S.I. No. 284/2011 - Irish Nationality and Citizenship (Amendment) Regulations 2011.

1. 5 Present address:..........................................[Father].............................. [Mother]

2. 11 Does your minor child have refugee status? Yes / No

3. 3 Periods of attendance:..............................................

4. 1 Particulars of Irish descent or Irish associations: .............. ..............

I,.............................................[

Name in full

], being the parent or guardian of the person to whom the particulars given above relate, hereby apply on his / her behalf to the Minister for Justice and Equality for a certificate of naturalisation.

Signature of parent/guardian:..............................................

State whether parent or guardian: parent / guardian

GNIB number: ..

Date of application:..............................................

Email address:............................................

Daytime telephone number:..............................................

Evening telephone number:..............................................

Mobile number:..............................................

If guardian, give present address:..............................................

FORM 11

Certificate No....................

IRISH NATIONALITY AND CITIZENSHIP ACT 1956

CERTIFICATE OF NATURALISATION OF PERSON OF FULL AGE

WHEREAS the undermentioned applicant has duly applied to the Minister for Justice and Equality for a certificate of naturalisation and has supplied the particulars set out hereunder and has satisfied the Minister that the statutory conditions in relation to the grant of a certificate of naturalisation to him/her have been fulfilled

NOW, the Minister for Justice and Equality in exercise of the powers conferred on him by the Irish Nationality and Citizenship ACT 1956, grants to the applicant this certificate of naturalisation whereby as from the date hereof the applicant becomes an Irish citizen.

PARTICULARS RELATING TO THE APPLICANT.

Name in full...............................................................................

Address.............................................................................

Place of birth.....................................................................

Date of birth.......................................................................

Previous nationality........................................................................

Whether single, married, widow, or widower............................................................

GIVEN under the Official Seal of the Minister for Justice and Equality

this..........day of....................................20.......

FORM 12

Certificate No.............

IRISH NATIONALITY AND CITIZENSHIP ACT 1956

CERTIFICATE OF NATURALISATION OF MINOR

WHEREAS...............................................................being the parent/guardian

of......................................................................., a minor to whom the

under-mentioned particulars relate, has applied to the Minister for Justice and Equality for the issue of a certificate of naturalisation to the minor

NOW, the Minister for Justice and Equality in exercise of the powers conferred on him by the

Irish Nationality and Citizenship Act 1956

, grants to the minor this certificate of naturalisation whereby as from the date hereof the minor becomes an Irish citizen.

PARTICULARS RELATING TO THE MINOR.

Name in full................................................................................

Address.........................................................................

Place of birth....................................................................

Date of birth............................................................................

Previous nationality......................................................................

GIVEN under the Official Seal of the Minister for Justice and Equality

this..........day of....................................20.......

FORM 13

FORM OF NOTICE IN IRIS OIFIGIUIL OF ISSUE OF

CERTIFICATE OF NATURALISATION

The Minister for Justice and Equality has granted the following certificate(

s

) of naturalisation

Name of person naturalised

Address

Date of certificate

Whether person was of full age or a minor

Department of Justice and Equality

.......................20........

FORM 14

IRISH NATIONALITY AND CITIZENSHIP ACT 1956

DECLARATION OF INTENTION TO RETAIN IRISH CITIZENSHIP BY A NATURALISED IRISH CITIZEN RESIDING OUTSIDE IRELAND

I,................................................................................

(Name in full)

to whom the undermentioned particulars relate, hereby declare my intention to retain my Irish citizenship.

Signature...........................................................

Address...........................................................................................................

Date..........................................................

Declared and subscribed before me...............[

name in capitals

] a* ..[

insert qualification

] by.......[

name of applicant

]

[who is personally known to me]

Or [who was identified to me by............... who is personally known to me]

Or [whose identity has been established to me before the taking of this declaration by the production to me of

passport no. . [

passport number

] issued on [

date of issue

] by the authorities of . [

issuing state

], which is an authority recognised by the Irish government

Or national identity card no. ..[

identity card number

] issued on [

date of issue

] by the authorities of [

issuing state

], which is an EU member State, the Swiss Confederation or a Contracting Party to the EEA agreement

Or aliens passport no. (

document equivalent to a passport

) ..[

passport number

] issued on .[

date of issue

] by the authorities of ..[

issuing state

],which is an authority recognised by the Irish government

Or refugee travel document no. ..[

document number

] issued on [

date of issue

] by the Minister for Justice and Equality

Or travel document (other than refugee travel document) [

document number

] issued on [

date of issue

] by the Minister for Justice and Equality].

