| Photograph 2 copies of a recent full face photograph of the applicant, attached here. The reverse of one copy should be endorsed by an adult (not the applicant) as being a correct likeness | |||
GOVERNMENT OF THE REPUBLIC OF FIJI
IMMIGRATION DEPARTMENT
APPLICATION FOR CITIZENSHIP OF FIJI1
| APPLICANT’S FULL NAME | SURNAME | GIVEN NAMES |
| INSTRUCTIONS: A number of categories of persons are entitled to be or may apply to be registered/naturalised as Fijian citizens. This form is to be used for all such applications which are categorised below. Please tick the category under which you are applying and complete the relevant Sections of the form as indicated. | ||
CATEGORIES
1. REGISTRATION
| [a] | Child of a Fijian citizen born outside Fiji [Act, section 8(1)] | Complete sections A. B. C and I and Certificate A | □ |
| [b] | Adopted foreign child of a Fijian citizen [Act, section 8(2)] | Complete sections A. B. D and I and Certificate A | □ |
| [c] | A child either of whose parents becomes a Fijian citizen [Act, section 8(3)] | Complete sections A. B and I and Certificate A | □ |
[Note: Applicants under categories [a], [b] or [c] who are 18 years old or over must also complete section G. However, such applicants are not required to complete Certificate A.]
| [d] | Former citizen | Complete sections A, E and I and Certificate B | □ |
| [Act, section 8(6)] | |||
| [e] | An adult who has been married to a Fijian citizen | Complete sections A, B, F and I and Certificate B | □ |
| [Act, section 8(7)] |
2. NATURALISATION
| [a] | An adult who has been lawfully resident in Fiji for a total of 5 of the 10 years immediately before the application for naturalisation is made. | Complete sections A, H and I and Certificate B |
| [Act, section 11] |
| WARNING |
| THE INCLUSION OF FALSE INFORMATION ON THIS FORM OR IN SUPPORT OF THIS APPLICATION CAN LEAD TO IMPRISONMENT OR A FINE. |
| COMPLETED FORMS SHOULD BE SUBMITTED WITH APPROPRIATE FEES TO: | ||
| THE DIRECTOR OF IMMIGRATION, IMMIGRATION DEPARTMENT, SUVA. OR POST TO: PO BOX 2224, GOVERNMENT BUILDINGS, SUVA, FIJI. | ||
| NOTES | ||
| 1. | The application must be made by a person who is 18 years of age or over. | |
| 2. | For the purposes of categories 1 [a], 1 [b] and 1 [c], where the applicant is a minor (ie under the age of 18 years), the form should be completed by the applicant's parent or guardian. | |
| 3. | Present nationality: Evidence of the applicant's present citizenship or nationality status must be attached (eg birth certificate, passport, citizenship certificate etc). | |
| 4. | Where a question in a particular section you are answering does not apply to you please put NONE or N/A as appropriate. | |
| 5. | Declaration and Certificates (pages 8 and 9): The declaration on page 9 of this form (Certificate B, Part C) is only required of an applicant who is not a Commonwealth citizen or a British Protected Person. If it does not apply to you, delete it by putting a diagonal line through it. | |
| For office use only | |||||
| Tick | File page | ||||
| i] | Birth certificate of applicant or equivalent | ||||
| ii] | Birth certificate of parent/husband | ||||
| iii] | Marriage certificate: | ||||
| iv] | Death certificate of husband: | ||||
| v] | Passport: | ||||
| vi] | Certificate of registration of citizenship: | ||||
| vii] | Medical report | ||||
| viii] | Other | ||||
| PARTICULARS OF APPLICANT | |||||||
| SECTION A (All applicants must complete this section) | |||||||
| A1. | Surname | ||||||
| A2. | Given names | ||||||
| A3. | Date of birth | A4. | Country of birth | ||||
| A5. | Present nationality | A6. | Passport No | ||||
| A7. | Sex | A8. | Marital status | ||||
| MALE | FEMALE | ||||||
| □ | □ | ||||||
| A9. | Residential address | ||||||
| Telephone No: | |||||||
| A10. | Postal address | ||||||
| Telephone No: | |||||||
| A11. | Occupation | ||||||
| SECTION B | |||||
| Bl. | |||||
| B2. | SURNAME: | GIVEN NAMES: | |||
| Date of birth | B3. Country of Birth | ||||
| B4. | Present nationality | B5. Passport No | |||
| B6. | Do you hold citizenship of another country? | Yes □ | No □ | ||
| If yes, of which country or countries? | |||||
| SECTION C | ||||
| CHILD BORN OUTSIDE FIJI | ||||
| C1. | Was at least 1 of the child’s parents a Fijian citizen | Yes □ | No □ | |
| at the date of the child’s birth? | [Attach documentary evidence] | |||
| C2. | Did either parent hold citizenship | Yes □ | No □ | |
| of another country at the date | [Attach documentary evidence] | |||
| of the child’s birth? | ||||
| SECTION D | ||||||
| FOREIGN CHILD ADOPTED BY A FIJIAN CITIZEN | ||||||
| Dl. | Has the child been legally | D2. | Date of adoption | |||
| adopted either in Fiji or Overseas? | ||||||
| Yes □ No □ | ||||||
| D3. | Court Order Number | D4. | Name of Court/Authority granting adoption | |||
| D5. | Name of person in whose favour adoption was granted. | |||||
| SECTION E | ||||
| FORMER CITIZEN | ||||
| PARTICULARS OF APPLICANT’S PRESENT CITIZENSHIP | ||||
| E1. | Country of citizenship | E2. | Date obtained | |
| PARTICULARS OF APPLICANT’S PREVIOUS FIJIAN CITIZENSHIP | ||||
| E3. | How obtained | E4. | Date obtained | |
| (Birth/Naturalisation/Registration) | Day Month Year | |||
