Application Form For Persons Of Indian Origin (Pio) Card Page 3

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DECLARATION
I hereby declare that the above statements are true to the best of my knowledge and belief.
Tel No: ______________
Date: _________________
Applicant signature
(thumb impression
in case of a child):_______________________
Father Signature: _________________________
Mother Signature:_________________________
IF THE APPLICANT IS UNDER 18 YEARS OF AGE,
PHOTOCOPIES
OF BOTH PARENTS VALID PASSPORT MUST
BE ATTACHED
WITH THIS APPLICATION. BOTH PARENTS MUST
SIGN IN THE
SPACE PROVIDED AS PER THEIR PASSPORTS.
Two specimen signatures of the applicant
OR thumb impression in case of a child:
I N S T R U C T I O N S
1. Please enclose all relevant documents substantiating your claim as a person of Indian origin.
(Please also see Cols. 14 and 15).
2. Applicants must provide original and copy of landing paper.
3. Applications for children born to Indian parents in Canada must be accompanied by
a. The child's Canadian passport
b. Original birth certificate mentioning the names of the parents and
c. Both parent's Indian passport, PR Cards, Landing Papers, Citizenship Certificates
and copies of all these documents.

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