No. 21

British Nationality and Status of Aliens Act, 1914.

DECLARATION OF ALIENAGE.

3, CICERO GUSTAVO DO ROZARIO

of Hongkong,

being a person who, by reason of my having been born within His Majesty's Dominions

and allegiance, an a natural born British subject, but who at my birth became under

the law of Portugal & subject also of that State, and am still such a subject, and of full

age and not under disability, do hereby renounce my nationality as a British subject.

(Signed) Cicero Gustavo do Rozario.

1 17.

Made and subscribed this 8th.

before me.

day of November,

(Signed) Edward J. Noronha,

J.P.

CERTIFIED TRUE COPY.

(Sd.) H. Fletcher,

Colonial Secretary-

Colonial Secretary's Office,

Hongkong, 13th. November, 1917.

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