citizenship application

RIGHT OF CANADIAN CITIZENSHIP2558 Danforth Ave., Suite 202, Toronto, ON M4C1L3 Phone: 1-866-760-2623 Fax: 416-640-2650 Email: [email protected]

SERVICE ORDER FORMINSTRUCTIONS

Read all instructions and follow carefullyDOCUMENT CHECKLIST

Include the following documents in your application package

APPLICATIONS MISSING THIS ORDER FORM WILL NOT BE PROCESSED.

CITIZENSHIP APPLICATION FEES

*We accept Visa, Mastercard, American Express, bank drafts and bank transfers

CREDIT CARD INFORMATION

Card Number:

Expiry Date: CVV Code

Cardholder Signature:

DISCLAIMERApplicant must sign below

*By signing below I assert that I have read and agreed to the terms and conditions as listed onhttp://www.immigroup.com/disclaimer.php and agree to the following conditions:

*Immigroup Inc is not responsible for documents or passports lost by courier companies or anygovernment office.*If you require a phone consultation, you will be charged an additional $75*Immigroup Inc is not responsible for applications that are rejected.

*All fees are non-refundable once applications are submitted to the government.*I agree to being charged the total fees corresponding with my required service

1. Please complete the order form and application forms included herein. Makesure to include your telephone number and email address where you can becontacted.

2. Fax or scan and email all forms and documents in the document checklist toour office for review at 416-640-2650 or [email protected]

3. You will be contacted within 1 - 2 business days regarding your application. Ifyou have not been contacted after 2 business days, please contact our officeat 1-866-760-2623 to confirm we have received your order.

4. After we have reviewed your forms and documents, we will advise you to sendthe original forms and copies of documents to our office at

2558 DANFORTH AVE, Suite 202, TORONTO, ON M4C 1L3, CANADA

5. Our office will contact you each time we receive correspondence from CIC untila decision is reached on your application.

2558 Danforth Ave., Suite 202, Toronto, ON M4C1L3 Phone: 1-866-760-2623 Fax: 416-640-2650 Email: [email protected]

IMMIGROUP INC

ADULT APPLICATIONS$599 service fee$77.87 HST (harmonized sales tax)$630 government fee$30 courier fee

MINOR (UNDER 18) APPLICATIONS$400 service fee$52 HST (harmonized sales tax)$100 government fee$30 courier fee

TOTAL PROCESSING TIME: 18-24 months on average andsubject to change without notice.

Your Right of Citizenship application cannot be expedited.

SIGN HERE:

*I understand that cancellation of this service after my order is received by Immigroup Inc. willbear a minimum cancellation fee of $42.50.

Please note that additional documentation may be requested on an as-neededbasis. If you are missing any information or documents, send what you have and

our office will advise you how to proceed.IF APPLICABLE

REVIEW ONLYIMMIgroup will:- review your completed application;-suggest changes;- review your changes.We will not act as yourrepresentative.

SCHOOL RECORDS FOR YOU AND ANY DEPENDENT CHILDREN FOR LAST 4 YEARS

2 PHOTOS (specifications included in this package)

PROOF OF LANGUAGE (Please see attachment for more information)

2 DOCUMENTS SHOWING PROOF OF IDENTITY (one must have a photo - health card, driver's license, provincial ID card are all acceptable)

COPIES OF BIOGRAPHICAL PAGES IN ALL PASSPORTS HELD DURING THE LAST 4 YEARS

COPY OF YOUR RECORD OF LANDING (IMM1000)

COPY OF THE FRONT AND BACK OF YOUR PERMANENT RESIDENT CARD

RESIDENCE CALCULATOR FORM - included in this package

RIGHT OF CITIZENSHIP APPLICATION FORM - duly completed and signed

IMMIGROUP ORDER FORM (this page)

$1336.87

$582

$395.50

Cardholder Name

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CIT 0002 (09-2016) E

PROTECTED WHEN COMPLETED - B

This form is made available by Immigration, Refugees and Citizenship Canada and is not to be sold to applicants.

(DISPONIBLE EN FRANÇAIS - CIT 0002 F)

APPLICATION FOR CANADIAN CITIZENSHIP - ADULTS (18 years of age and older) UNDER SUBSECTION 5(1)

FOR OFFICIAL USE ONLYUCI no.

Certificate no.

FOR OFFICIAL USE ONLY

Space reserved for applicant's label

IMPORTANT INFORMATION: REFER TO THE GUIDE FOR SPECIFIC INSTRUCTIONS. PLEASE PRINT IN INK OR TYPE.

1. A Language you prefer for service:

English French

B I have special needs that require accommodation

No Yes ► If yes, please explain:

2. I have applied for Canadian citizenship before

No Yes ► When?Year

3. A Name (exactly as it is shown on my immigration document)

Last name (surname/family name)

Given name(s)

B Your current name, if different from above. Note: you must provide supporting documents for any change in your name. Consult "Step 1. Gather documents" in the instruction guide.

Given name(s)


C List any other names used including name at birth, maiden name, previous married name(s), aliases and nicknames. These names will not appear on your citizenship certificate.

Given name(s)


Provide details:

Sex ►

4. A Birth details as shown on my immigration document

Date ►(YYYY-MM-DD)

Place ►Country

Town/City

B Personal information

Male Female Height ► cm OR ft inColour of eyes ►

Marital status ► Never married Married Common-law Widowed Divorced Legally separated

5. A Home address (residence)No. and street Apt. no.

City/Village Province

Country Postal code

No. and street Apt. no.

City/Village Province

Country Postal code

B Mailing address (if different from home address)

If you need more space to answer a question than is provided below, attach another sheet of paper and make sure to include the number of the question you are answering.

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CIT 0002 (09-2016) E

5. C Telephone number(s)

HomeArea code and number

WorkArea code and number

CellArea code and number

D How long have you lived at your home address?

year(s) month(s)

E Email address, if applicable (If you provide us with your email address, we may correspond with you about your application via email)

6. A When did you become a permanent resident (landed immigrant) of Canada?

(YYYY-MM-DD)

B When did you first come to live in Canada if different from "A"?

(YYYY-MM-DD)

C Are you a citizen of any other country(ies)?

No Yes ► If yes, list the country(ies).

