REPUBLIC OF NAURU
NAOERO CITIZENSHIP (FORMS AND FEES) REGULATIONS 2019
______________________________
SL No. 17 of 2019
______________________________

Notified: 24th July 2019

Table of Contents

1	Citation	1
2	Commencement	1
3	Citizenship Register	1
4	Public access to Register	1
5	Application	2
6	Particulars required for application for citizenship	2
7	Certificate of citizenship	5
8	Declaration for renunciation of Nauruan citizenship	5
9	Fees	5
SCHEDULE 1	6
SCHEDULE 2	7
SCHEDULE 3	19

Cabinet makes the following Regulations under section 32 of the Naoero Citizenship Act 2017:
1	Citation 

These Regulations may be cited as the Naoero Citizenship (Forms and Fees) Regulations 2019.
2	Commencement

These Regulations come into effect on the day they are notified in the Gazette.
3	Citizenship Register
For the purpose of section 5 of the Act, the Register established and maintained by the Secretary may be kept as set out in Schedule 1:
(a)	in writing; and

(b)	in electronic form that is readily retrievable.
4	Public access to Register
(1)	Subject to subregulation (2), information from the Register may be disclosed:

(a)	only in respect of a named individual; and

(b)	on request, in a manner specified by the Secretary, by:

(i)	the individual concerned; 

(ii)	a person who has authorisation of the named individual; 

(iii)	a person who needs confirmation of the citizenship status of a parent or grandparent to establish a claim to citizenship; or

(iv)	a person who satisfies the Secretary that he or she requires the information for a genuine and proper purpose that is related to the relevant part of the Register. 

(2)	Information from the Register may be disclosed for any of the following purposes: 

(a)	to avoid prejudice to the maintenance of the law by a public sector agency; 

(b)	for the conduct of any proceedings before any court or tribunal; or

(c)	for the purpose of the Electoral Act 2016. 
5	Application 
An application for the grant of citizenship:

(a)	by birth and residency under section 11 of the Act shall be in Form 1 of Schedule 2;

(b)	by descent under section 12 of the Act shall be in Form 2 of Schedule 2; 

(c)	by marriage under section 13 of the Act shall be in Form 3 of Schedule 2; 

(d)	by virtue of adoption under sections 14 and 15 of the Act shall be in Form 4 of Schedule 2; or

(e)	by former citizens under section 17 of the Act after renunciation of citizenship, shall be in Form 5 of Schedule 2.

6	Particulars required for application for citizenship
(1)	For the purpose of an application for citizenship under section 11 of the Act, the applicant shall provide: 

(a)	surname and forenames;

(b)	date of birth;
(c)	gender;

(d)	telephone number;

(e)	email address;

(f)	usual residential address or correspondence address; 

(g)	his or her nationality and if that nationality is not the nationality of origin, the nationality of origin;

(h)	his or her recent passport size photograph; 

(i)	original or certified true copy of the original birth certificate;

(j)	evidence of means of support;

(k)	evidence that the applicant is a resident of the Republic and has been resident for a continuous period of 20 years;

(l)	sworn character references based on personal knowledge of the applicant from 2 citizens of good standing in the community in which the applicant resides; and

(m)	police clearance by Nauru Police Force or any other country the applicant has resided for some time other than just short duration of stay.
(2)	For the purpose of an application for citizenship under section 12 of the Act, the applicant shall provide: 

(a)	surname and forenames;

(b)	date of birth;
(c)	gender;

(d)	telephone number;

(e)	email address;

(f)	usual residential address or correspondence address; 

(g)	his or her recent passport size photograph; 

(h)	original or certified true copy of the original birth certificate;

(i)	evidence of means of support;

(j)	evidence that at least one or more of the  maternal or paternal grandparents of the applicant were citizens;

(k)	sworn character references based on personal knowledge of the applicant from 2 citizens of good standing in the community in which the applicant resides; and

(l)	police clearance by Nauru Police Force or any other country the applicant has resided for some time other than just short duration of stay.
(3)	For the purpose of an application for citizenship under section 13 of the Act, the applicant shall provide: 

(a)	surname and forenames;

(b)	date of birth;
(c)	gender;

(d)	telephone number;

(e)	email address;

(f)	usual residential address or correspondence address; 

