strike out whichever is not applicable) on the date
of my entry into India and continue to belong to this community on the date of submission of this
applicationand was residing at ......................................... (write full postal address in that country).
An Eligibility Certificate* from a locally reputed community institution is enclosed.
(vi) That I am exempted by the Central Government under clause (c) of sub-section (2) of
section 3 of the Passport (Entry into India) Act, 1920 and from the application of the provisions of
the Foreigners Act, 1946 or any rule or order made thereunder in terms of Ministry of Home
Affairs Notification No. G.S.R. 685(E) and Order No, G.S.R. 686(E) dated 07.09.2015 and
Notification No. G.S.R. 702(E) and Order No. G.S.R. 703(E) dated 18.07.2016.
(vii)That I entered into India on............................ (Date, month and year to be given as available)
(viii) I am aware that it is an offence under the Citizenship Act, 1955 to make a false
representation or concealment of any material fact and that if it is found later that wrong
information has been furnished by me in this Affidavit and/ or in the Eligibility Certificate, I shall be
deprived of my Indian citizenship abinitio.
VERIFICATION
Verified at …………………………. (Place) this……………. day of ........................ (month & year) that the
contents
of the above affidavit are true and correct to the best of my knowledge and belief and nothing has
beenconcealed therein.
DEPONENT
Attestation with stamp
*ELIGIBILITY CERTIFICATE
(Format of the Eligibility Certificate from the locally reputed community
institution)
TO WHOMSOVER IT MAY CONCERN
I… …………………. (Name), son/ daughter/ wife of ....................................................... (name) residing at
………………………………………………… (Full postal address) hereby confirm that Mr. /Mrs. /Ms.
………………………..
(name of the Afghan/ Bangladeshi/ Pakistani national) ……………………. Son/daughter/ wife of
………………….
(name), residing at ............................................... (full postal address) is known to me and to the best of
my knowledge and belief, he/she belongs to Hindi/ Sikh/ Buddhist/ Jain/ Parsi/ Christian community
(strike out whichever is not applicable) and continues to be a member of the above mentioned
community.
Date:
Place ........................ ”.
(Signature) Name of person giving the certificate
Name and address of the community InstitutionTelephone/ Mobile No. : …………………………………………
