|
Find
out if you qualify for Canadian Citizenship |
| |
Surname
/ Last Name as it appears on your birth certificate
|
|
| |
First Name /
Given name's as it appears on your birth certificate:
|
|
| |
First Name you most commonly use at this time:
Maiden Name:
|
|
| |
List
all other names you have used in the past or are currently using:
|
|
| |
Home address:
|
Mailing address:
|
| |
Telephone:
|
|
Email:
(required) |
| |
Date of Birth( DD/MM/YYYY):
|
|
Place of Birth:
|
|
| |
Have you been adopted?
|
|
My eye color is:
|
|
| |
My current citizenship is:
|
|
Are now living in Canada?
|
|
| |
Are you a landed immigrant?
|
|
|
|
| |
What
is your date of landing? (DD/MM/YYYY)
|
|
| |
Have you physically lived in Canada for 1095 days (3yrs) in
a four year period?
|
|
| |
Did you reside in Canada prior to obtaining landed immigrant
status?
|
| |
if yes, for how long? (Months, Days)
|
|
| |
if yes, why were you in Canada?
|
|
| |
Have you been convicted of a crime during the above period?
|
|
if yes, give details:
|
| |
if yes, are you currently on Parole?
|
|
Are you currently on a deportation order?
|
|
| |
Were you born in wedlock to a Canadian Citizen parent?
|
|
Was one of your parents born in Canada?
|
|
| |
|
|
|
|
| |
Additional Comments: |
|
|
|
| |
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
By
submitting the above answers, I declare that I have answered
all the required questions in this application fully, truthfully,
and to the best of my ability. I waive all present and future
liability on evaluations provided by Samintel Technologies Inc. as I understand
that my case assessment will be based on the above answers
that I have provided. |
|
| |
|
|
|
|
| |
|
|
|
|