(g)	his or her nationality and if that nationality is not the nationality of origin, the  nationality of origin;

(h)	his or her recent passport size photograph; 

(i)	original or certified true copy of the original birth certificate;
(j)	marriage certificate;
(k)	evidence of means of support;

(l)	police clearance from country of origin and by the Nauru Police Force;

(m)	medical report;
(n)	details of spouse; 

(o)	length of residency in the Republic;

(p)	evidence that the applicant is a resident of the Republic and has been resident for a continuous period of 7 years with his or her spouse; and

(q)	sworn character references based on personal knowledge of the applicant from 2 citizens of good standing in the community in which the applicant resides.
(4)	For the purpose of an application for citizenship under section 15 of the Act, the applicant shall provide: 

(a)	full name of the child;

(b)	original or certified true copy of the original birth certificate of the child;

(c)	original or certified true copy of the original of the adoption order;

(d)	evidence that the applicant is a citizen; 

(e)	original or certified true copy of the applicant’s marriage certificate;

(f)	original or certified true copy of the applicant’s birth certificate;

(g)	evidence of means that the applicant is able to and will support the child; and

(h)	evidence that the child is present in the Republic. 
7	Certificate of citizenship
For the purpose of section 21 of the Act, a certificate attesting to the grant of citizenship to any person shall be in Form 6 of Schedule 2. 

8	Declaration for renunciation of Nauruan citizenship

For the purpose of section 22 of the Act, a declaration for renunciation of citizenship shall be in Form 7 of Schedule 2. 
9	Fees
The fees set out in Schedule 3 are payable in respect of the matters set out in that schedule. 

SCHEDULE 1
(Section 5 and Regulation 3)
CITIZENSHIP REGISTER
(Section 5(2)(a) and Regulation 3)
CITIZENSHIP REGISTER	
Name of Applicant for citizenship 	Date of birth	Gender	Parents or Legal guardians (if applicable)	Country of origin	Nature of Application (State relevant section of the Act)	Date citizenship approved by Cabinet	Date oath of allegiance or affirmation taken or made	Grant No.	
									
(Section 5(2)(b) and Regulation 3)
DEPRIVATION OF CITIZENSHIP	
Name 	Date of birth	Gender	Reason for deprivation of citizenship	Date of deprivation of citizenship 	Date of return of Certificate of Citizenship 	Date of return of Nauruan passport	
							
(Section 5(2)(c) and Regulation 3)
RENUNCIATION OF CITIZENSHIP	
Name 	Date of birth	Gender	Reason for renunciation of citizenship	Date of renunciation of citizenship 	Date of return of Certificate of Citizenship 	Date of return of Nauruan passport	

SCHEDULE 2
 
REPUBLIC OF NAURU
Naoero Citizenship Act 2017
(Section 11 and Regulation 5(a))
FORM 1
APPLICATION FOR CITIZENSHIP BY BIRTH IN THE REPUBLIC AND RESIDENCY 
 Application Reference No: CB…….. / 20….

PERSON WHO MAY APPLY 
•	Section 11 (1)(a) – person is born in the Republic to parents who are not citizens;
•	Section 11(1)(b) – has for a continuous period of 20 years resided in the Republic.	

Recent passport sized photo of applicant	

PART 1 – PARTICULARS OF APPLICANT Provide Birth Certificate, Passport and Police Clearance 
Surname: ……………………………………. Forenames: ……………………………………………………..
Date of birth: …………………………….. Gender: ……………. Nationality: …………………………………
Marital status:……………………………..Address:……………………………………………………………..
Telephone contact: ……………………… Email: ………………………………………………………………

          

          

Have you ever been convicted for a criminal offence ?:    Yes     No  If yes, provide details:……………………………………………………………………………………………………………… …………………………………………………………………………………………………………….

          

Have you during a continuous period of 20 years resided in the Republic? ?:             Yes              No	
PART 2 - EMPLOYMENT DETAILS – Evidence of means of support 

          

Are you currently gainfully employed?:      Yes       No If yes provide details below:  
Occupation: …………………………………………. Name of employer: …………………………………….
Address of employer: ……………………………….. Telephone contact of employer: ……………………. 
Email contact of employer: ……………………………………………………………………………………….

If no, provide details if you are self-employed: 
……………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………….…………………………………………………………………………………………………………………….