If no, explain why these documents are not in your possession in the box below. Note: if your passport validity was extended, include a photocopy of the page(s) containing the extension stamp(s).

D You must include photocopies of the biographical pages of any passports or travel documents you held in the six (6) years immediately before the date of your application, or since you became a permanent resident if this happened less than six years ago (“the relevant period”).

Do you have all of the required photocopies? No ►Yes

E Do your passports/travel documents cover the whole relevant period?

Yes No ► If If no, explain in the box below. If you do not provide an explanation for any period when you did not have a valid passport, your application will be returned to you.

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CIT 0002 (09-2016) E

F Do you have permanent resident status or the equivalent in any country other than Canada?

No Yes ► If yes, list the country(ies) and provide the dates you acquired this status.

Country Date (YYYY-MM-DD)

G Addresses in the past six (6) years immediately before the date of your application or since you became a permanent resident, whichever is more recent ("the relevant period")

List all your Canadian and overseas addresses in the relevant period, including the postal codes. If you were residing, employed or attending school outside Canada during this time, you must also indicate all your foreign addresses. If you miss any period of time during the relevant period, your application will be returned to you.

From (YYYY-MM-DD)

To (YYYY-MM-DD)

Apt. no. Street no. and name City/Town Province/State Country Postal

code

H Work and education history in the six (6) years immediately before the date of your application or since you became a permanent resident, if you became a permanent resident within the past six years (“the relevant period”)

C) You must complete the section below. If you leave this section blank, your application will be returned to you. If you need more space, use an additional sheet of paper. If you answered yes to questions A and/or B, list your work and/or education history (inside and outside Canada) in the relevant period, including the city and country, starting with your most recent. If you answered no to questions A and/or B, you must indicate the reason you were not employed (i.e. you were unemployed, retired, homemaker, etc.) and the dates of your unemployment under "Work/Education. Do not exclude any period of time during the relevant period.

From (YYYY-MM)

To (YYYY-MM) Work/Education Employer or school attended City, Country

A) Were you working during the relevant period? Yes No

B) Were you attending an educational institution or participating in English/French language training during the relevant period? Yes No

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I Minor's education history in the six (6) years immediately before the date of your application or since you became a permanent resident, whichever is more recent (if applicable).

Complete the information below for all children who were under the age of 18 in the six (6) years immediately before the date of your application or since you became a permanent resident, whichever is more recent, including those who are already Canadian citizens (if applicable). If you need more space, use an additional sheet of paper.

NOTE: LISTING A MINOR CHILD'S SCHOOL ATTENDANCE IS NOT AN APPLICATION FOR CITIZENSHIP FOR THE CHILD. IF YOU WISH TO APPLY FOR YOUR CHILDREN, YOU MUST COMPLETE AN "APPLICATION FOR CANADIAN CITIZENSHIP - MINOR" FOR EACH CHILD (UNDER 18 YEARS OF AGE).

CHILDFamily name/Surname Given name(s) Country of birthDate of birth (YYYY-MM-DD)

From (YYYY-MM)

To (YYYY-MM)

Institution/School Attended/Home schooled City, Country

Child is not at

school age

CHILDFamily name/Surname Given name(s) Country of birthDate of birth (YYYY-MM-DD)

From (YYYY-MM)

To (YYYY-MM)

Institution/School Attended/Home schooled City, Country

Child is not at

school age

J Income tax information

Do you have a Social Insurance Number (SIN), Temporary Tax Number (TTN), and/or Individual Tax Number (ITN)?

A) Yes ►

No, I declare that I do not have a SIN, an ITN or a TTN and was not required to file income taxes for any of the past six (6) taxation years.

If yes, provide the most recent 9-digit number you used to file your income taxes so that we may verify compliance with the income tax filing requirements:

Complete the table below detailing your income tax filling history to help demonstrate that you meet any applicable requirement under the Income Tax Act to file a return in respect of four (4) taxation years that are fully or partially within the six (6) years immediately before the date of your application.

Taxation year Required to file Taxes filed

Yes No Yes No

Yes No Yes No

Yes No Yes No

Yes No Yes No

Yes No Yes No

Yes No Yes No

With your consent to the sharing of your income tax filing history between IRCC and CRA, IRCC will use this information to determine if you meet the income tax filing requirement of the Citizenship Act. Note that if you do not provide your consent for that specific purpose, your application will be returned as incomplete and not be processed. Note that with your consent this information may also be used in the assessment of whether you meet the physical presence requirements. See Section 9E.

B)

Note: You do not need to consent to the sharing of your income tax filing history between IRCC and CRA in part 9 if you checked “NO”.

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CIT 0002 (09-2016) E

K Physical presence calculation

The Online Physical Presence Calculator is the preferred method to calculate your physical presence in Canada. The printout from the Internet must be included with your application. If you experience difficulty with the Online Physical Presence Calculator, please submit a How to Calculate Physical Presence form (CIT 0407) with your application.

L Residence outside Canada

In the six (6) years immediately before the date of your application, or since you became a permanent resident, whichever is most recent:

A) Did you reside outside Canada with your Canadian spouse or common-law partner who was employed in or with the Canadian Armed Forces, the federal public administration or the public service of a province, otherwise than as a locally engaged person?

Yes No

B) Were you employed outside Canada in or with the Canadian Armed Forces, the federal public administration or the public service of a province, otherwise than as a locally engaged person?

Yes No

C) Did you reside outside Canada with your spouse, common-law partner, or parent who: • was a permanent resident, and • was employed in or with the Canadian Armed Forces, the federal public administration

or the public service of a province, otherwise than as a locally engaged person? Yes No

If you have answered yes to any of the above questions, complete the Residence outside Canada form (CIT 0177) and submit it with your application.

M In the past four (4) years, were you present in a country, other than Canada, for a total of 183 days or more?

No Yes ► If you have checked “YES”, indicate each country in the box below. You must provide police certificates for each country where you have been present for 183 days or more. If you cannot get a police certificate from a country, provide details in the box below.

7. LANGUAGE EVIDENCE. See section 7 - "Step 2. Complete the application" and section 4 - "Step 1. Gather documents" in the instruction guide.

