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Application for Canadian Citizenship - Adults Under ...

(AUSSI DISPONIBLE EN FRAN AIS - CIT 0002 F)AVAILABLE ON CIC WEB SITE AT: official use only4 ACIT 0002 (07-2005) EPAGE 1 OF 5 Name (exactly as is shown on my immigrationdocument)Surname/Last nameGiven name(s) Citizenship andImmigration CanadaCitoyennet etImmigration CanadaProtected when completedPlease PRINT in ink or TYPEFor official use onlyBefore you start, read the instructions5 BMailing address(if different fromhome address)6 AHome addressC Telephonenumber(s) Postal codePostal codeyear(s) and month(s)DI have lived at this addressUCI for Canadian Citizenship - Adults (18 years of age and older) Under Subsection 5(1)Surname/Last nameGiven name(s)Use another

(AUSSI DISPONIBLE EN FRANÇAIS - CIT 0002 F) AVAILABLE ON CIC WEB SITE AT: http://www.cic.gc.ca For official use only 4 A CIT 0002 (07-2005) E PAGE 1 OF 5

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