Free CIT 0501E - Canada

Citizenship and Immigration Canada

Citoyenneté et Immigration Canada

Fillable Form

PAGE 1 OF 1

DOCUMENT CHECKLIST

APPLICATION TO RENOUNCE CANADIAN CITIZENSHIP (for certain persons who acquired citizenship on April 17, 2009 (R 7.1)) Send the following documents with your application. Check each box once you enclose the item. Failure to provide the necessary documents will result in delays in the processing of your application.

Forms
Format

1

Application to Renounce Canadian Citizenship (for certain persons who acquired citizenship on April 17, 2009) (R7.1) (CIT 0496) - completed, signed and dated

Original

Identity and immigration documents
Format

2

Identity and immigration documents as stated in the instruction guide. Refer to Step 1. Gather Documents in the instruction guide to determine which documents you must submit, depending on your personal circumstances.

Refer to instruction guide

Photos
Format One (1) Citizenship photo (refer to the form Citizenship Photograph Specifications - CIT 0445)

3

Print your name on the back of the photo. You must sign your name in black or blue ink in the white signature area below each photo.

Original

Other documents
Format

4 5

· ·

English or French translations of all documents that are in another language; and An affidavit from the person who completed the translations

Original Copy

This document checklist (CIT 0501E)

6

You have addressed the envelope with sufficient postage to: Case Processing Centre, Sydney- Renunciation (R7.1), Box 12000 Sydney, Nova Scotia, B1P 7C2, CANADA

This form is made available by Citizenship and Immigration Canada and is not to be sold to applicants.
CIT 0501 (04-2009) E

(AUSSI DISPONIBLE EN FRANÇAIS - CIT 0501 F)