Embassy of the People’s Republic of Bangladesh
House # 71,Qufool Avenue, Salihiya # 356, P.O. Box # 26718, Adlya,
Manama, Bahrain Tel: 973-17233925 Fax: 973-17233683,
E-mail: Website: www.bdembassy.org.bh
APPLICATION FOR DUAL NATIONALITY
PLEASE FILL IN THREE COPIES OF THIS FROM. PLEASE TYPE OR PRINT IN BLOCK LETTERS.
UNLESS OTHERWISE MENTIONED, PLEASE COMPLETE ALL ITEMS OR WRITE “N/A” (NOT APPLICABLE) IF NEEDED.
1. Name
2. Date of Birth 3. Place of birth (district, in case of Bangladesh)
4. Present address 5. Permanent Address (in Bangladesh)
6.a. Name of father 9. Permanent address of father (in Bangladesh)
6.b. Place of birth of father:
7.a. Name of mother
7.b. Place of birth of mother:
8.a. Name of spouse
8.b. Place of birth of spouse
10. Name and address of children (Please use separate sheet, if needed)
11. Name and address relatives (living in Bangladesh) who can be contacted for reference (at least one):
APPLICATION FOR DUAL NATIONALITY (PAGE 2 OF 2)
12. Particulars of Properties In Bangladesh
13. Date of first leaving Bangladesh / 14.a. Bangladesh Passport#[Please attach photocopy of Bangladesh Passport] / 14.b. Place of issue:
14.c. Date of issue / 15. Date of acquisition of foreign citizenship
[Please attach photocopy of foreign naturalization Certificate] / 16.a. Foreign Passport#
[Please attach photocopy of foreign Passport]
16.b. Place of issue / 16.c. Date of issue / 16.d. Date of expiry
17. Present occupation 21. Work address:
18. Annual income (in US$)
19. Source of income
20. Academic or
special qualification
22. Details of remittance made to Bangladesh (Please attach copies of receipts)
Name of the Bank with address / Account #23. Knowledge of Bangla Read Write Speak
24. Reasons for seeking citizenship of Bangladesh
Declaration:
I do hereby solemnly affirm and swear that the information provided in this application for dual nationality are true, correct and complete.
Date Signature of the applicant