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4 Proof of Canadian Citizenship (see Instructions, section I) A To be completed by all applicants. Did you acquire citizenship of another country before January 1, 1947?



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Signature (see Instructions, section H) Date. Year Month. Day. Signed at. City Province/Territory/State. Date of travel. Unknown. Month. Day2. Previous Canadian Passport (see Instructions, section I) Enclose any Canadian passport issued to you within the last . six (6) years from the date we receive this application.

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