Citizenship 1
(E* S.&E.) 5/95
Application No:
……………………………
Certificate No:
……………………………
CEYLON CITIZENSHIP ACT, NO. 18 OF 1948
Application for Registration of a Birth Outside Sri Lanka (Ceylon)
To:
……………………………………………………………………………………………………
I, the undersigned, hereby report the birth outside Sri Lanka (Ceylon) of * ……………………………
..……………………………………………………………………………………………………………
and apply for registration thereof in accordance with the requirements of Section 5(2) of the
Citizenship Act, No. 18 of 1948. I declare that the particulars stated by me below are true and correct.
Date : ……………………..
*Insert name of child
………………………………………
Signature of Applicant
A – PARTICULARS RELATING TO APPLICANT
1. Full name of applicant:
2. Postal address:
To be completed
in BLOCK
Letters
3. Relationship of applicant to child (If the applicant is neither the father nor the
mother of the child, the reasons why the latter are unable to apply should be
stated here):
B – PARTICULARS RELATING TO THE CHILD
4.
Full name of child:
5.
6.
7.
Sex:
Date of birth:
Place of birth (full particulars of house number, street, town, etc.):
2
C – PARTICULARS RELATING TO THE CHILD’S PARENTS
8.
Place and date of parents’ marriage:
9.
a)
Full name of father:
b)
Date and place of his birth:
c)
His Sri Lanka address:
d)
10. a)
His occupation:
Full (maiden) name of mother:
b)
Date and place of her birth:
c)
Her nationality or citizenship status:
d)
Her Sri Lanka address:
10. i)
A
If the mother is or was a citizen of Sri Lanka (Ceylon) by descent, state:a) Full name of maternal grandfather of child:
b)
Date (or approximate year) and place of his birth:
c)
His usual place of residence:
ii) Where the place of birth of child’s mother (see 10 (b) above) is a place outside Sri Lanka
(Ceylon), the following further particulars should be given:a) Full name of maternal great-grandfather of child:
b)
Date (or approximate year) and place of his birth:
c)
His usual place of residence:
11. Whether the father is a citizen of Sri Lanka (Ceylon) by descent or by registration:
3
12. i)
ii)
If the father is a citizen of Sri Lanka (Ceylon) by descent, state:a)
Full name of paternal grandfather of child:
b)
Date (or approximate year) and place of his birth:
c)
His usual place of residence:
Where the place of birth of the child’s father (see 9 (b) above) is a place outside Sri Lanka
(Ceylon) the following further particulars should be given:a) Full name of paternal great-grandfather:
b)
Date (or approximate year) and place of his birth:
c)
His usual place of residence:
13. If the father is a citizen of Sri Lanka (Ceylon) by registration, state:a) Number and date of his Certificate of Registration:
b)
Place, number and date of issue of his Sri Lanka (Ceylon) passport:
c)
Whether he has, at any time after his registration, been absent from Sri Lanka (Ceylon) for a
period of five consecutive years or more? (If so, state particulars and reasons for such
residence abroad):
14. Whether the father possesses the nationality or citizenship of any country other than Sri Lanka
(Ceylon), with particulars of such nationality or citizenship:
NOTES
1.
Application should be made in time for the birth to be registered within one year of its occurrence.
2.
Application should, whichever possible, be made by the father or mother of the child concerned. If for some reason the
latter are unable to apply, the application can be made by any other person having a personal knowledge of the facts.
3.
In the case of birth in a country where there is a Consular Officer of Sri Lanka (Ceylon), the application should be sent
in duplicate to such officer. In the case it should be sent in duplicate direct to the Assistant Secretary, Citizenship
Division, Ministry of Defence, Department of Immigration & Emigration, 3 rd Floor, Unity Plaza Building, Colombo 4.
4.
A certificate of birth, if available, should be forwarded with the application.
5.
When a birth has been duly registered, a certificate of registration of birth outside Sri Lanka (Ceylon) will be sent to
the applicant at the address given in Column 2 of Section A.
6.
A person who, for the purpose of procuring anything under this Act, makes any statement which he knows to be false,
a material particular is guilty of an offence which is punishable with imprisonment of either description for a term not
exceeding three months.