At.....................................[

place of signature

] this........day of.........[

date

]

Signature of witness:..............................................

Name of witness: (

capitals

)..............................................

Address of witness:..............................................

Day-time telephone number:..............................................

PARTICULARS RELATING TO DECLARANT.

Number of certificate of naturalisation.........................................

Date of issue of certificate of naturalisation.........................................

Date of commencement of residence outside Ireland ..............

Date and place of last declaration, if any ..............

FORM 15

IRISH NATIONALITY AND CITIZENSHIP ACT 1956

DECLARATION OF ALIENAGE BY A PERSON OF FULL AGE

I,............................................. of.............................................................., being of full age/being aged 18 years and upwards

(name in full) (Place of ordinary residence)

am the person to whom the under-mentioned particulars relate.

I am about to become a citizen of............................................................................... and for that reason desire to renounce my Irish citizenship.

Signature...........................................

Date........................................

Declared and subscribed before me...............[

name in capitals

] a* ..[

insert qualification

] by.......[

name of applicant

]

[who is personally known to me]

Or [who was identified to me by............... who is personally known to me]

Or [whose identity has been established to me before the taking of this declaration by the production to me of

passport no. . [

passport number

] issued on [

date of issue

] by the authorities of . [

issuing

state

], which is an authority recognised by the Irish government

Or national identity card no. ..[

identity card number

] issued on [

date of issue

] by the authorities of [

issuing state

], which is an EU member State, the Swiss Confederation or a Contracting Party to the EEA agreement

Or aliens passport no. (

document equivalent to a passport

) ..[

passport number

] issued on .[

date of issue

] by the authorities of ..[

issuing state

],which is an authority recognised by the Irish government

Or refugee travel document no. ..[

document number

] issued on [

date of issue

] by the Minister for Justice and Equality

Or travel document (other than refugee travel document) [

document number

] issued on [

date of issue

] by the Minister for Justice and Equality].

At.....................................[

place of signature

] this........day of.........[date]

Signature of witness:..............................................

Name of witness: (

capitals

)..............................................

Address of witness:..............................................

Day-time telephone number:..............................................

PARTICULARS RELATING TO DECLARANT.

Date of birth.............................................................

Place of birth............................................................

Whether single/married/widow/widower............................................................

If a naturalised citizen, the date of issue of the certificate of naturalisation...............................

FORM 16

IRISH NATIONALITY AND CITIZENSHIP ACT 1956

NOTICE OF INTENTION TO REVOKE A CERTIFICATE OF NATURALISATION

To:........................................................... [

name of person to whom the notice is addressed

]

............................................................

............................................................

............................................................ [

address

]

The Minister for Justice and Equality granted to you a Certificate of Naturalisation Number........., dated.................., on foot of your application for naturalisation as an Irish citizen dated...

Under

section 19

of the

Irish Nationality and Citizenship Act 1956

the Minister may revoke a certificate of naturalisation if satisfied that any of the conditions prescribed in

section 19

(1) apply.

The Minister intends, three months after the date of this notice, to revoke your certificate of naturalisation, being satisfied that the following condition applies

[the issue of the certificate was procured by fraud, misrepresentation whether innocent or fraudulent, or concealment of material facts or circumstances,]

Or [you have, by overt act, shown yourself to have failed in your duty of fidelity to the nation and loyalty to the State,]

Or [not being of Irish descent or associations, you have been ordinarily resident outside the State or, in the case of an application for a certificate of naturalisation granted under section 15A, resident outside the island of Ireland (otherwise than in the public service) for a continuous period of seven years and without reasonable excuse have not during that period registered annually in the prescribed manner your name and a declaration of your intention to retain Irish citizenship with an Irish diplomatic mission or consular office or with the Minister,]

Or [you are also, under the law of a country at war with the State, a citizen of that country,]

Or [you have by any voluntary act other than marriage acquired another citizenship.]

