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A minor (under 18 years of age) who is a permanent resident should complete this form. UCI number Do not use this form if the minor is eligible for citizenship through birth outside Certificate number Canada to a Canadian parent (citizenship by descent). OFFICE USE ONLY Validated 1 In which language would you like to receive service? 2 Do you have special needs requiring accommodation? This might include wheelchair access, sign language interpretation, braille or large print reading materia.

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