A If you are 18 to 64 years of age you must submit acceptable proof that demonstrates that you have adequate knowledge of English or French. Please check the appropriate box to indicate which of the following forms of proof you are submitting with your application:

Results of a IRCC-approved third-party language test; or

Diploma, certificate or transcript of a secondary or post-secondary education completed in English or French, in Canada or abroad; or

Evidence of achieving CLB/NCLC 4 in a government-funded language training program

If you successfully completed LINC or CLIC (Language Instruction for Newcomers to Canada), classes during the period from January 2008 to October 2012 but did not receive a certificate*

* IRCC has previously collected information about the results of your LINC or CLIC language training for statistical purpose but IRCC would like to obtain and use this information for purposes of verifying your language results. By signing the consent form section 9F of this application, you authorize IRCC to use the information that has been already collected to verify whether you have adequate knowledge of English of French.

C I have a disorder, disability or condition that is cognitive, psychiatric or psychological in nature which prevents me from submitting proof of language with my application. Note: You must submit supporting evidence.

No Yes ► If yes, you must submit supporting evidence of your disorder, disability or condition.

B See section 7 - "Step 2. Complete the application" and section 4 - "Step 1. Gather documents" in the instruction guide. I am deaf, which prevents me from submitting the proof of language described in 7A with my application. Note: If you check yes, you must submit supporting evidence with your

application.

No Yes

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CIT 0002 (09-2016) E

A Are you now or have you ever been in the six (6) years immediately before the date of your application, or since you became a permanent resident, whichever is most recent:

8. PROHIBITIONS UNDER THE CITIZENSHIP ACT

► No Yes• on probation in Canada?

► No Yes• on parole in Canada?

► No Yes• an inmate of a penitentiary, jail, reformatory, or prison in Canada?

B Are you now serving a sentence outside Canada for an offence? ► No Yes

C Are you now charged with, on trial for, or subject to or a party to an appeal relating to an offence under the Citizenship Act or an indictable offence in Canada? ► No Yes

D Are you now charged with, on trial for, or subject to or a party to an appeal relating to an offence committed outside Canada? ► No Yes

E Are you now, or have you ever been, under a removal order (have you been asked by Canadian officials to leave Canada)? ► No Yes

F Are you now under investigation for, charged with, on trial for, subject to or a party to an appeal relating to or have you ever been convicted of a war crime or a crime against humanity? ► No Yes

G In the past five (5) years, were you prohibited from being granted citizenship or taking the Oath of Citizenship because of misrepresentation or withholding material circumstances? ► No Yes

H In the past four (4) years, have you been convicted in Canada of an indictable offence under any Act of Parliament or an offence under the Citizenship Act? ► No Yes

I In the past four (4) years, have you been convicted outside Canada of an offence, regardless of whether you were pardoned or otherwise granted amnesty for the offence? ► No Yes

J While a permanent resident, have you:

• been convicted in Canada of terrorism, high treason, treason, or spying offences? ► No Yes

• been convicted outside Canada of terrorism? ► No Yes

• served as a member of an armed force of a country or organized armed group and that country or group engaged in armed conflict with Canada? ► YesNo

I have read and understand the prohibitions under the Citizenship Act.

If you have checked "YES" to any of the questions listed above, provide details below. If applicable, attach court documents to avoid unnecessary delays.

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A CONGRATULATORY LETTER

9. CONSENT TO DISCLOSE PERSONAL INFORMATION

Request for authorization Federal Members of Parliament (MPs) send a letter of congratulations to new citizens in their ridings. Do you authorize IRCC to forward your name, residential address, sex and preferred official language to your Member of Parliament? No other information will be forwarded.

Yes No

This information will be disclosed once you acquire citizenship.

Request for authorization Canadian citizens who are 18 years of age or older have the right to vote in federal elections and referendums. Elections Canada needs your authorization to add your name to the National Register of Electors which is used to produce the voters lists for federal elections and referendums.

B NATIONAL REGISTER OF ELECTORS

Do you authorize IRCC to give your name, residential and mailing addresses, sex and date of birth to Elections Canada, after you acquire citizenship, so that Elections Canada can include this information in the National Register of Electors?

NoYes

Whether you answer "yes" or "no" is completely your choice. Your information will be used only for purposes permitted under the Canada Elections Act, which include sharing the information with provincial and territorial election agencies, members of Parliament and political parties, as well as candidates at election time. Your answer will not affect your citizenship application. For more information, please refer to Section 8 of the instruction guide. If you have any other questions, please call Elections Canada at 1-800-463-6868 or visit www.elections.ca.

Request for authorization If you reside in Québec, to make sure that you are on the list of electors (voters) for provincial, municipal or school elections in Québec, the Chief Electoral Officer of Québec needs your authorization to add your name to Québec's permanent list of electors.

C QUÉBEC'S PERMANENT LIST OF ELECTORS

Do you authorize IRCC to forward your name, residential and mailing addresses, sex and date of birth to the Chief Electoral Officer of Québec so that this information can be added to the permanent list?

NoYes

No information will be forwarded until you acquire Canadian citizenship. By law this information will be used for electoral purposes only. For more information, please refer to Section 8 of How to complete this Form .

D HISTORY OF ENTRIES TO CANADA

Request for authorization By selecting "YES" in the box below, and by signing this form, I hereby give my consent to the Canada Border Services Agency (CBSA) to disclose the details of my history of entries into Canada to IRCC in order to assist IRCC in determining my citizenship eligibility. I also hereby authorize IRCC to collect the history of my entries into Canada from the CBSA.

Yes No

Please do not contact the CBSA to request your history of entries.

E CANADA REVENUE AGENCY (Complete this section if you answered “YES” to Section 6, Question H)

Yes No

2. By selecting “YES” in the box below and by signing this application form, I also authorize IRCC to disclose my SIN, ITN, or TTN, as the case may be, to the CRA for the purpose of requesting my income tax information and filing history from the CRA and for the CRA to disclose my income tax information and filing history from the CRA's Income Tax and Benefit Return file to IRCC for the taxation year(s) indicated above for the purpose of assessing my citizenship application against the physical presence requirement of subparagraphs 5(1)(c)(i) and (ii) of the Citizenship Act.

Yes No

Note that if you do not provide consent, your application will not be considered complete according to the Citizenship Regulations. Consequently, your application will be returned to you.

