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FULL CITIZENSHIP APPLICATION

Please Print           Applicant information      (form 101)
(Full Members as a Metis person you must have Aboriginal blood,Self 
identify as Metis(Full Membership,16 years and over)
NAME__________________________________________________________________
ADDRESS/STREET________________________________________________________
CITY_______________________STATE________________ZIP____________________
BIRTH DATE/MONTH________DAY__________YEAR________S>S>#________________
PHONE(____)________________________M.N.U.S. ROLL#_____________________
SINGLE_____MARRIED_____DIVORCED_____CHILDREN(#OF)_____________________
NATIVE AMERICAN NAME__________________________________________________
______________________________________________________________________
                       FAMILY INFORMATION
ALL CHILDERN 16 YEARS OF AGE MUST MAKE THEIR OWN APPLICATION
______________________________________________________________________
CHILDREN (UNDER THE AGE OF 16)
NAME____________M/F___BIRTHDATE___/___/__ PLACE OF BIRTH______________
NAME____________M/F___BIRTHDATE___/___/__ PLACE OF BIRTH______________
NAME____________M/F___BIRTHDATE___/___/__ PLACE OF BIRTH______________
NAME____________M?F___BIRTHDATE___/___/__ PLACE OF BIRTH______________
NAME____________M/F___BIRTHDATE___/___/__ PLACE OF BIRTH______________
SPOUSE________________________________________________________________
______________________________________________________________________
                       GENEALOGY INFORMATION
IS YOUR ABORIGINAL ANCESTORY FROM YOUR: MOTHER____ FATHER_____ BOTH___
______________________________________________________________________
             APPLICANT`S(FATHER)
NAME____________________________PLACE OF BIRTH________________________
DATE OF BIRTH___/___/__
                        (GRANDFATHER)
NAME____________________________PLACE OF BIRTH________________________
DATE OF BIRTH___/___/__

                        (GRANDMOTHER)
NAME____________________________PLACE OF BIRTH________________________
DATE OF BIRTH___/___/_

             APPLICANT`S(MOTHER)
NAME____________________________PLACE OF BIRTH________________________

                        (GRANDFATHER)
NANE____________________________PLACE OF BIRTH________________________

                        (GRANDMOTHER)
NAME____________________________PLACE OF BIRTH________________________

_____________________________REGISTRATION_____________________________

_____________________________            _____________________________
SIGNATURE OF APPLICANT                   WITNESS

___________/____/___
TODAY`S DATE
______________________________________________________________________
_______________________OFFICE USE ONLY________________________________
recived     approved     card#     card sent     entered
______________________________________________________________________

_______/   _________/    _____/    _________/    ________/