Note: If you wish to authorize the release of information from your application to a representative, indicate their e-mail and mailing address on the IMM5476 form.
Check the correct box to tell us if your other telephone number is from Canada, the United States or Other (any other country).
Choose the type of telephone:
Enter your telephone number including the country code, area or regional codes, etc.
If you have an extension number, write it after your phone number under “Ext.”
Note: Providing an alternative number to reach you is optional.
If you have one, type your e-mail address using a format similar to the following: name@provider.net, in both spaces.
Note: Make sure you check your email regularly. Any emails sent to you by IRCC will end in: “@cic.gc.ca”, “@canada.ca” or “@international.gc.ca”.
Please add these to your “safe senders” list in your email program and check the junk mail folder in case important emails get filtered. If we find that your email address does not work or no longer exists, we will communicate with you by mail.
Indicating an e-mail address will authorize all correspondence, including file and personal information, to be sent to the e-mail address you specify.
If yes, complete the chart. If you require more space, add rows by pressing the plus sign (+) button.
If there are gaps of time between the validity of any passports or travel documents, explain why in the space provided.
To find out if any of these conditions applies to the minor, answer questions in section 10 of the application. If you indicate yes to any of the questions, you must provide details in box at the bottom of section 10.
You do not have to tell us whether the minor was found guilty of an offence under the Youth Criminal Justice Act if it was a youth sentence and the sentence has been successfully completed.
Note: IRCC checks with the Royal Canadian Mounted Police (RCMP) and the Canadian Security and Intelligence Service (CSIS) to find out if there are any criminal or security reasons which could prevent the minor from acquiring Canadian citizenship. Also, the minor’s entry to Canada and status will be verified with Immigration officials. You may be required to provide the minor’s fingerprints or court documents to ensure that the minor is not prohibited under the Citizenship Act.
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