1. By selecting “YES” in the box below and by signing this application form, I hereby authorize IRCC to disclose my SIN, ITN, or TTN, as the case may be, to the CRA for the purpose of requesting my income tax filing history from the Canada Revenue Agency (CRA) and for the CRA to disclose my income tax filing history from the CRA's Income Tax and Benefit Return file to IRCC so as to allow it to assess my citizenship application against the tax filing requirement of subparagraph 5(1)(c)(iii) of the Citizenship Act.

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F LANGUAGE INSTRUCTION FOR NEWCOMERS TO CANADA (LINC)

*This section needs to be completed by applicants choosing previous LINC results as proof of language. Request for authorization By selecting "YES" in the box below, and by signing this application form, I hereby give my consent to IRCC to access my LINC results in order to assist IRCC in determining my citizenship eligibility.

Yes No

Note that if you do not provide consent, you will be required to submit alternate acceptable proof of language with your application.

10. INTENTION

I intend, if granted citizenship, • to continue to reside in Canada; • to enter into, or continue in, employment outside Canada in or with the Canadian Armed Forces, the federal public administration or the public service of a province,

otherwise than as a locally engaged person; or • to reside with my spouse or common-law partner, or parent, who is a Canadian citizen or permanent resident and is employed outside Canada in or with the

Canadian Armed Forces, the federal public administration or the public service of a province, otherwise than as a locally engaged person.

Yes

I have a mental disability and am incapable of forming the intent referred to above. Note: You must submit supporting evidence.

No – Note: If you select `no', your application will be returned to you as you do not meet the requirements for a grant of citizenship.

11. APPOINTMENT OF A REPRESENTATIVE

Are you appointing an individual, firm or organization as your representative? ►

If yes, the Use of a Representative form (IMM 5476) must be completed and included with your application.

NoYes

Signature of APPLICANT

12. SIGNATURE OF APPLICANT

I agree to advise Immigration, Refugees and Citizenship Canada (IRCC) if any information on this form changes before I take the Oath of Citizenship. I understand the content of this form. I declare that the information provided is true, correct and complete, and that the photographs enclosed are a true likeness of me. I understand that if I or someone on my behalf, makes a false representation, or commit fraud or conceal any material circumstances relevant to my application, I could be prohibited from becoming a citizen and reapplying for citizenship for 5 years, my citizenship could be revoked and I could be charged with an offence as provided for under the Citizenship Act or the Criminal Code. Notice: IRCC may verify the authenticity and accuracy of any documents you have provided in support of your application for an adult grant of citizenship with the body that issued the documents. I have indicated in Section 8 of this form whether the prohibitions apply to me. I have indicated my future residence intentions in Section 10 of this form. IMPORTANT NOTE: Remember to make sure that you are eligible to apply for citizenship on the day BEFORE you sign this application. (you must sign inside the white box in black ink only)

City

►Date

(YYYY-MM-DD)

Protected Information Personal Information Bank CIC PPU 050

The information you provide on this form is collected under the authority of the Citizenship Act to determine whether your citizenship application may be approved. It will be stored in the Personal Information Bank (CIC PPU 050 entitled Application and Assessment for Canadian Citizenship). The information may be shared with other Canadian government institutions such as the Canada Border Services Agency (CBSA), the Royal Canadian Mounted Police (RCMP), the Canadian Security Intelligence Service (CSIS), and foreign governments in accordance with the Citizenship Regulations or subsection 8(2) of the Privacy Act. Information may also be disclosed to foreign governments, law enforcement bodies and detaining authorities with respect to the administration and enforcement of citizenship legislation where such sharing of information may not put the individual and/or his/her family at risk. Information may also be systematically validated by other Canadian government institutions under the terms of an agreement or arrangement for the purposes of validating status and identity to administer their programs. In accordance with the Privacy Act and the Access to Information Act, individuals have a right to protection of, access to and correction of their personal information. Details on these matters are available at the InfoSource Website at http://infosource.gc.ca. InfoSource is also available at public libraries across Canada.

www.infosource.gc.ca

Requirements - Provide two (2) identical citizenship photographs.

- Photographs must be printed on quality photographic paper.

- Provide the name of the photographer or the studio, the studio address and the date the photos were taken on the back of the photos.

- Print the name of the person on the back of the photos.

Specifications - The photographs must be identical and taken within the last six months. They may be either black and white or colour.

- The photographs must be clear, well defined and taken against a plain white or light-coloured background.

- If the photographs are digital, they must not be altered in any way.

- Your face must be square to the camera with a neutral expression, neither frowning nor smiling, and with your mouth closed.

- You may wear non-tinted prescription glasses as long as your eyes are clearly visible. Make sure that the frame does not cover any part of your eyes. Sunglasses are not acceptable.

- A hairpiece or other cosmetic accessory is acceptable if it does not disguise your normal appearance.

- If you must wear a head covering for religious reasons, make sure your full facial features are not obscured.

Photograph and head size specifications - The frame size must be at least 35 mm x 45 mm (1 3/8″ x 1 3/4″).

- The photographs must show the full front view of the head, with the face in the middle of the photograph, and include the top of the shoulders.

- The size of the head, from chin to crown, must be between 31 mm (1 1/4″) and 36 mm (1 7/16″).

- Crown means the top of the head or (if obscured by hair or a head covering) where the top of the head or skull would be if it could be seen.

- If the photographs do not meet the specifications, you will have to provide new photographs before your application can be processed.

2558 Danforth Ave., Suite 202 Toronto, ON M4C 1L3 CANADA

Tel: 416-96-CANADA (962-2623) Fax: 416-640-2650

http://www.immigroup.com

Language abilities

As of November 1, 2012, if you are between 18 and 54, you will have to send proof of your ability to speak and listen in English or French with your citizenship application. Some examples of this proof can be:

− The results of a CIC-approved third-party test; or − Transcripts or a diploma from a secondary or post-secondary education in English or French, in Canada or abroad; or − Evidence of achieving Canadian Language Benchmark (CLB)/Niveau de compétence linguistique canadien (NCLC) level 4 or higher in certain government-funded language training programs.

Important: Applications received on or after November 1, 2012 must have proof of language included in the application package. If your application is received after November 1, 2012 without the acceptable proof, it will be considered incomplete and will be returned to you.

Where do I go?

http://www.celpiptest.ca/

Why CELPIP?

