Explicit Withdrawal Form

A. Applicant Details

These details should match those used in your international protection application.

Full Name (as on application):*

Person ID Number*

Date of Birth*

Nationality*

Current Address in Ireland

Phone Number

Email Address*

Enter Email Confirm Email

B. Status of your Application

Please indicate the current stage of your application*

TARA Appeal Reference*

If you have an appeal pending, this request will be addressed to TARA and, where required, notified to the Determining Authority in accordance with Section 69 of the International Protection Act 2026.

C. Withdrawal of Voluntary Return Request

Have you made a request to voluntarily return to your country of origin? If so, do you wish to withdraw that request?*

Voluntary Return Request Reference*

D. Explicit Withdrawal Statement

I hereby request to explicitly withdraw my application for international protection or my application for voluntary return (as applicable) under Section 69 or Section 202 of the International Protection Act 2026.*

If you wish, you may briefly state your reasons for withdrawal

E. Voluntary Decision Confirmation

I confirm that I am making this request to withdraw my application voluntarily and of my own free will.*

I understand that I may make this explicit withdrawal at any time during the procedure, including while an appeal is pending before TARA.*

F. Legal Acknowledgements

Please read the following points carefully. You must select Yes to confirm that you understand them.

I confirm that I have been informed, in a language I understand, of the possible consequences ofwithdrawing my application, in line with Article 8(2)(c) of the Asylum Procedures Regulation.*

I understand that the Determining Authority may treat my application as explicitly withdrawn under Section 69 of the International Protection Act 2026.*

I understand that, if I have an appeal pending before TARA, my appeal may be closed following this explicit withdrawal, and TARA will notify the Determining Authority as required by law.*

I understand that, where Section 69(5) applies, a decision may still be made by the Determining Authority to reject my application as unfounded or manifestly unfounded, even after I have madethis explicit withdrawal.*

I understand that withdrawing my application may affect my right to remain in the State, access to reception conditions, and any other residence permissions linked to my international protection application, and I may be required to leave the State unless I hold another lawful permission to remain.*

I understand that I may seek legal advice at any time in relation to withdrawing my application or voluntary return request and that I am not obliged to submit this request without first obtaining legal advice if I wish.*

G. Declaration and Submission

By completing and submitting this form, I confirm that the information I have provided is true and correct to the best of my knowledge and that I understand the legal consequences of explicitly withdrawing my application under Section 69 of the International Protection Act 2026 (The Act) or withdrawing my request to voluntary return to my country of origin under Section 202 of The Act.

Signature*

Date

H. Support may be available to assist you with re-integration or travel arrangements under the Voluntary Return Programme

Type of Assistance Needed*

Time to Complete