OATH OF RENUNCIATION, ALLEGIANCE AND LOYALTY

I, ... ......., do solemnly swear (or affirm)

that I witl not exercise the rights, powers and privileges to which I may be entitled by reason of any foreign nationality or
citizenship, and that I absolutely and entirely renounce all loyalty to any foreign Sovereign or State or Country and I.
..........., do further solemnly swear (or affirm) that I will be faithful and bear
true allegiance to the Republic of Singapore. and that I will observe the laws and be a true, loyal and faithful citizen of
Singapore.

Certificate No. (Space for the applicant to sign in or make his mark in when
lre actually appears before the person autltorised to
administer Oaths).

Made and subscribed before me,

Date... Justice of the Peace / Commissioner Oaths

for

SCR 4I