− Completely Computer-Delivered − Easy Online Registration − Quick Online Results (within 8 business days!) − Uses Canadian Accents

The CELPIP-General Test is a complete English language testing program that assesses general levels of functional competency. The test is completely computer-delivered and consists of following components:

− Listening − Speaking − General Reading and Writing


http://www.cic.gc.ca/english/citizenship/language.asp





http://www.language.ca/

http://www.language.ca/

http://www.celpiptest.ca/

2558 Danforth Ave., Suite 202 Toronto, ON M4C 1L3 CANADA

Tel: 416-96-CANADA (962-2623) Fax: 416-640-2650


How much does it cost?

The Basic English Language proficiency test is $150.00 plus taxes. Coarse code: CELPIP General – LS.

The Canadian Test

The CELPIP-General Test uses the English variety spoken in Canada. Individuals wishing to immigrate to and adapt to life in Canada relate more to understanding and using Canadian English than other varieties of English used in other comparable testing systems.

1. Allows test candidates to complete all components of the test in just one three-hour sitting. The Speaking component requires no additional appointments with an examiner. This allows test candidates to demonstrate their English proficiency without the confounding effects associated with human interaction as used in other testing systems. 2. Completing the test with a keyboard and mouse rather than paper and pen can provide a considerable advantage to the test candidate, especially in the Writing component. 3. The use of a headset for the Listening component allows test candidates to adjust the volume to suit their own needs. 4. The Writing component includes an automatic “word count” function. 5. Each component of the test includes a timer, which allows test candidates to keep track of their own time.

Test Locations & Dates:

http://www.celpiptest.ca/registration-information/test-dates-and-locations/

Test Format & Scoring:

http://www.celpiptest.ca/about-celpip-g/test-format-and-scoring/


http://www.celpiptest.ca/registration-information/test-dates-and-locations/

http://www.celpiptest.ca/about-celpip-g/test-format-and-scoring/

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CIT 0407 (06-2015) E



HOW TO CALCULATE PHYSICAL PRESENCE

This form is made available by Citizenship and Immigration Canada and is not to be sold to applicants.

IMPORTANT: Due to the possibility of mistakes when making a manual physical presence calculation, please be advised that you are strongly encouraged to use the online Physical Presence Calculator. If you do not use the online Physical Presence Calculator, you must complete this form and include it with your application.

There are two calculations you must complete to determine if you meet the physical presence requirements for Canadian citizenship. You must meet both requirements before filing your application.

Step 1 - Calculating physical presence of 1,460 days within the 6 years immediately before the date you sign your application. The Citizenship Act requires a person to be physically present as a Permanent Resident in Canada for at least 1460 days during the 6 years immediately before the date of the application. Time spent in Canada before becoming a Permanent Resident cannot be used in this calculation. Remember, you count only the last 6 years.

Example: You apply for citizenship on July 1, 2015. • The 6-year relevant period for calculating your physical presence in Canada is July 1, 2009, to June 30, 2015. • Any time spent in Canada before July 1, 2009, is not counted. • Any time from July 1, 2009 up to and including June 30, 2015 that you were not a Permanent Resident is not counted. • Any time from July 1, 2009 up to and including June 30, 2015 that you were not physically present in Canada is not counted. • July 1, 2009, can count towards this calculation; July 1, 2015, cannot count towards this calculation. • February 29th (leap years) counts as a day of presence in Canada if you are in Canada, but is also counted as a day of absence from

Canada if you are not in Canada on that day. If you have not met the physical presence requirement in Step 1, do not continue to Step 2. You are not yet eligible to apply for Canadian citizenship.

Step 2 - Calculating physical presence of 183 days in any 4 calendar years within the 6 years immediately before the date you sign your application.

1. The Citizenship Act also requires a person to be physically present as a Permanent Resident in Canada for at least 183 days during each of 4 calendar years that are fully or partially within the 6 years immediately before the date of the application. Absences from Canada may affect your ability to meet this requirement.

Example: • You become a Permanent Resident of Canada on August 20, 2012, and do not travel outside of Canada. This equals 134 days in

Canada in 2012. • In 2013 you are outside of Canada for a total of 190 days. This equals 175 days in Canada in 2013 (365 days - 190 days = 175 days in

Canada in 2013). • You spend 365 days in Canada in 2014. • You spend 365 days in Canada in 2015. • You spend 366 days in Canada in 2016 (a leap year). • You spend 55 days in Canada in 2017 and want to apply for citizenship on February 25, 2017. • You have now accumulated 1460 days of physical presence in Canada in the 6 years immediately before the date of your application. • You spent 183 days in Canada in 3 calendar years immediately before the date of your application (in 2014, 2015 and 2016). • Even though you met the first physical presence requirement in Step 1, you cannot apply for citizenship on February 25, 2017, because

you do not meet the second requirement. • You must wait an additional 128 days, until you have accumulated 183 days of physical presence in 2017 (4th calendar year) in order to

meet both physical presence requirements. You could apply for citizenship on July 3, 2017, providing that you do not have additional absences from Canada.

Time spent in jail, on probation, or parole may affect your physical presence calculation. If you think this may apply to you, please contact the Call Centre or refer to www.cic.gc.ca.

http://www.cic.gc.ca

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CIT 0407 (06-2015) E

NOTE: The information you provide should not be limited by the space allowed to answer this question. If you need more space, attach another sheet of paper

Absences from Canada You will use this information when completing your calculations on page 3. Have you left Canada in the last 6 years or if you became a Permanent Resident of Canada during the last 6 years, have you left Canada since that date?

No Yes ► If yes, please list all of your trips outside of Canada in the last 6 years before the date of your application, or from the date you became a Permanent Resident (if less than 6 years), even if you were accompanied by a family member who is a Permanent Resident or citizen of Canada. You must list all the trips you have taken outside of Canada, regardless of the reason for the trip. You must also list all trips where you left and returned to Canada the same day or the next day. See example below to assist you in calculating the total number of days absent from Canada. Example: • You leave Canada on July 5 and return to Canada on the same day; total number of days absent = 0 • You leave Canada on July 5 and return to Canada on July 6; total number of days absent = 0 • You leave Canada on July 5 and return to Canada on July 12; total number of days absent = 6

The day you leave from and return to Canada do not count as a day of absence. On these days you were physically present in Canada. An absence from Canada on February 29th (leap years) counts as a day outside of Canada.