Grounds: .............. .............. ..............

Right to apply for an enquiry

You have the right to apply to the Minister for an inquiry under Section 19 (2) of the

Irish Nationality and Citizenship Act 1956

, as amended, as to the reasons for the intention to revoke set out above in this notice and, should you do so, the Minister will not revoke your Certificate of Naturalisation without first considering the report of the Committee of Inquiry. The Irish Nationality and Citizenship Regulations, 2002,

S.I. No. 567 of 2002

, provide, see Regulation 13(2), that an application for such an inquiry shall be made by letter left with, or sent by registered post to, The Secretary General, Department of Justice and Equality, Dublin.

If you apply to the Minister for an inquiry as to the reasons for the Intention to Revoke your Certificate of Naturalisation in the manner set out above, then the Minister will, under Section 19(3) of the 1956 Act, refer your case to a Committee of Inquiry appointed by the Minister, consisting of a chairman having judicial experience and such other persons as the Minister may think fit. If a Committee of Inquiry is appointed, it will report its findings to the Minister.

Yours sincerely,

........................................ [

Name of Official

]

........................................ [

Date

]

GIVEN under my Official Seal,

17 June 2011.

ALAN SHATTER,

Minister for Justice and Equality.

5. 3 Periods of attendance:..............................................

I,.............................................[

Name in full

], being the parent of the person to whom the particulars given above relate, hereby apply on his / her behalf to the Minister for Justice and Equality for a certificate of naturalisation.

Signature of parent:..............................................

Date of application:..............................................

FORM 10

IRISH NATIONALITY AND CITIZENSHIP ACT 1956

APPLICATION FOR A CERTIFICATE OF NATURALISATION BY A PARENT OR GUARDIAN ACTING ON BEHALF OF A MINOR OF IRISH DESCENT OR IRISH ASSOCIATIONS

6. 2 If you answered “No” to question 6.1 please indicate your intended country of residence following naturalisation:........................

7. 1 Please give details of your mother and father as follows

Name................. Birth last name............... Date of birth........... Place and country of birth.............. Present nationality...................

8. 4 If you answered yes to Q8.3 please give

Type of support............ From............. To..............

Reason for obtaining social welfare support: .

Details of your employment(s), if any, in the past 5 years

Date From:. Date To:.. Role: Employer:...

9. 6 Application number:..............................................

10. 11 Have you engaged in any other activities that might indicate that you may not be considered a person of good character? Yes / No

If you answered yes to any of the questions 10.6 to 10.11 please provide details in the additional details section. You may also use this section to give details in relation to questions 10.1 - 10.5.

Additional Details

.........................................................................................................................................

.........................................................................................................................................

11. 1 Please supply

three

references from Irish citizens with the following details

Referee 1

Name of referee.............. Referee’s address................. Date of birth and country of birth of referee............... Length of time referee has known the applicant...................

Nature of relationship with applicant

Signature of referee...................... Contact number of referee.....................

Referee 2

Name of referee.............. Referee’s address................. Date of birth and country of birth of referee............... Length of time referee has known the applicant...................

Nature of relationship with applicant

Signature of referee...................... Contact number of referee.....................

Referee 3

Name of referee.............. Referee’s address................. Date of birth and country of birth of referee............... Length of time referee has known the applicant...................

Nature of relationship with applicant

Signature of referee...................... Contact number of referee.....................

STATUTORY DECLARATION

I,....[

name of applicant

], do solemnly and sincerely declare that the foregoing particulars stated in this application are true and I make this solemn declaration conscientiously believing the same to be true and by virtue of the provisions of the

Statutory Declarations Act, 1938

, as amended by the

Civil Law (Miscellaneous Provisions) Act 2008

.

