Form Cit 0001 - Application For A Citizenship Certificate For Adults And Minors - Immigration, Refugees And Citizenship Canada Page 6
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B
APPLICANT'S GRANDPARENTS
1) If the applicant's parent was born outside Canada, was one his/her parents (i.e. one of
No
Yes
If yes, to either
the Applicant's grandparents) a Canadian citizen at the time of his/her birth?
►
question, complete
2) If the applicant's parent was born outside Canada,
was one of his/her parents (i.e. one
the information below.
of the Applicant's grandparents) employed outside Canada as a Crown servant (in or with
No
Yes
the Canadian Armed Forces, the federal public administration or the public service of a
province or territory other than as a locally engaged person) at the time of the applicant's
parent's birth or adoption?
GRANDPARENT
Surname/Last name
Given names
Other names used (name at birth, maiden name)
Country of birth
Date of birth (YYYY-MM-DD)
Details on how the applicant's grandparent obtained Canadian citizenship
Canadian certificate no.
Details on Crown service
GRANDPARENT
Surname/Last name
Given name(s)
Other names used (name at birth, maiden name)
Country of birth
Date of birth (YYYY-MM-DD)
Details on how the applicant's grandparent obtained Canadian citizenship
Canadian certificate no.
Details on Crown service
3) If the applicant's other parent was born outside Canada,
was one of his/her parents
No
Yes
(i.e. one of the Applicant's grandparents) a Canadian citizen at the time of his/her birth?
If yes, to either
►
question, complete
4) If the applicant's other parent was born outside Canada,
was one of his/her parents (i.e.
the information below.
No
Yes
one of the Applicant's grandparents) employed outside Canada as a Crown servant (in or
with the Canadian Armed Forces, the federal public administration or the public service of a
province or territory other than as a locally engaged person) at the time of the applicant's
parent's birth or adoption?
OTHER GRANDPARENT
Surname/Last name
Given name(s)
Other names used (name at birth, maiden name)
Country of birth
Date of birth (YYYY-MM-DD)
Details on how the applicant's other grandparent obtained Canadian citizenship
Canadian certificate no.
Details on Crown service
OTHER GRANDPARENT
Surname/Last name
Given name(s)
Other names used (name at birth, maiden name)
Country of birth
Date of birth (YYYY-MM-DD)
Details on how the applicant's other grandparent obtained Canadian citizenship
Canadian certificate no.
Details on Crown service
CIT 0001 (04-2016) E
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