Date left Canada

(YYYY-MM-DD)

Date returned to Canada

(YYYY-MM-DD)Destination Reason for absence

Total # days absent from

Canada

TOTAL ►

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CIT 0407 (06-2015) E

NOTE: Only time as a Permanent Resident in Canada during the 6 years immediately before the date of your application can be used in these calculations.

PHYSICAL PRESENCE CALCULATION SHEET

STEP 1 CALCULATING PHYSICAL PRESENCE OF 1,460 DAYS IN THE 6 YEARS IMMEDIATELY BEFORE THE DATE YOU SIGN YOUR APPLICATION

A Enter the date you will sign your application form in Box A Box ADate (YYYY-MM-DD)

B Enter the date you became a permanent resident of Canada in Box B. If you became a permanent resident more than 6 years before the date in Box A, enter in Box B the

date in Box A minus 6 years (A - 6 years = B). Example: Date in Box A = May 21, 2016 - 6 years = May 21, 2010. Enter May 21, 2010 in Box B.

Box BDate (YYYY-MM-DD)

C Note: February 29th (leap years) counts as a day for the calculation in Box C. Calculate the total number of days between the date in Box B and the date in Box A.

Enter this number in Box C. Box C

Notes: 1. The maximum number of days you can enter in Box C is 2192. If the number in Box C is less than

1460, you are not eligible to apply for citizenship yet.

2. When doing the calculation, you cannot count the actual date you will sign your application; the physical presence requirement must be met immediately before the date you sign your application.

D Note: An absence from Canada on February 29th (leap years) counts as a day outside of Canada. Enter the total number of days absent from Canada in Box D (as declared on page 2). Box D

E Subtract the number of days in Box D from the number of days in Box C and enter that number in Box E (C - D = E). Box E

Proceed to Step 2 if Box E is 1460 or greater. If the number in Box E is less than 1460, you are not eligible to apply for citizenship yet.

STEP 2 CALCULATING PHYSICAL PRESENCE OF 183 DAYS IN ANY 4 CALENDAR YEARS IN THE 6 YEARS IMMEDIATELY BEFORE THE DATE YOU SIGN YOUR APPLICATION

Current year

A Enter the date you will sign your application form (YYYY-MM-DD) ►

B Calculate the number of days from January 1 of the year you will sign your application form to the date Immediately before you will sign your application form.

Example: If you sign your application form on January 30, 2016, this means you write 29 days.► days

daysC Enter the number of days you have been absent in the year you are applying for citizenship. ►

D Calculate the number of days you have been physically present in Canada in the year you are applying for citizenship:

Calendar Year Days from calculation B Minus days from calculation C = physical presence

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CIT 0407 (06-2015) E

STEP 2 CALCULATING PHYSICAL PRESENCE OF 183 DAYS IN ANY 4 CALENDAR YEARS IN THE 6 YEARS IMMEDIATELY BEFORE THE DATE YOU SIGN YOUR APPLICATION (CONTINUED)

Prior years

Calculate the days you were physically present in Canada in the years previous to the year you are applying for citizenship. Start with the year immediately prior to the year you are signing your application form. Reminder: you can only calculate using the 6 years immediately before the date you sign your application.

Calendar Year 365(366 if leap year) days minus # of days not in Canada or a PR of Canada = physical presence






If you were physically present as a Permanent Resident for at least 183 days in 4 or more years in the relevant 6 year period, you meet the second physical presence requirement. Do not apply for citizenship if you do not meet both physical presence requirements (Step 1 and Step 2). If you apply for citizenship without meeting both physical presence requirements, your application will be returned to you.

WARNING If you send an application containing misleading or fraudulent information, you can be charged

with a criminal offence or an offence under the Citizenship Act and your citizenship application can be refused.

DECLARATION

Signature of applicant Date (YYYY-MM-DD)

I understand the content of this form. I declare that the information provided is true, correct and complete.

IMM 5476 (04-2013) E

PAGE 2 OF 2

7. Your representative's contact informationName of firm or organization (if applicable)

Mailing address

Postal code/ZIP

Country code Area code

( )

NumberTelephone number

Country code Area code

( )

NumberFax number

E-mail address (if applicable)

By indicating your representative's e-mail address, you are hereby authorizing Citizenship and Immigration Canada to transmit your file and personal information to this specific e-mail address.

8. Your representative's declaration:

I declare that the information in Section B is truthful, complete and correct. I understand and accept that I am the person appointed by the applicant to conduct business on the applicant or sponsor's behalf with Citizenship and Immigration Canada and Canada Border Services Agency.

••

Signature of representative

Date (YYYY-MM-DD)

Party ID (if known)

SECTION C: CANCEL THE APPOINTMENT OF A REPRESENTATIVE

I withdraw my authorization for this person to serve as my representative, to receive information on my case file and to conduct business on my behalf with Citizenship and Immigration Canada and Canada Border Services Agency.

Family name (Surname)

9. Your representative's full name

Given name(s)

Name of firm or organization(if applicable)

SECTION D: YOUR DECLARATION

10.I declare that I have fully and truthfully answered all questions on this form and any attached application (if applicable).I also declare that I have read and understood all the statements on this form, having asked and obtained an explanation for every point that was not clear to me.

••

Signature of applicant

Date (YYYY-MM-DD)

Date (YYYY-MM-DD)

Signature of spouse or common-law partner(if applicable)

The information you provide on this form is collected under the authority of the Immigration and Refugee Protection Act and will be used in assessing your application according to the requirements of the Act. It will be retained in a Personal Information Bank identified in Infosource. The information may be shared with other organizations such as the Canada Border Services Agency (CBSA), the Royal Canadian Mounted Police (RCMP), the Canadian Security and Intelligence Service (CSIS), where there is an agreement or arrangement with a foreign government, in accordance with subsection 8(2) of the Privacy Act. Pursuant to the Immigration and Refugee Protection Regulations, the information may also be shared with a regulatory body that is responsible for governing or investigating the conduct of representatives, such as a provincial and territorial law society, the Chambre des Notaires du Québec and the Immigration Consultants of Canada Regulatory Council (ICCRC). Under the Privacy Act and the Access to Information Act individuals have the right to protection of and access to their personal information. Details on these matters are available at infosource.gc.ca and through the Citizenship and Immigration Call Centre. Infosource is also available in Canadian public libraries.

