Transcription of PROOF OF CANADIAN CITIZENSHIP—ADDITIONAL …
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PROOF OF CANADIAN citizenship additional INFORMATIONPROTECTED WHEN COMPLETED BWARNING Any false or misleading statement on this form or relating to any document in support of your application, including concealment of any material fact, may lead to refusal or revocation of a passport and be grounds for criminal form must be completed by those born outside of Canada between February 15, 1977 and April 16, 1981 inclusively, to a CANADIAN parent. It must be fully completed, signed and submitted with your passport do NOT need to complete this form if: you are presenting a certificate of CANADIAN citizenship issued after January 1, 2007; OR one of your parents was born in Canada; OR you received CANADIAN citizenship after b
information on retention of Canadian citizenship, contact Citizenship and Immigration Canada at 1-888-242-2100 or visit cic.gc.ca. Proceed to question 5 and complete and sign the declaration below and attach the present form to your passport application.
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