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03/11/13

Declaration on the survival of Iranian nationality

EmbassyoftheIslamicRepublicofIranCopenhagen

Admittheexistenceofacitizenof

Lastname

Middlename
NationalNumbers

CityandCountryofBirth

ThesolarBirthday(day/
(month/year

Name

Id

Ontheborder
OutsideandhavemigratedtoDenmark.After
enteringthecountryduetomanyproblemsthattheyfaceonarrivalIaskedmyDanishcitizenship,whichwasagreedto.
Now,accordingtothefacilitiesprovidedbytheGovernmentoftheIslamicRepublicofIrantoremainintheiroriginal
.citizenshipandIhaveanewpassport

NameNameSignature

www.iran-embassy.dk/56.htm

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