INSTRUCTION SHEET FOR CERTIFICATE OF NATURALIZATION BRITISH PROTECTED PERSON 1. Forms to be completed and signed by a Justice of the Peace or Notary Public. 2. Reference letter from a reputable person in country of birth or residence and Grenada. 3. Bank Statement to be submitted after due diligence is completed by this Ministry. 4. Police Certificate of Character from country of origin and residence. MUST be dated within 6 months of application. 5. Four passport size photographs CERTIFIED by a Justice of the Peace or Notary Public. 6. ORIGINAL and ONE (1) PHOTOCOPY of Birth Certificate. If name does not appear on Birth Certificate, an ORIGINAL Affidavit is required. 7. Letter stating date of arrival in Grenada, purpose of visit, the activities engages in and reason why applicant would like to be a citizen. 8. Medical Certificate from Registered Practitioner which includes: a) Chest X Ray b) Malaria Blood Smear c) Serum Creatinine d) RPR, VDRL or other serologic test for Syphilis e) Stool for culture and Microscopic examination f) HIV antibody test g) Update immunization status including measles, mumps, rubella, tetanus and hepatitis B * Immunization card MUST be produced. Copy of Immunization card. h) Mantoux (TB) test Persons traveling from high risk areas or who have had recent malarial infection should be suitably treated with Promaguine. (Medical Report to be submitted after due diligence is completed by this Ministry. The test MUST be conducted within six (6) months of the request by the Ministry to submit the Medical Report and MUST be done at the GENERAL HOSPITAL LABORATORY) NB: Contact Number should be included on application. 9. Fee EC$3,000.00 plus EC$5.10 transaction fee to be made payable to Government of Grenada (money order/cashier s Cheque only). Persons residing in Great Britain and Canada should make money order or Cashier s Cheque equivalent to EC$3,005.10. Persons residing in the United States of America make money order or Cashier s Cheque for US$1,117.90. REMIT APPLICATION WITH DOCUMENTATION TO: Office of the Prime Minister Attn: Permanent Secretary Ministerial Complex, 6 th Floor Botanical Gardens Tanteen, St. George s GRENADA, W. I. (473) 440 2255 / 2265
SCHEDULE 5 REGULATION 7 Application for Certificate of Naturalisation by an Alien or British Protected person. N.B. Portions of this form which are not applicable must be struck out and initialed in every case. CAUTION: To give false information on this form, purposely or recklessly is a criminal offence punishable with imprisonment, (Section 14 Grenada Citizenship Act, 1976). 1. (a) Original name in full in country of birth (Block Letters) If name at birth has been altered, give particulars and date of alteration (c) Particulars of any other name(s) used for trading or business purposes (d) Particulars of any other name(s) used for trading or business purposes (e) (f) (g) Private Occupation Business (h) Name and address of employer(s) Name Name Name (i) If a company Director, name(s) and Name address(es) of company(ies) concerned 2. (a) Country, and date of birth Country of Birth (c) Name of Protectorate, protected state or trust territory from which you derive the status of a British Protected Person Say how you acquired that status
(d) Particulars of any other national status 3. (a) Father s full name in country of his birth (Block Letters) (c) Present address (if living) OR Nationality, if dead (at the time of death) Mother s full name before marriage in country of her birth (Block Letters) (d) Present address (if living) OR Nationality, if dead (at the time of death) 4. (a) State whether single, married, widower, widow or divorced If married, state and place of marriage (c) Give details of applicants husband Full name at Birth (Block Letters) of Birth of Birth Nationality Present if living (d) If husband or wife is dead, give date (e) If marriage dissolved give date and 5. STATEMENT REGARDING RESIDENCE OR SERVICE UNDER THE GOVERNMENT OF GRENADA (a) RESIDENCE : During the period of seven years immediately preceeding the date of this application I have lived in Grenada as follows : Full details of residence in Grenada (State in full each address at which you have resided) From To Years (s) Months
Total residence in Grenada Years Months During the period of residence shown above, I have visited the following Name of Country From (s) To Countries SERVICE UNDER THE GOVERNMENT OF GRENADA : During the period of seven years immediately proceeding the date of this application I have been in Service as follows: Details of Service Government Department By which employed Capacity in Which employed From (s) To Total length of Service 6. STATEMENT OF FUTURE INTENTIONS If this application is granted, I intend to live in (Years) (Months) or to enter into or continue in service under the Government in the capacity of 7. COURT PROCEEDINGS (a) Details of all criminal proceedings taken against you, whether in Grenada or any other country, which resulted in a conviction : Nature of Charge Result _ Details of all non criminal proceedings taken against you in Grenada : Nature of Proceedings Result _
8. (a) Are you financially solvent? Answer Yes or No of any composition (c) of Bankruptcy (d) of discharge Made with creditors from Bankruptcy 9. Approximate date of any previous application for Naturalisation 10. Particulars of children (a) Full names of children of of Current Under 18 years of age Birth Birth Resident to be registered Full names of other of of Where now children Birth Birth Resident I, the undersigned to whom the foregoing particulars relate hereby apply to the Minister for the grant of a Certificate of Naturalisation (and for the registration of my minor children indicated in section 10 (a) above). I, do solemnly and sincerely declare that the foregoing particulars stated in this application are true, and I made this solemn declaration conscientiously believing the same to be true. If, at any time before a Certificate is issued to me, the accuracy of any of the foregoing, particulars is affected by an alteration in circumstances I undertake to inform the Minister in writing forth. (Applicant s ) of Application Made and subscribed this day of, 20 Before me at ( of Justice of the Peace, Notary Public or other Official) 1. Name (Block Letters) Mr. Full Postal REFERENCES
I, the undersigned hereby state that I am a citizen of Grenada and a British subject, by birth; that I am a householder, and 2. Name (Block Letters) Mr. Full Postal I, the undersigned hereby state that I am a citizen of Grenada and a British subject, by birth; that I am a householder, and 3. Name (Block Letters) Mr. Full Postal I, the undersigned hereby state that I am a citizen of Grenada and a British subject, by birth; that I am a householder, and 4. Name (Block Letters) Mr. Full Postal I, the undersigned hereby state that I am a citizen of Grenada and a British subject, by birth; that I am a householder, and
FOR OFFICIAL USE ONLY PLEASE DO NOT WRITE IN THIS SPACE Amount of Fees Paid: $ Certificate Issued: Examining/Issuing Officer(s) :