| E5. | Provide proof of your former citizenship eg passport. | E6. | Have you been convicted of any crime? | |
| Yes □ No □ | ||||
| SECTION F | |||||
| AN ADULT WHO IS OR HAS BEEN MARRIED TO A FIJIAN CITIZEN | |||||
| PARTICULARS OF APPLICANT | F2. | Type of permit granted (eg visitor/ | |||
| Fl. | Date of first entry into Fiji | residential/work/exemption) | |||
| DAY / MONTH / YEAR | |||||
| F3. | Date of marriage | F4. | Place of marriage | ||
| DAY / MONTH / YEAR | |||||
| SECTION G | ||||||
| CITIZEN BY REGISTRATION | ||||||
| (This section must be completed by all applicants under categories 1[a], 1[b] and 1[c] who are 18 years of age or over) | ||||||
| DETAILS OF APPLICANT | ||||||
| G1. | Date of first entry into Fiji | G2. | Type of entry permit issued on arrival | |||
| (Provide proof, eg passport) | eg visitor, residential, exemption | |||||
| G3. | Date first work residence/exemption | |||||
| permit issued | ||||||
| G4. | Give details of all work/residence permits held during the last 5 years. | |||||
| ADDRESS | DATE FROM | DATE TO | ||||
| SECTION H | ||||||
| CITIZENSHIP BY NATURALISATION | ||||||
| (THE APPLICANT MUST BE AN ADULT PERSON WHO HAS BEEN RESIDENT IN FIJI FOR A TOTAL OF 5 OF THE 10 YEARS IMMEDIATELY BEFORE THE APPLICATION FOR NATURALISATION IS MADE) | ||||||
| DETAILS OF APPLICANT | ||||||
| H1. | Date of first entry into Fiji | H2. | Type of entry permit issued on arrival | |||
| (Provide proof eg passport) | eg visitor/residential/work/exemption | |||||
| H3. | Date first visitor/residential/ | H4. | Employer/Organisation | |||
| work/exemption permit issued | ||||||
| H5. | Any change/variation of permit/employer | H6. | Have you ever been convicted of a crime? | |||
| Yes □ No □ | Yes □ | No □ | ||||
| If yes, give details | If yes, give details | |||||
| H7. | Have you ever suffered from any contagious or infectious disease? | H8. | Indicate any language(s) which you can read and write. | |||
| Yes □ No □ | ||||||
| If yes, give details. | ||||||
| H9. | If this application is approved, do you intend to continue living in Fiji? | |||||
| Yes □ No □ | ||||||
| H10. | In your opinion, what do you regard as some of the responsibilities of a Fijian citizen? | |||||
| a. | ||||||
| b. | ||||||
| H11. | Give details of any work/residence permit held during the last 5 years. | |||||
| ADDRESS | DATE FROM | DATE TO | ||||
SECTION I
| Declaration | |||||
| I hereby declare that the information I have supplied in this form is complete, | |||||
| truthful and correct. | |||||
| Signature of Applicant ......................... | Date | ||||
CERTIFICATES
Certificate A
(To be completed only where the applicant is under 18 years of age by the applicant’s parent or guardian)
I,________________ the + parent/legal guardian of ____________ hereby apply for his/her registration as a citizen of Fiji.
If the legal guardian, I am authorised (a) by the Court at ____________ to act, or (b) by the minor’s + father/mother whose consent to my acting is attached.
Signed ____________
Certificate B
(To be completed by persons acting as the applicant’s referees)
A
Referee’s surname ________________ Forenames________.
Title ____________
Full residential address________________
________________
I, the undersigned, hereby state that I am a citizen of Fiji, and that I am not a barrister and solicitor or agent or relative of the applicant________________.
I support this application from my personal knowledge and close acquaintance with the applicant for ________ years [not less than 3 years].
I vouch for the applicant’s good character and loyalty and I am prepared to furnish, full details of my knowledge of and acquaintance with the applicant. I have read the warning on the front of this form.
________________________
(Signed) (Date)
B
Referee’s surname ____ Forenames ________
Title____________
Full Residential address ________________
________________
I, the undersigned, hereby state that I am a citizen of Fiji, and that I am not a barrister and solicitor or agent or relative of the applicant________. I support this application from my personal knowledge and close acquaintance with the applicant for ________ years [not less than 3 years]. I vouch for the applicant’s good character and loyalty and I am prepared to furnish full details of my knowledge of and acquaintance with the applicant. I have read the warning on the front of this form.
________________________
(Signed) (Date)
________________
(A third referee is only required where the applicant is NOT a Commonwealth citizen or British Protected Person)
C
Referee’s surname ________ Forenames ________
Title____________
Full Residential address ________________
________________
I, the undersigned hereby state that I am a citizen of Fiji and that I am not a barrister and solicitor or agent or relative of the applicant________. I support this application from my personal knowledge and close acquaintance with the applicant for ________ years [not less than 3 years]. I vouch for the applicant’s good character and loyalty and I am prepared to furnish full details of my knowledge of and acquaintance with the applicant. I have read the warning on the front of this form.
________________________
(Signed) (Date)
The Laws of Fiji