UK Visas and Immigration
Department 55
Reporting Centre
UK Visas Ground Floor
Union Street
& Immigration Liverpool
L3 9PP
Tel:
Please refer to www.gov.uk/contact-ukvi-inside-
outside-uk
Web: www.gov.uk/uk-visas-immigration
Ref: 033972218
Date: 04 March 2024
DECLARATION OF RENUNCIATION
This declaration, if signed and sealed, is formal evidence of renunciation of the
nationality indicated below by:
Name : N
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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