If you are neither gainfully employed or self-employed, explain how you are able to maintain living in the Republic: 
……………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………….…………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………….	
PART 3 – NAURUAN WAY OF LIFE

          

Are you familiar with the culture and ways of life in the Republic?      Yes       No. Explain your answer:
……………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………….

          

Do you have reasonable knowledge and understanding of the rights, privileges, responsibilities and duties of citizens of the Republic?     Yes       No. Explain your answer:
……………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………….	
PART 4 – DECLARATION BY APPLICANT

I, ……………………………………………………………………….. (name of applicant) do solemnly and sincerely declare that the particulars and details stated in this application and the attachments are true and correct to the best of knowledge and belief and that I have not wilfully suppressed any material fact of mistake. 
And I make this solemn declaration by virtue of the Oaths, Affirmations and Statutory Declarations Act 1976 conscientiously believing in the statement contained therein to be true in every particular. 

………………………………… Date: [DD/MM/YYYY]

Declared at……………………….this…………………day of ……………..20…….. 
Before me: …………………………………………………….
(Signature) ………………………………..…………………..
(Title) ………………………………………………………….	
PART 5 – OFFICIAL PURPOSES 

Date application lodged by applicant:    [DD/MM/YYYY]  
Receiving officer: …………………………. Date:    [DD/MM/YYYY]  
Identification sighted: [Passport / Drivers licence / Other] 
Fee paid.    Receipt no: …………………
Date application submitted to Minister:    [DD/MM/YYYY]  
Date applicant informed of decision by Minister:   [DD/MM/YYYY]  	

FORM 2
(Section 12 and Regulation 5(b))
REPUBLIC OF NAURU
Naoero Citizenship Act 2017
APPLICATION FOR CITIZENSHIP BY DESCENT
Application Reference No: CD….. / 20….
PERSON WHO MAY APPLY 
•	Section 12 (1) – person born outside the Republic, if at the time of the person’s birth either or both parents were citizens. 
•	Section 12(2) – at least one or more of the maternal or paternal grandparents of the person were citizens. 

Recent passport sized photo of applicant	
PART 1 – PARTICULARS OF APPLICANT - Provide Birth Certificate and Passport 
Surname: ……………………………………. Forenames: ……………………………………………………..
Date of birth: [DD/MM/YYYY ]Gender: ……………. Country of birth: ………………………………………
Passport Number: …………………………………… Address:……………………………………………….. Email: …………………………………………………………. Telephone contact: ………………………….	
PART 2 – PARTICULARS OF NAURUAN PARENT / GRANDPARENT - Provide Birth Certificate
Surname: ……………………… ……………………………. Forenames: …………………………………..
Date of birth : …………… Place of birth: …………………………Passport Number (if available): ……… 
Address: ………………. …………......... Telephone: ………………… Email: ………………………………	
PART 3 - EMPLOYMENT DETAILS – Evidence of means of support 

          

Are you currently gainfully employed?:      Yes       No If yes provide details below:  
Occupation: …………………………………………. Name of employer: …………………………………….
Address of employer: ……………………………….. Telephone contact of employer: ……………………. 
Email contact of employer: ……………………………………………………………………………………….

If no, provide details if you are self-employed: 
……………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………….…………………………………………………………………………………………………………………….

If you are neither gainfully employed or self-employed, explain how you are able to maintain living in the Republic: 
……………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………….…………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………….	
PART 4 – DECLARATION BY APPLICANT

I, ……………………………………………………………………….. (name of applicant) do solemnly and sincerely declare that the particulars and details stated in this application and the attachments are true and correct to the best of knowledge and belief and that I have not wilfully suppressed any material fact of mistake. 
And I make this solemn declaration by virtue of the Oaths, Affirmations and Statutory Declarations Act 1976 conscientiously believing in the statement contained therein to be true in every particular. 

