Questionnaire Text

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14. Of what country are you a citizen?
[] Canada
[] U.S.A.
[] U.K.
[] Other, write here ____

Questionnaire instructions view entire document:  text  image

14. Persons born in Canada are Canadian citizens unless they have lost their citizenship.
Persons born outside of Canada who have obtained Canadian citizenship papers should fill the circle for "Canada".
Persons who have not yet become Canadian citizens and have lost their former citizenship, or have no citizenship for any other reason, should write "Stateless" in the space provided above "Other, write here".
Persons who are citizens of more than one country should enter only one citizenship, preferably the last one acquired.