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Sworn Affidavit

Rahamat Ali, an Indian citizen holding an Indian passport issued in Patna, affirms in a sworn affidavit that neither of his parents are non-Indian, his spouse is not non-Indian, and he has not applied for or acquired any other nationality besides Indian. He acknowledges that providing incorrect information in the affidavit could result in prosecution and revocation of his Indian passport.

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0% found this document useful (0 votes)
75 views1 page

Sworn Affidavit

Rahamat Ali, an Indian citizen holding an Indian passport issued in Patna, affirms in a sworn affidavit that neither of his parents are non-Indian, his spouse is not non-Indian, and he has not applied for or acquired any other nationality besides Indian. He acknowledges that providing incorrect information in the affidavit could result in prosecution and revocation of his Indian passport.

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razamba
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© © All Rights Reserved
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SWORN AFFIDAVIT

I ___RAHAMAT ALI_______________________________________________holder of Indian Passport


No____L4698661__issued at _____PATNA________________________________

on ___08/10/2013_residing at ___NESMA PARTNERS SHUMAYSI CAMP MAKKAH___________________

do hereby solemnly affirm and declare the following:

1. Either of Parents are Non-Indian? Yes/No___NO_________

If, Yes (Attached copy of Passport) – Nationality ____________N/A___________________and passport

No: ___N/A____

2. Spouse is Non-Indian? – Yes /No ___NO_________

If, Yes (Attached copy of Passport) – Nationality ______________N/A__________________and passport

No: ___N/A____

3. Applied for any other nationality? – Yes /No ___NO_________

If, Yes (Country & application details) ________N/A_____________________

I also affirm that they have not applied for or acquired nationality of Pakistan or any other foreign
country.

If the information furnished above is found to be incorrect, I understand that I am liable to be


prosecuted, and my passport shall be impounded / revoked as per extant rules and regulations under
Passport Act.

Signature of the applicant

Mobile No: 0571489500

Place: Jeddah

Date: 18/06/2023

Classification | Internal

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