1
2
3

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

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.

4

A) Birth details as shown on my immigration document

Place

B) Personal information

5

A) Home address

B) Mailing address (if different from home address)

C) Telephone number(s)

D) I have lived at my home address

6

If yes, list the country(ies) and provide the dates you acquired this status.

E) 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

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. Do not exclude any period of time during the relevant period.

F) Work and 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 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 were not employed (i.e. you were unemployed, retired, homemaker, etc.) you must indicate the reason for being unemployed and confirm the dates of your unemployment under "Work/Education" and indicate the time period. Do not exclude any period of time during the relevant period. Do not leave this section blank. If you do, your application will be returned to you. If you need more space, use an additional sheet of paper.

G) Minor children'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).

CHILD
CHILD

H) Income tax information

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

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.

Declaration

Do solemnly declare that the information that I have given in the foregoing the questionnaire is truthful, complete and correct, and I make this solemn declaration consciously believing it to be true and knowing that it is of the same force and effect as if made under oath.

Contact Us

We're not around right now. But you can send us an email and we'll get back to you, asap.

Not readable? Change text. captcha txt
error: Content is protected !!