GC1

PAR

ISSUED 10/90

CULARS OF PROPERTY OWNED BY BRITISH NATIONALS IN THE STATE OF KUWAIT AND THE REPUBLIC OF IRAQ WHICH HAS BEEN LOST, DAMAGED OR DESTROYED, AND OF ANY PERSONAL INJURY.

Please complete in block capitals or typescript and return TWO copies to:

Nationality, Treaty and Claims Department,

Foreign and Commonwealth Office,

Clive House,

Petty France,

LONDON SW1H 8HD

Keep one copy for your own information

BEFORE COMPLETING THIS FORM, PLEASE READ THE FOLLOWING NOTES:

(i) Although you should have proof of ownership of the property listed, please do not attach any

documentary evidence to this form. You are advised in your own interests to safeguard any such evidence.

(ii) If you wish, you may supply additional information on extra sheets. Please show clearly to

which part of the form they refer.

(iii) Values should be given in pounds sterling.

(iv) The particulars required on this form are needed solely for the better information of Her Majesty's

Government. Completion of the form and its receipt by the British Government do not constitute the submission of a claim and must not be taken as implying that a claim can or will be considered, nor as recognising the existence of any right to claim compensation from any source. Nor does its receipt constitute any recognition of your status as that of a British citizen, British Dependent Territories citizen, British Overseas citizen, British National (Overseas), British Subject or British Protected Person, as the case may be.

PERSONAL DETAILS

SURNAME

FORENAMES

DATE OF BIRTH

PLACE OF BIRTH

CITIZENSHIP

DETAILS OF ANY OTHER CITIZENSHIP PREVIOUSLY HELD

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