Warning! It is a serious offence to give false or misleading information on this form.

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CIT 0003 (09-2016) E


This form is made available by Immigration, Refugees and Citizenship Canada and is not to be sold to applicants.


APPLICATION FOR CANADIAN CITIZENSHIP - MINORS (under 18 years of age) under subsection 5(2)

Before you start, read the instructions. Complete the form on a computer or by hand in block letters with black ink.

UCI no.

Certificate no.

For official use only

1 I want service in English FrenchOR Please check one

2

3

No YesDoes the child have special needs that require accommodation?

► If yes, explain:

Have you applied for the child to obtain citizenship in the past?

No Yes ► When?Year

4 a) The person applying for the child is the

Parent GuardianORPrint your name

b) Is the child adopted? No Yes Note: Guardians can apply but one of the natural or adoptive parents must be a Canadian citizen or applying to become a Canadian citizen. You must provide a birth certificate, adoption order or a legal document showing guardianship (see instructions about Quebec issued documents in the section on documents).

5For official use only A Child's name (exactly as it appears on the immigration document)

Surname/Last name

Given name(s)

B Your current name, if different from above. Note: you must provide supporting documents for any change in your name. Consult "Step 1. Gather documents" in the instruction guide.

Given name(s)

Surname/Last name

C List any other names the child has used in the past or now uses (i.e. alias, birth name, nickname) These names will not appear on the child's certificate of citizenship

Given name(s)

Surname/Last name

6 A Birth details (as shown on the immigration document) Date Place

CountryCity,town, etc.

B Indicate the child's current citizenship

C Personal information

ORMale FemaleSex Height OR ftcm inColour of eyes

Marital status Single Married Common-law Widowed Divorced Separated

(YYYY-MM-DD)

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CIT 0003 (09-2016) E

7 A Home address

B Mailing address (if different from home address)

C Telephone no.(s)

D E-mail address (if applicable) * If you provide us with your email address, we may correspond with you via email.

Postal code

Postal code

Ext.

DETAILS OF CHILD'S PARENTS

A Surname/Last name (Maiden name if applicable) Given name(s)

Other name(s) used

B Country of birth C Was the child's grandparent(s) a Canadian citizen at the time of their parent's birth YesNo

D Proof of Canadian citizenship

Citizenship certificate number E Indicate whether the child's parent is the natural or adoptive parent Natural Adoptive

F Did the parent leave Canada for more than 1 year before February 15th, 1977? (see instructions in the guide)

No Yes

From (YYYY-MM)

To (YYYY-MM) Destination (Country)

PARENT

Home Work Cell

8

Date of birth (YYYY-MM-DD)

Date on certificate (YYYY-MM-DD)

A Surname/Last name (Maiden name if applicable) Given name(s)

Other name(s) used

B Country of birth C Was the child grandparent(s) a Canadian citizen at the time of their parent's birth YesNo

D Proof of Canadian citizenship

Citizenship certificate number E Indicate whether the child's parent is the natural or adoptive parent Natural Adoptive

F Did the parent leave Canada for more than 1 year before February 15th, 1977? (see instructions in the guide)

No Yes

From (YYYY-MM)

To (YYYY-MM) Destination (Country)

PARENT

Date of birth (YYYY-MM-DD)

Date on certificate (YYYY-MM-DD)

G Was the parent employed outside Canada as a Crown servant (in or with the Canadian Armed Forces, the federal public administration or the public service of a province or territory other than as a locally engaged person) at the time of the child's birth or adoption?

No Yes

H Were either of the child's grandparents employed outside Canada as a Crown servant (in or with the Canadian Armed Forces, the federal public administration or the public service of a province or territory other than as a locally engaged person) at the time of the parent's birth or adoption?

No Yes

G Was the parent employed outside Canada as a Crown servant (in or with the Canadian Armed Forces, the federal public administration or the public service of a province or territory other than as a locally engaged person) at the time of the child's birth or adoption?

No Yes

H Were either of the child's grandparents employed outside Canada as a Crown servant (in or with the Canadian Armed Forces, the federal public administration or the public service of a province or territory other than as a locally engaged person) at the time of the parent's birth or adoption?

No Yes

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CIT 0003 (09-2016) E

9 A When did the child become a permanent resident of Canada?

B Has the child left Canada for a total of 6 months or longer since becoming a permanent resident? Yes No

If yes, give details of the time the child spent away from Canada.

FROM (YYYY-MM-DD)

TO (YYYY-MM-DD)

DESTINATION What country did the child go to?

REASON Why did the child go to this country?

Number of days absent

days

days

days

days

days

days

days

days

days

days

days

Use another piece of paper if you need more space. TOTAL days

Date (YYYY-MM-DD)

If no, explain why these documents are not in your possession in the box below. Note: if your passport validity was extended, include a photocopy of the page(s) containing the extension stamp(s).

C You must include photocopies of the biographical pages of any passports or travel documents covering the six (6) years immediately before the date of the child's application, or since the child became a permanent resident, if the child became a permanent resident within the past six years.

Do you have all of the required photocopies? No ►Yes

If yes, explain why the child's passports or travel documents do not cover the entire period of time in the box below. If you do not provide an explanation for any period when your child did not have a valid passport, your application will be returned to you.

D Are there any gaps in time in the validity period of the child's passports or travel documents during the past six (6) years, or since the child became a permanent resident, whichever is more recent?

Yes ►No

E In the past four (4) years, was the child present in a country other than Canada for a total of 183 days or more while the child was 14 years of age or older?

Yes No Not applicable (child under 14 years of age)

If you have checked “YES”, indicate each country in the box below. You must provide police certificates for each country where the child has been present for 183 days or more. If the child cannot get a police certificate from a country, provide an explanation in the box below.

