[CF 11,290] SCHEDULE 1 APPROVED FORMS
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
SURNAMEGIVEN 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
TickFile 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 birthA4.Country of birth
A5.Present nationalityA6.Passport No
A7.SexA8.Marital status
MALEFEMALE
A9.Residential address
Telephone No:
A10.Postal address
Telephone No:E-mail
A11.Occupation
SECTION B
Bl.
B2.SURNAME:GIVEN NAMES:
Date of birthB3. Country of Birth
B4.Present nationalityB5. 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 legallyD2.Date of adoption
adopted either in Fiji or Overseas?
Yes □ No □
D3.Court Order NumberD4. 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 citizenshipE2.Date obtained
PARTICULARS OF APPLICANT’S PREVIOUS FIJIAN CITIZENSHIP
E3.How obtainedE4. 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 APPLICANTF2.Type of permit granted (eg visitor/
Fl.Date of first entry into Fijiresidential/work/exemption)
 DAY / MONTH / YEAR
F3.Date of marriageF4.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 FijiG2. 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.
ADDRESSDATE FROMDATE 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 detailsIf 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.
ADDRESSDATE FROMDATE 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)