Get Certified Identity Confirmation Form

CERTIFIED IDENTITY CONFIRMATION Candidate Current legal name given name s and surname Date of birth 19 / / yy / mm dd I certify that on the date set forth below the individual named on this form did appear personally before me and that I did identify this individual by a comparing his/her physical appearance with the photograph on the valid government-issued identifying Candidate photo and b comparing the individual s signatures made in my presence on this form with the signature on his/her valid government-issued identifying document s. The statements in this document are subscribed and sworn before me by the individual on this day in the month of in the year 20. Firmly attach one photograph here. See below for photograph In my capacity as At Name Signature Telephone Email ENGLISH OR FRENCH. Candidate s signature NOTE Candidate Please attach a second identical photograph which will be scanned as applicable. MCC Candidate Code if available Photograph Requirements DO NOT CERTIFY Attach a second identical photograph here with one piece of scotch tape along the top edge. Do not tape over the face. Do not have this photograph Must be colour black and white photos are not accepted. The statements in this document are subscribed and sworn before me by the individual on this day in the month of in the year 20. Firmly attach one photograph here. See below for photograph In my capacity as At Name Signature Telephone Email ENGLISH OR FRENCH. Firmly attach one photograph here. See below for photograph In my capacity as At Name Signature Telephone Email ENGLISH OR FRENCH. Candidate s signature NOTE Candidate Please attach a second identical photograph which will be scanned as applicable. Candidate s signature NOTE Candidate Please attach a second identical photograph which will be scanned as applicable. MCC Candidate Code if available Photograph Requirements DO NOT CERTIFY Attach a second identical photograph here with one piece of scotch tape along the top edge. MCC Candidate Code if available Photograph Requirements DO NOT CERTIFY Attach a second identical photograph here with one piece of scotch tape along the top edge. Do not tape over the face. Do not have this photograph Must be colour black and white photos are not accepted. The statements in this document are subscribed and sworn before me by the individual on this day in the month of in the year 20. Firmly attach one photograph here. See below for photograph In my capacity as At Name Signature Telephone Email ENGLISH OR FRENCH. Candidate s signature NOTE Candidate Please attach a second identical photograph which will be scanned as applicable. Firmly attach one photograph here. See below for photograph In my capacity as At Name Signature Telephone Email ENGLISH OR FRENCH. Candidate s signature NOTE Candidate Please attach a second identical photograph which will be scanned as applicable. MCC Candidate Code if available Photograph Requirements DO NOT CERTIFY Attach a second identical photograph here with one piece of scotch tape along the top edge.