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CIT 0003 (09-2016) E

Most recent report card or progress report; or

LANGUAGE EVIDENCE10A. See - "Step 1. Gather documents" in the instruction guide If the child is between 14 and 17 years of age, you must submit acceptable proof that demonstrates that the child has adequate knowledge of

English or French. Please check the appropriate box to indicate which of the following forms of proof you are submitting with the application:

Letter from educational institution/ministry (only the original will be accepted); or

Results of a IRCC-approved third-party language test; or

Diploma, certificate or transcript of a secondary or post-secondary education completed in English or French, in Canada or abroad; or

Evidence of achieving CLB/NCLC4 in a government-funded language training program

If the child successfully completed LINC or CLIC (Language Instruction for Newcomers to Canada) classes during the period from January 2008 to October 2012 but did not receive a certificate* *IRCC has previously collected information about the results of the child's LINC or CLIC language training for statistical purposes but would like to obtain and use this information for the purpose of verifying the language results. By signing the consent in section 12 of this application, you authorize IRCC to use the information that has already been collected to verify whether the child has adequate knowledge of English or French.

B. See - "Step 1. Gather documents" and "Step 2. Complete the application" in the instruction guide The child is deaf, which prevents me from submitting the child's proof of language described in 10A with the application. Note: If you check yes, you must submit supporting evidence with the application.

Yes No

C. See - "Step 1. Gather documents" and "Step 2. Complete the application" in the instruction guide The child has a disorder, disability or condition that is cognitive, psychiatric or psychological in nature which prevents me from submitting the child's

proof of language with the application.

Yes No ► If yes, you must submit supporting evidence of the child's disorder, disability or condition.

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CIT 0003 (09-2016) E

11 PROHIBITIONS UNDER THE CITIZENSHIP ACT

A Is the child now: ► No Yes• on probation in Canada?

► No Yes• on parole in Canada?

► No Yes• an inmate of a penitentiary, jail, reformatory, or prison in Canada?

B Is the child now serving a sentence outside Canada for an offence? ► No Yes

C Is the child now charged with, on trial for, or subject to or a party to an appeal relating to an offence under the Citizenship Act or an indictable offence in Canada? ► No Yes

D Is the child now charged with, on trial for, or subject to or a party to an appeal relating to an offence committed outside Canada? ► No Yes

E Is the child now, or has the child ever been, under a removal order (has the child been asked by Canadian officials to leave Canada)? ► No Yes

F Is the child now under investigation for, charged with, on trial for, subject to or a party to an appeal relating to or has the child ever been convicted of a war crime or a crime against humanity? ► No Yes

G In the past five (5) years, was the child prohibited from being granted citizenship or taking the Oath of Citizenship for reasons of misrepresentation or withholding of material circumstances? ► No Yes

H In the past four (4) years, has the child been convicted in Canada of an indictable offence under any Act of Parliament or an offence under the Citizenship Act? ► No Yes

I In the past four (4) years, has the child been convicted outside Canada of an offence, regardless of whether the child was pardoned or otherwise granted amnesty for the offence?

• been convicted in Canada of terrorism, high treason, treason, or spying offences? ►• been convicted outside Canada of terrorism?

►• served as a member of an armed force of a country OR organized armed group and that country or group engaged in armed conflict with Canada?

►

No Yes

No Yes

YesNo

J While a permanent resident, has the child:

► No Yes

CONSENT TO DISCLOSE PERSONAL INFORMATION

Language Instruction for Newcomers to Canada (LINC) *This section needs to be completed by applicants choosing previous LINC results as proof of language.

Note that if you do not provide consent, you will be required to submit alternate acceptable proof of language with the child's application.

Request for authorization By selecting “YES” in the box below, and by signing this application form, I hereby give my consent to IRCC to access my child's LINC results held by IRCC in order to assist IRCC in determining the child's citizenship eligibility

Yes No

APPOINTMENT OF A REPRESENTATIVE

Are you appointing an individual, firm or organization as your representative? ► If yes, the Use of a Representative form (IMM 5476) must be completed and included with your application.

Yes ►No

12

13

I am the parent or guardian of this child. I have read and understand the prohibitions under the Citizenship Act. If you have checked "YES" to any of the prohibitions listed above, provide details below. If applicable, attach court documents.

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CIT 0003 (09-2016) E

REMEMBER: If you are sending more than one application, send all of them together in one envelope.

The applications will be processed together.

Protected Information Personal Information Bank CIC PPU 050

The information you provide on this form is collected under the authority of the Citizenship Act to determine whether your citizenship application may be approved. It will be stored in the Personal Information Bank (CIC PPU 050 entitled Application and Assessment for Canadian Citizenship). The information may be shared with other Canadian government institutions such as the Canada Border Services Agency (CBSA), the Royal Canadian Mounted Police (RCMP), the Canadian Security Intelligence Service (CSIS), and foreign governments in accordance with the Citizenship Regulations and subsection 8(2) of the Privacy Act. Information may also be disclosed to foreign governments, law enforcement bodies and detaining authorities with respect to the administration and enforcement of citizenship legislation where such sharing of information may not put the individual and/or his/her family at risk. Information may also be systematically validated by other Canadian government institutions under the terms of an agreement or arrangement for the purposes of validating status and identity to administer their programs. In accordance with the Privacy Act and the Access to Information Act, individuals have a right to protection of, access to and correction of their personal information. Details on these matters are available at the InfoSource Website at http://infosource.gc.ca. InfoSource is also available at public libraries across Canada.

14 SIGNATURE(S) I agree to advise Immigration, Refugees and Citizenship Canada (IRCC) if any information on this form changes before the child takes the Oath of Citizenship. I understand the content of this form. I declare that the information provided is true, correct and complete, and that the photographs enclosed are a true likeness of the child. I understand that if I or someone on my behalf, make a false representation, or commit fraud or conceal any material circumstances relevant to the child's application, the child could be prohibited from becoming a citizen and reapplying for citizenship for five years, the child's citizenship could be revoked and I could be charged with an offence as provided for under the Citizenship Act, or the Criminal Code. Note: IRCC may verify the authenticity and accuracy of any documents you have provided in support of your application for a minor grant of citizenship with the

body that issued the documents.

PARENT'S/GUARDIAN'S Signature (you must sign inside the white box in black ink only)

City

Children (14 years of age and older) must also sign this application:

CHILD'S Signature (you must sign inside the white box in black ink only)

City

Date (YYYY-MM-DD)

Date (YYYY-MM-DD)

I have read and understand the prohibitions under the Citizenship Act.

www.infosource.gc.ca

citizenship application

Documents