………………………………… Date: [DD/MM/YYYY]

Declared at……………………….this…………………day of ……………..20…….. 
Before me: …………………………………………………….
(Signature) ………………………………..…………………..
(Title) ………………………………………………………….	
PART 5 – OFFICIAL PURPOSES 

Date application lodged by applicant:    [DD/MM/YYYY]  
Receiving officer: ………………………….             Date:    [DD/MM/YYYY]  
Fee paid. Receipt no:  ……….. Identification sighted: [Passport / Drivers licence / Other] 
Date application submitted to Minister:    [DD/MM/YYYY]  
Date applicant informed of decision by Minister:  [DD/MM/YYYY]  	

FORM 3
 REPUBLIC OF NAURU
Naoero Citizenship Act 2017
(Section 13 and Regulation 5(c))
APPLICATION FOR CITIZENSHIP BY MARRIAGE 
Application Reference No: CM…… / 20….
PERSON WHO MAY APPLY 
•	Section 13 (1) – person married to a citizen; and
•	Section 13(2) – person:
•	was at the time of the application lawfully married and residing with his or her spouse in the Republic for a continuous period of 7 years; 
•	is committed to residing permanently in the Republic; 
•	is of good health and character; 
•	is willing to fulfil the duties, responsibilities and privileges of being a citizen; and 
•	has no criminal convictions.  

Recent passport sized photo of applicant	
 PART 1 – DETAILS OF APPLICANT – Provide Birth Certificate, Passport, Marriage Certificate, Police clearance and medical report
Surname: …………………………………………… Forenames: ……………………………………………
Address: ……………………………………………… District: …………………………………………………
Telephone: ……………………………. Email: …………………………………………………………………..
Date of birth: ……………………………. Place of birth: ……………………………………………………….
Nationality: ………………………………………… Citizenship: ……………………………………………….
Passport number: …………………………………  Date of first entry into the Republic: [DD/MM/YYYY]  Type of visa granted:[Visitor/Business/Exemption] 	
PART 2 – DETAILS OF MARRIAGE    
Date of marriage: ………………….  Place of marriage: ……………………………………………………….
Marriage officer who conducted wedding ceremony: ….……………………………………………………...
Witnesses to wedding ceremony: …………………………...... and ..…………………………………………
Length of time spent living continuously in the Republic prior to application: ……………………………..

          

Have you ever been convicted for a criminal offence?   Yes   No. If yes, provide details:………………………………………………………………………………………………………………
Do you intend on residing permanently in the Republic? ……………………………………………….	
PART 3 – DETAILS OF SPOUSE    
Surname: ………………………………………………. Forenames: ………………………………………...
Address: ……………………………………………….. Date of birth: ……………………. Gender: …………
Telephone: …………………………… Email: ………………………………………………………………….	
PART 4 - EMPLOYMENT DETAILS – Evidence of means of support 

          

Are you currently gainfully employed?:      Yes       No If yes provide details below:  
Occupation: …………………………………………. Name of employer: …………………………………….
Address of employer: ……………………………….. Telephone contact of employer: ……………………. 
Email contact of employer: ……………………………………………………………………………………….

If no, provide details if you are self-employed: 
……………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………….…………………………………………………………………………………………………………………….

If you are neither gainfully employed or self-employed, explain how you are able to maintain living in the Republic: 
……………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………….…………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………….	
PART 5 – NAURUAN WAY OF LIFE

          

Are you familiar with the culture and ways of life in the Republic?      Yes       No. Explain your answer:
……………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………….

          

Do you have reasonable knowledge and understanding of the rights, privileges, responsibilities and duties of citizens of the Republic?     Yes       No. Explain your answer:
……………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………….	
PART 6 – DECLARATION BY APPLICANT

I, ……………………………………………………………………….. (name of applicant) do solemnly and sincerely declare that the particulars and details stated in this application and the attachments are true and correct to the best of knowledge and belief and that I have not wilfully suppressed any material fact of mistake. 
And I make this solemn declaration by virtue of the Oaths, Affirmations and Statutory Declarations Act 1976 conscientiously believing in the statement contained therein to be true in every particular. 

