Citizenship Eligibility Assessment (Minor Child born outside Canada)

1) Do you hold Canadian Citizenship and living outside Canada now?

Yes

No

2) If yes, Which Country are you now living?

3) Were you born in Canada?

Yes

No

4) If yes, which province of Canada?

5) If Canadian Parent was born in Canada, which date parent was born? Choose one of as below:

6) What is parent Date of Birth? (DD/MM/YYYY)

7) If Canadian Parent was not born in Canada, when Canadian Parent become citizen, choose one of as below:

8) Do you have Canadian Birth Certificate?

Yes

No

9) Did you reside in Canada before?

Yes

No

10) If yes, for how long?

11) If you were not born in Canada, Which Country did you born?

12) Your current citizenship is:

13) Have you been adopted?

Yes

No

14) When your child was born, Were you a Canadian citizen?

Yes

No

15) Last Name as it appears on your Passport:

16) First Name / Given name(s) as it appears on your Passport:

17) Maiden Name: as it appears on your Passport:

18) Home Address:

19) Telephone:

20) Email:

6) Have you been adopted?

Yes

No