Application to Renounce Canadian Citizenship – R7.1 (for certain persons who acquired citizenship under amendments to the Citizenship Act in 2009, 2015, or 2025) (CIT 0496)

Section 1

Question 1

Indicate whether you would like service in English or French.

Section 2

Question 2

Check the box to indicate if you ever had a certificate of Canadian citizenship or naturalization. If yes, write your certificate number (if you have one).

Note: You must return any Canadian citizenship certificates in your possession. Failure to do so will result in delays in processing your application.

Section 3

Question 3A

Write down your last name (surname/family name) and given name(s).

Question 3B

If you have used other names in the past, or are known by a name other than the one you listed above, write them in the space provided.

Other names can include your:

• birth name,
• nicknames,
• community names, etc.

Note: You can use a separate piece of paper if required.

Section 4

Question 4A

Write your date of birth exactly as it appears on your birth certificate or citizenship certificate. Indicate the place and country where you were born.

Question 4B

Check the box to indicate whether you are a F Female, M Male or X Another gender. Include your height, the colour of your eyes, and your legal marital status.

Section 5

Question 5A

Provide your current home address including your postal code.

Question 5B

If your mailing address is different from your home address, include your mailing address with your postal code.

If the mailing address is that of a representative, you must indicate their mailing address(es) in this section and complete the IMM 5476 form.

Question 5C

List the phone number(s) and email where you can be reached.

If the email address is that of a representative, you must indicate their e-mail address in this section and complete the IMM 5476 form (opens in new tab) .

If applicable, write your e-mail address using a format similar to the following: name@provider.net

Note: By indicating your e-mail address, you are hereby authorizing us to transmit all correspondence, including your file and personal information to this specific e-mail address.

Section 6

Question 6A

Check the box to indicate if you are a citizen or a national of a country other than Canada. If yes, indicate the name of the country.

If no, and you are not a citizen of another country, write the name of the country of which you will become a citizen if your application to renounce Canadian citizenship is approved. Attach proof.

Question 6B

Indicate the reason(s) you wish to renounce your Canadian citizenship.

Section 7

If you are a woman and married before January 1, 1947:

• Write your spouse’s surname/last name, given name(s), country and date of birth.
• Write the country in which you were married and the date of your marriage.
• Check the box to indicate if your spouse is a Canadian citizen. If yes, check the box to indicate if it was by “birth” or “other”. If you select “other”, provide the details.
• If your spouse has a citizenship certificate, write the certificate number and the date your spouse acquired citizenship.

Section 8

You must indicate if you left Canada for 1 year or longer before 1977. If yes, provide the dates you were away, the country of destination and the reason you went to that country.

Section 9

Check the box to indicate if you have ever lived in Canada. If yes, indicate either since birth or the date you first entered to live.

Section 10

• Complete Section 1 of Addendum A: Applicant’s Additional Parent(s) Information and Authorization (CIT 0556), if you have more than two parents.
• Check the box to indicate the relationship of your parents to you by selecting Biological, Adoptive, or Legal Parent at Birth.
  • “biological parent” (means you have a genetic or gestational connection to that parent)
    • select “biological parent” if your parent is both your biological AND legal parent at birth, or
    • your parent has a biological connection to you and they are NOT listed on your birth certificate but you have birth records and documents that recognize your parent(s) (ex. pre-birth orders, court orders, surrogacy agreements, hospital records, etc.).
    • Note: After submitting your application, IRCC might request a DNA test to confirm parentage. IRCC will also provide a list of accredited laboratories to complete the DNA test. In these cases, DNA results must have an accuracy of 99.8% or higher.
  • “adoptive parent” (means that you were legally adopted after you were born)
  • “legal parent at birth” (means that your biological or non-biological parent was listed on the original birth certificate or birth record issued at the time of your birth)
    • your parent was listed on your original birth certificate issued at the time of your birth, and / or
    • you have birth records and documents that recognize your parent(s) at the time of your birth (ex. pre-birth orders, court orders, surrogacy agreements, hospital records, etc.)
    • does not include adoptive parents (even those recognized right after birth) or legal guardians.
• Print your parents surname/last name, other names used, given name(s), date of birth and country of birth.
• Indicate where your parents were married (if applicable), and the date of the marriage.
• Indicate the date your parent died (if applicable).
• Indicate how your parents obtained Canadian citizenship.
• Check the box to indicate whether your parents left Canada for more than one (1) year before 1977. If yes, provide the dates they were away and the country they visited.
• Check the box to indicate if your parents are or were citizens of a country other than Canada. If yes, provide the details including the country, date and how the citizenship was obtained.
• Check the box to indicate if at the time of your birth, your parents were employed in Canada by a foreign government or international agency. If yes, provide details.
• If your parents were born in Canada, check the box to indicate if one of your grandparents was employed by a foreign government or international agency. If yes, provide details.
• Check the box to indicate if your parent was employed outside of Canada as a crown servant when you were born. If you were born in Canada select Not applicable. If yes, provide details.