………………………………… Date: [DD/MM/YYYY]

Declared at……………………….this…………………day of ……………..20…….. 
Before me: …………………………………………………….
(Signature) ………………………………..…………………..
(Title) ………………………………………………………….	
PART 7 – OFFICIAL PURPOSES 

Date application lodged by applicant: [DD/MM/YYYY]  
Receiving officer: …………………………. Date: [DD/MM/YYYY]  Fee paid. Receipt no:  ……….. 
Identification sighted: [Passport / Drivers licence / Other] 
Date application submitted to Minister:  [DD/MM/YYYY]  
Date applicant informed of decision by Minister: [DD/MM/YYYY]  	

REPUBLIC OF NAURU
Naoero Citizenship Act 2017
(Sections 14 and 15 and Regulation 5(d))
FORM 4
APPLICATION FOR CITIZENSHIP BY ADOPTION 
 Application Reference No: CB…….. / 20….
PERSON WHO MAY APPLY (parent may apply on behalf of child)
•	Section 14 (2) –  child of foreigner adopted by citizen; 
•	Section 15(a) – child is adopted by one or more citizens;
•	Section 15(b) - child is present in the Republic; and
•	Section 15(c) - prior approval for the adoption was given by the Cabinet.	
Recent passport sized photo of applicant 	
PART 1 – PARTICULARS OF APPLICANT Provide Passport and Marriage Certificate 
Surname: ……………………………………. Forenames: ……………………………………………………..
Date of birth: …………………………….. Gender: ……………. Nationality: …………………………………
Address:……………………………………………………………………………………………………………..Telephone contact: ……………………. Email: …………………………………………………………………
Passport No. (if applicable): ..…………………………………………………………………………………
Occupation: ………………………………………………….. Employer: ………………………………………	
PART 2 – PARTICULARS OF ADOPTIVE PARENT(S) - Provide Passport and Marriage Certificate

Surname: ……………………… ……………………………. Forenames: …………………………………..
Date of birth: ………………… Place of birth: …………………………… Nationality: ……………………… 
Address: ………………. …………......... Telephone: ………………… Email: ………………………………
	
PART 3 – PARTICULARS OF CHILD - Provide Certified Copy of Adoption Order, Child’s birth certificate and Child’s Passport
(i)	Before Adoption Order:
Surname: …………………………… ….Forenames:…………..………………………………………
Gender: ………………… Date of birth:  [DD/MM/YYYY]  Nationality: ………………………………..      
Place of birth……………………………………………………………………………….……………
(ii)	Name(s) after making of Adoption Order: 
Surname: ……………………………………Forenames:…………..…………………………………
	
 PART 4 – DECLARATION BY APPLICANT

I, ……………………………………………………………………….. (name of applicant) do solemnly and sincerely declare that the particulars and details stated in this application and the attachments are true and correct to the best of knowledge and belief and that I have not wilfully suppressed any material fact of mistake. 
And I make this solemn declaration by virtue of the Oaths, Affirmations and Statutory Declarations Act 1976 conscientiously believing in the statement contained therein to be true in every particular. 

………………………………… Date: [DD/MM/YYYY]

Declared at……………………….this…………………day of ……………..20…….. 
Before me: …………………………………………………….
(Signature) ………………………………..…………………..
(Title) ………………………………………………………….	
PART 5 – OFFICIAL PURPOSES 

Date application lodged by applicant: [DD/MM/YYYY]  
Receiving officer: …………………………. Date: [DD/MM/YYYY]  
Identification sighted: [Passport / Drivers licence / Other] 
Fee paid.    Receipt no: …………………
Date application submitted to Minister: [DD/MM/YYYY]  
Date applicant informed of decision by Minister: [DD/MM/YYYY]   	

FORM 5 
REPUBLIC OF NAURU
Naoero Citizenship Act 2017
(Section 17 and Regulation 5(e))
CITIZENSHIP APPLICATION BY FORMER CITIZEN AFTER RENUNCIATION OF CITIZENSHIP
Application Reference No: CF…../ 20….
 PART 1 - DETAILS OF APPLICANT – Provide Police clearance
Surname: ……………………………………………….. Forenames: ………………………………………..
Address: ………………………………………………. Date of birth: …………………. Gender: …………….
Telephone contact: ……………………. …….. Email: ………………………………………………………….

          

          

Have you ever been convicted for a criminal offence?   Yes   No. If yes, provide details:………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………….	
PART 2 – PARTICULARS OF APPLICANT’S CURRENT CITIZENSHIP
Country of citizenship: …………………………………………………… Date obtained: [DD/MM/YYYY] 
How citizenship obtained: …………………………………………………………………………………….....	
PART 3 – PARTICULARS OF APPLICANT’S PREVIOUS NAURUAN CITIZENSHIP - Provide proof of Nauruan citizenship [Passport/Birth Certificate]

How citizenship obtained: ………………………………………………… Date obtained: [DD/MM/YYYY]
Date Nauruan citizenship renounced: [DD/MM/YYYY]  	
PART 4 - EMPLOYMENT DETAILS – Evidence of means of support 

          

Are you currently gainfully employed?:      Yes       No If yes provide details below:  
Occupation: …………………………………………. Name of employer: …………………………………….
Address of employer: ……………………………….. Telephone contact of employer: ……………………. 
Email contact of employer: ……………………………………………………………………………………….

