Intake form · CIT 0002

Canadian Citizenship Intake Form

Ready to become a Canadian citizen? Use the citizenship intake form to share your PR date, travel and address history for your CIT 0002 application.

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This is an information form only. Fill in whatever you know to the best of your knowledge. Every question is optional, so skip anything you're unsure about. We'll call or message you for the rest.

Your contact details

Full name *

Email *

Mobile number with country code *

Section 1 · Personal

Personal details

Other names used (maiden name, nickname, alias)

Sex

Date of birth

Place of birth (city and country)

Section 2 · Passport

Passport

Passport number

Country that issued the passport

Passport issue date

Passport expiry date

Section 3 · Contact

Contact information

Current address where documents can be mailed (with postal code)

Section 4 · PR

Permanent residence

Date you became a permanent resident

PR card number and expiry

Time in Canada before PR (as worker, student or visitor)

Have you filed taxes for 3 of the last 5 years?

Section 5 · Addresses

Address history (last 5 years)

Every home address, most recent first

Row 1

From

Street address

City / province

Country

Row 2

From

Street address

City / province

Country

Row 3

From

Street address

City / province

Country

Section 6 · Employment

Work and education (last 5 years)

List everything with no gaps. If you were unemployed, studying or at home for a period, add a row for that too.

Current occupation

Jobs, studies and gaps (start with the most recent, include unemployed periods)

Row 1

From

Job title / activity

Employer or school

City and country

Hours per week

Row 2

From

Job title / activity

Employer or school

City and country

Hours per week

Row 3

From

Job title / activity

Employer or school

City and country

Hours per week

Section 7 · Prohibitions

Prohibitions

Are you charged with, on trial for, or convicted of an offence in or outside Canada?

Have you ever been refused citizenship or ordered to leave Canada?

If yes, explain briefly

Section 8 · Other

Anything else

Anything else we should know