Your name: First Name Last Name

Your Email Address:

Address: (in max 150 characters)

Telephone:

Fax:

Citizenship Country:

Country of Residence: The country where you currently live.

Your Date of Birth: Date (DD) Month (MM) Year (YYYY)

Maritial Status: Married
Unmarried

Immigration Category: Citizenship
Find out if you qualify for Canadian Citizenship.

Personal Details

Have you been adopted? No Yes

My eye colour is:

Were you born in wedlock to a Canadian Citizen parent? No Yes

Was one of your parents born in Canada? No Yes

Landed Immigrant

Are you now living in Canada? Yes No

Are you a landed immigrant? Yes No

What is your date of landing? DD - MM - YYYY

Have you physically lived in Canada for 1095 days (3yrs) in a four year period? Yes No

Did you reside in canada prior to obtaining landed immigrant status? No Yes

if yes, for how long? Months Days

if yes, why were you in Canada?

Legal

Have you been convicted of a crime during the above periode? No Yes

if yes, give details:

if yes, are you currently on Parole? N/A No Yes

Are you currently on a deportation order? No Yes