Signed: ______________ Date: ______________

Declared before me..........[

name of witness in capitals

] a [notary public] [commissioner for oaths] [peace commissioner] [person authorised by................ [

insert authorising statutory provision

] to take and receive statutory declarations] by.............[

name of applicant

]

[who is personally known to me]

Or [who was identified to me by............... who is personally known to me]

Or [whose identity has been established to me before the taking of this declaration by the production to me of

passport no. . [

passport number

] issued on [

date of issue

] by the authorities of . [

issuing state

], which is an authority recognised by the Irish government

Or national identity card no. ..[

identity card number

] issued on [

date of issue

] by the authorities of [

issuing state

], which is an EU member State, the Swiss Confederation or a Contracting Party to the EEA agreement

Or aliens passport no. (

document equivalent to a passport

) ..[

passport number

] issued on .[

date of issue

] by the authorities of ..[

issuing state

],which is an authority recognised by the Irish government

Or refugee travel document no. ..[

document number

] issued on [

date of issue

] by the Minister for Justice and Equality

Or travel document (other than refugee travel document) [

document number

] issued on [

date of issue

] by the Minister for Justice and Equality].

At.....................................[

place of signature

] this........day of.........[

date

]

Signature of witness:..............................................

Name of witness: (

capitals

)..............................................

Address of witness:..............................................

Day-time telephone number:..............................................

FORM 9

IRISH NATIONALITY AND CITIZENSHIP ACT 1956

APPLICATION FOR A CERTIFICATE OF NATURALISATION BY A NATURALISED IRISH CITIZEN ACTING ON BEHALF OF HIS/HER CHILD WHO IS NOT OF FULL AGE

12. 11 Have you engaged in any other activities that might indicate that you may not be considered a person of good character? Yes / No

If you answered yes to any of the questions 12.6 to 12.11 please provide details in the additional details section. You may also use this section to give details in relation to questions 12.1 - 12.5.

Additional Details

.........................................................................................................................................

.........................................................................................................................................

13. 1 If your application is based on your Irish descent or Irish associations, please give details below

Details:.............................................................................................................................

14 Application based on marriage to an Irish citizen

Is your application based on your marriage to an Irish citizen? Yes / No

If you are married to an Irish citizen please complete the additional details below

Date of marriage:..............................................

Place and country of marriage:..............................................

Spouse is an Irish citizen by

Birth / Descent / Naturalisation / Post nuptial declaration / Honorary

Your spouse must complete the Section 15A declaration at the back of this form in the presence of an approved witness.

15. 1 Please supply

three

references from Irish citizens with the following details

Referee 1

Name of referee.............. Referee’s address................. Date of birth and country of birth of referee............... Length of time referee has known the applicant....................................

Nature of relationship with applicant

Signature of referee...................... Contact number of referee.....................

Referee 2

Name of referee............ Referee’s address............... Date of birth and country of birth of referee............. Length of time referee has known the applicant......................

Nature of relationship with applicant

Signature of referee...................... Contact number of referee.....................

Referee 3

Name of referee............ Referee’s address............... Date of birth and country of birth of referee............. Length of time referee has known the applicant......................

Nature of relationship with applicant

Signature of referee...................... Contact number of referee.....................

STATUTORY DECLARATION

I,....[

name of applicant

], do solemnly and sincerely declare that the foregoing particulars stated in this application are true; and I make this solemn declaration conscientiously believing the same to be true and by virtue of the provisions of the

Statutory Declarations Act 1938

, as amended by the

Civil Law (Miscellaneous Provisions) Act 2008

.

Signed: ______________ Date: ______________

Declared before me..........[

name of witness in capitals

] a [notary public] [commissioner for oaths] [peace commissioner] [person authorised by................ [

insert authorising statutory provision

] to take and receive statutory declarations] by.............[

name of applicant

]

[who is personally known to me]

Or [who was identified to me by............... who is personally known to me]

Or [whose identity has been established to me before the taking of this declaration by the production to me of

passport no. . [

passport number

] issued on [

date of issue

] by the authorities of . [

issuing state

], which is an authority recognised by the Irish government

Or national identity card no. ..[

identity card number

] issued on [

date of issue

] by the authorities of [

issuing state

], which is an EU member State, the Swiss Confederation or a Contracting Party to the EEA agreement

Or aliens passport no. (

document equivalent to a passport

) ..[

passport number

] issued on .[

date of issue

] by the authorities of ..[

issuing state

],which is an authority recognised by the Irish government

Or refugee travel document no. ..[

document number

] issued on [

date of issue

] by the Minister for Justice and Equality

Or travel document (other than refugee travel document) [

document number

] issued on [

date of issue

] by the Minister for Justice and Equality].

At.....................................[

place of signature

] this........day of.........[

date

]

Signature of witness:..............................................