If no, provide details if you are self-employed: 
……………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………….…………………………………………………………………………………………………………………….

If you are neither gainfully employed or self-employed, explain how you are able to maintain living in the Republic: 
……………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………….…………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………….	
PART 5 – DECLARATION BY APPLICANT

I, ……………………………………………………………………….. (name of applicant) do solemnly and sincerely declare that the particulars and details stated in this application and the attachments are true and correct to the best of knowledge and belief and that I have not wilfully suppressed any material fact of mistake. 
And I make this solemn declaration by virtue of the Oaths, Affirmations and Statutory Declarations Act 1976 conscientiously believing in the statement contained therein to be true in every particular. 

………………………………… Date: [DD/MM/YYYY]

Declared at……………………….this…………………day of ……………..20…….. 
Before me: …………………………………………………….
(Signature) ………………………………..…………………..
(Title) ………………………………………………………….	
PART 6 - OFFICIAL PURPOSES 

Date application lodged by applicant: [DD/MM/YYYY]  
Receiving officer: …………………………. Date: [DD/MM/YYYY]  Fee paid. Receipt no:  ……….. 
Identification sighted: [Passport / Drivers licence / Other]
Date application submitted to Minister:   [DD/MM/YYYY]  
Date applicant informed of decision by Minister:   [DD/MM/YYYY]  	

FORM 6

REPUBLIC OF NAURU 
Naoero Citizenship Act 2017
(Section 21 and Regulation 7)
CERTIFICATE OF CITIZENSHIP
	
Naoero Citizenship Act 2017

……………………(insert Surname) 	………………………….  (insert Forenames)	
born on (insert date of birth)

I, …………………………….. (name), President of the Republic of Nauru hereby declare that the abovenamed having satisfied the conditions pursuant to Article 74 of the Constitution of Nauru and the Naoero Citizenship Act 2017 and, having undertaken to fulfil the responsibilities of a citizen, the Cabinet has approved the grant of citizenship to the abovementioned who is a Nauruan citizen on …………… of …………………………… 20…… 

 ……………………………………..
HIS EXCELLENCY THE PRESIDENT
                   AND
CHAIRMAN OF THE CABINET

Seal:
Certificate No: ……….

FORM 7
 
REPUBLIC OF NAURU
Naoero Citizenship Act 2017
(Section 22 and Regulation 8)
DECLARATION FOR RENUNCIATION OF NAURUAN CITIZENSHIP
I, ……………………………………………………………….  , solemnly declare that:

1.	It is my intention to renounce my Nauruan citizenship and elect ……………… citizenship. 

2.	I am Nauruan by [birth/descent/marriage/adoption/residency].

3.	I fully understand that after I renounce all allegiance to the Republic of Nauru, I will no longer be entitled to all civil and political rights and privileges accorded to the citizens of Nauru. 

IN WITNESS WHEREOF, I hereunto affix my signature this ……day of ……… 20….        at ……………………………………… 

…………………………………..
Declarant 

SWORN before me this ….. day of ………………….. 20……, by (declarant) presenting to me his or her Nauruan Passport No: 	………………. issued at ……………… and valid until ………………… and Certificate of Nauruan Citizenship No. …………………. 

……………………………………
Commissioner for Oaths

SCHEDULE 3
 
REPUBLIC OF NAURU
Naoero Citizenship Act 2017
(Regulation 9)
FEES
                              Item	Description	Fees ($)	
1	Application for citizenship:
•	by birth or residency in the Republic
•	by descent
•	by marriage
•	by adoption
•	by former citizens
	
250.00

100.00
250.00
250.00
500.00	
2	Grant of citizenship 	100.00	
3	Citizenship Certificate	100.00	
4	Replacement Certificate	150.00	
5	Access to Register	25.00