Mark "x" one circle only.
Note: For those who mark circle 11: Please give the name of the city or town rather than the metropolitan area of which it is a part. For example: Saanich rather than Victoria (metropolitan area); St. Albert rather than Edmonton (metropolitan area); Laval rather than Montreal (metropolitan area).
[] Lived at the same address as now
[] Lived at a different address in the same city, town, village, township, municipality or Indian reserve
[] Lived in a different city, town, village, township, municipality or Indian reserve in Canada. [Fill out 04, 05, and 06 below.] Specify name of:

City, town, village, township, municipality or Indian reserve ____
Province/territory ____

[] Lived outside Canada [Fill out next line]

Specify name of country ____

If the address has changed simply because the boundary or the name of the municipality or reserve/settlement has changed, mark circle 09 (Lived at the same address as now).
For persons who lived in a different city, town, village, township, municipality
or Indian reserve in Canada on May 15, 1996: mark that circle and print the name of the city, town, village, township, municipality or Indian reserve, and print the name of the province or territory.
For persons who lived outside Canada on May 15, 1996: mark that circle and print the name of the country according to its present boundaries.