For the Secretary of State for the Home Department:

Signature

- Top field: "Signature" — handwritten signature present, fully redacted/blackened.
- Middle field: "Name" — printed/written name present, fully redacted/blackened.
- Bottom field: "Date of renunciation" — embossed circular Home Office seal (crown and coat of arms) with red ink date stamp reading "11 MAR 2024", located over/inside the date box.
- Layout: three rectangular boxes stacked (signature, name, date); date box contains both a blind emboss and red ink stamp.

EFTA00037131