Name of witness: (

capitals

)..............................................

Address of witness:..............................................

Day-time telephone number:..............................................

DECLARATION TO BE COMPLETED BY THE SPOUSE OF THE APPLICANT WHERE THE APPLICANT IS APPLYING FOR NATURALISATION BASED ON HIS OR HER MARRIAGE TO AN IRISH CITIZEN

I [

Name of spouse of applicant

] do solemnly and sincerely declare that I married [

Name of applicant

] who was born on the [

Date of Birth

] at [

Place of birth

] in [

Country of birth

] a national of [

Country

] on the [

Date of marriage

] at [

Place of marriage

] in [

Country where married

], that we are living together as husband and wife, that our marriage is subsisting and that no proceedings for divorce or annulment of this marriage have been commenced, or are about to be commenced, in any court of law and I make this solemn declaration conscientiously believing the same to be true and by virtue of the

Statutory Declarations Act 1938

, as amended by the

Civil Law (Miscellaneous Provisions) Act 2008

.

Signature of Irish citizen:..............................................

Date of declaration:..............................................

Current address:..............................................

Name at birth if different:..............................................

Date of birth and place of birth:..............................................

Passport number:..............................................

Declared before me..........[

name of witness in capitals

] a [notary public] [commissioner for oaths] [peace commissioner] [person authorised by................ [

insert authorising statutory provision

] to take and receive statutory declarations] by.............[

name of applicant

]

[who is personally known to me]

Or [who was identified to me by............... who is personally known to me]

Or [whose identity has been established to me before the taking of this declaration by the production to me of

passport no. . [

passport number

] issued on [

date of issue

] by the authorities of . [

issuing state

], which is an authority recognised by the Irish government

Or national identity card no. ..[

identity card number

] issued on [

date of issue

] by the authorities of [

issuing state

], which is an EU member State, the Swiss Confederation or a Contracting Party to the EEA agreement

Or aliens passport no. (

document equivalent to a passport

) ..[

passport number

] issued on .[

date of issue

] by the authorities of ..[

issuing state

],which is an authority recognised by the Irish government

Or refugee travel document no. ..[

document number

] issued on [

date of issue

] by the Minister for Justice and Equality

Or travel document (other than refugee travel document) [

document number

] issued on [

date of issue

] by the Minister for Justice and Equality].

At.....................................[

place of signature

] this........day of.........[

date

]

Signature of witness:..............................................

Name of witness: (

capitals

)..............................................

Address of witness:..............................................

Day-time telephone number:..............................................

FORM 8A

IRISH NATIONALITY AND CITIZENSHIP ACT 1956

APPLICATION BY A PARENT OR GUARDIAN OF, OR PERSON WHO IS IN LOCO PARENTIS TO, A MINOR BORN IN THE STATE WHO DID NOT AT BIRTH HAVE AN ENTITLEMENT TO IRISH CITIZENSHIP UNDER SECTION 6A (AS INSERTED BY SECTION 4 OF THE ACT OF 2004) OF THE ACT OF 1956

Please note before completing the form

Please ensure that the information you provide is true and correct. Section 29A of The

Irish Nationality and Citizenship Act 1956

, as amended provides that a person who knowingly or recklessly makes a declaration under this Act, or a statement for the purposes of any application under this Act that is false or misleading in any material respect, shall be guilty of an offence and shall be liable on summary conviction to a fine not exceeding €3,000 or imprisonment for a term not exceeding 12 months, or to both, or on conviction on indictment to a fine not exceeding €50,000 or imprisonment for a term not exceeding 5 years, or to both.

A certificate of naturalisation may be revoked if the certificate was procured by fraud, misrepresentation, (whether innocent or fraudulent), or concealment of material facts or circumstances.

Notice of the making of this Statutory Instrument was published in

“Iris Oifigiúil” of

21

st June

, 2011.

I, ALAN SHATTER, Minister for Justice and Equality, in exercise of the powers conferred on me by

section 3

of the

Irish Nationality and Citizenship Act 1956

(No. 26 of 1956) (as adapted by the Justice and Law Reform (Alteration of Name of Department and Title of Minister Order 2011 (

S.I. No. 138 of 2011

)), hereby make the following regulations