Section 11

You may be required to provide full personal details for all four grandparents depending on your responses to the ‘Yes’ or ‘No’ questions that follow.

If you do not know the information requested, enter 'unknown'. If the information requested does not apply, enter 'not applicable' or 'NA'.

Complete Section 2 of Addendum A: Applicant’s Additional Parent(s) Information and Authorization (available soon), if you have more than two parents.

Parent 1’s Parents

• Enter the full name of Parent 1 (same parent named as Parent 1 in Section 10).
• Check 'Yes' or 'No' to the first question to indicate if Parent 1 was born outside Canada.
• If you check 'No' to the first question, no further information about this set of grandparents is required and you can proceed to the area in section 11 about Parent 2's parents.
• If you check 'Yes' to the first question, proceed to the second question and check a 'Yes' or 'No' response to indicate if either of your grandparents were Canadian.
• If you check 'No' to the second question, no further information about this set of grandparents is required and you can proceed to the area in section 11 about Parent 2's parents.
• If you have checked 'Yes' to both questions 1 and 2 indicating Parent 1 was born outside Canada and that at least one of parent 1’s parent’s was Canadian, you will need to provide full and accurate information about Parent 1's parents, including:
  • all known names
  • country or territory of birth and date of birth
  • the registration number found on their Canadian birth certificate
  • citizenship certificate number
  • date and place of marriage
  • details on how Canadian citizenship was obtained
  • details on Crown service
  • date of death

Enter the information in the spaces provided. If you do not know the information requested on the form, enter 'unknown'. If the information requested does not apply, enter 'not applicable' or 'NA'.

Parent 2’s Parents

• Enter the full name of Parent 2 (same parent named as Parent 2 in Section 10).
• Follow the same steps as you did for Parent 1’s parents.

Section 12

If you appoint an individual, firm or organization as your representative, you must complete the Use of a Representative Form (IMM 5476) (opens in new tab) . Note that once you appoint a representative, all correspondence from us regarding your application will be directed to them and not to you.

Note: Your application will be returned to you if:

• You have appointed an individual, firm or organization as your representative and did not submit the Use of a Representative form (IMM 5476) with your application or this form was submitted incomplete.
• You appoint a compensated representative who is not a member of the following designated bodies:
  • Immigration consultants who are members in good standing of the College of Immigration and Citizenship Consultants (CICC)
  • Lawyers and paralegals who are members in good standing of a Canadian provincial or territorial law society and students-at-law under their supervision; or
  • Notaries who are members in good standing of the Chambre des notaries du Québec and students-at-law under their supervision.

Section 13

Make sure to read the declaration. Then sign the application with the signature you currently use on other official documents and include the place and date.

Applicants 14 years of age or older must sign the application.

Parent 1 and Parent 2 must sign the application if the applicant is under 18 years of age.

Signatures of the other parents must be provided in Section 3 of Addendum A: Applicant’s Additional Parent(s) Information and Authorization if the applicant is under 18 years of age and has more than two parents. Applicants 14 years of age or older must also sign in Section 3 of Addendum A.

An explanatory note and supporting documentation must be provided if any of the parents are unable to sign.

An explanatory note and supporting documentation must be provided if a legal guardian is signing in place of the parent(s). If you have more than one legal guardian, each guardian is required to sign the application.