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Form RN3

Official copy

BUILDING A SAFE, JUST AND


TOLERANT SOCIETY

declaration of renunciation of British National


(Overseas) status
British Nationality Act 1981

IMPORTANT: Please read the guide belonging to this form before you fill it in. Both copies of this application
form should be completed, signed and submitted. Please write in BLOCK LETTERS.
This application form, when officially signed and stamped to show that the declaration has been registered,
will be formal evidence of the applicant’s renunciation.
NOTE: The information you provide in section 1 of this form will be stored on a computer which is registered under
the Data Protection Act.

1 I
full name
of
full address

am of full capacity and


was born on
date of birth Day Month Year
at
place and country of birth

2 I am a British National (Overseas). (Enclose your British National (Overseas) passport.)

3 Either 3 or 4 must be completed.


If both apply please complete both
I hold the following citizenship(s) or nationality other than British National (Overseas)
status.

4 I am about to acquire the following citizenship or nationality after making this declaration
of renunciation.

(Evidence of other citizenship held or about to be acquired must accompany this declaration. See section
3 in the guide)

5 To be completed only by a married person


under 18 years old
(See section 1 in the guide)
I was married on Day Month Year

6 WARNING: To give false information on this form knowingly or recklessly is a criminal offence punishable with up to 3 months’ imprisonment
or a fine not exceeding £5000 or both (Section 46(1) of the British Nationality Act 1981 as amended).
“I wish to renounce this status for the following reason(s).”

I, (full name)
declare that to the best of my knowledge and belief the details given on this form are true and that I wish to renounce my
British overseas territories citizenship.

(Signature of declarant) Date


Printed by Mitchell & Wright Printers Ltd., The Print Works, Banastre Road, Southport PR8 5AL. Tel. (01704) 535529 November 2002
Form RN3
Applicant’s copy

BUILDING A SAFE, JUST AND


TOLERANT SOCIETY

declaration of renunciation of British National


(Overseas) status
British Nationality Act 1981

IMPORTANT: Please read the guide belonging to this form before you fill it in. Both copies of this application
form should be completed, signed and submitted. Please write in BLOCK LETTERS.
This application form, when officially signed and stamped to show that the declaration has been registered,
will be formal evidence of the applicant’s renunciation.
NOTE: The information you provide in section 1 of this form will be stored on a computer which is registered under
the Data Protection Act.

1 I
full name
of
full address

am of full capacity and


was born on Day
date of birth Month Year
at
place and country of birth

2 I am a British National (Overseas). (Enclose your British National (Overseas) passport.)

3 Either 3 or 4 must be completed.


If both apply please complete both
I hold the following citizenship(s) or nationality other than British National (Overseas)
status.

4 I am about to acquire the following citizenship or nationality after making this declaration
of renunciation.

(Evidence of other citizenship held or about to be acquired must accompany this declaration. See section
3 in the guide)

5 To be completed only by a married person


under 18 years old
(See section 1 in the guide)
I was married on Day Month Year

6 WARNING: To give false information on this form knowingly or recklessly is a criminal offence
punishable with up to 3 months’ imprisonment or a fine not exceeding £5000 or both (Section 46(1)
of the British Nationality Act 1981 as amended).

I, (full name)
declare that to the best of my knowledge and belief the details given on this form are true
and that I wish to renounce my British National (Overseas) status.

(Signature of declarant) Date


7 Declaration by countersignatory (your attention is drawn to the WARNING in part 6 of this form).

Full names and address

Daytime telephone number

I confirm that I am aged 18 or over, that I know the declarant personally and that he/she is of full capacity. I am willing to give
full details of my knowledge of the declarant (see sections 1 and 3 in the guide).

(Signature of countersignatory) Date

Printed by Mitchell & Wright Printers Ltd., The Print Works, Banastre Road, Southport PR8 5AL. Tel. (01704) 535529 November 2002