Form Cit 0001 - Application For A Citizenship Certificate For Adults And Minors - Immigration, Refugees And Citizenship Canada Page 4
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A
APPLICANT'S PARENTS
Answer all of the following questions:
PARENT
Relationship to you
Natural parent
Adoptive parent
Surname/Last name
Given name(s)
Other names used (name at birth, maiden name)
Country of birth
Date of birth (YYYY-MM-DD)
Married in what country
Date of marriage (YYYY-MM-DD)
Additional information
How did this parent obtain Canadian citizenship?
Canadian certificate no.:
On what date did this parent first enter Canada to live? (YYYY-MM-DD)
►
Did this parent leave Canada for more than 1 year before 1977?
No
Yes
Give details
From (YYYY-MM-DD)
To (YYYY-MM-DD)
Destination (Country)
►
Is or was this parent a citizen of a country other than Canada?
No
Yes
Give details
(country, date and how citizenship/nationality was obtained and/or recognized)
At the time of your birth, was this parent employed in Canada by a foreign government or
►
No
Yes
Give details
international agency?
At the time of your birth, was this parent employed outside Canada in or with the Canadian
►
Armed Forces, the federal public administration or the public service of a province or territory,
No
Yes
Give details
other than as a locally engaged person?
If this parent was born in Canada, was one of your grandparents employed by a foreign
►
No
Yes
Give details
government or international agency?
CIT 0001 (04-2016) E
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