PHILIPPINE CONSULATE GENERAL TORONTO PETITION FOR RETENTION AND/OR RE-ACQUISITION OF PHILIPPINE CITIZENSHIP UNDER REPUBLIC ACT NO.

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1 PHILIPPINE CONSULATE GENERAL TORONTO PETITION FOR RETENTION AND/OR RE-ACQUISITION OF PHILIPPINE CITIZENSHIP UNDER REPUBLIC ACT NO Docket No. Indicate N/A if not applicable. Do not leave any space blank. Print all information LEGIBLY. Petition not properly accomplished will not be acted upon. I, also known as (AKA) Name (AS WRITTEN ON THE PHILIPPINE BIRTH CERTIFICATE or REPORT OF BIRTH), of legal age,, a C A N A D I A N (AS WRITTEN ON CURRENT FOREIGN PASSPORT) of petitioner civil status nationality/citizenship national and a resident of, with contact complete address No., after having been duly sworn to in accordance with law, hereby declare under oath that: Tel No./Mobile No. 1. I am a former natural-born Philippine citizen, born on at date of birth place of birth to, a citizen father s name father s citizenship (as written on birth certificate) and, a citizen; mother s maiden name (as written on birth certificate) mother s citizenship(as written on birth certificate) 2. I became a C A N A D I A N national on, thereby I lost my Philippine citizenship. foreign citizenship date of acquisition of foreign citizenship 3. Pursuant thereto, I am a holder of C A N A D I A N passport with Passport No., foreign passport issued on at ; Date of Issue Place of Issue Canadian Passport No. 4. (If registered with the Bureau) I am a holder of Alien certificate of Registration (ACR) No. and Immigrant Certificate of Residence / Certificate of Residence for Temporary visitors (ICR / CRTV) No. ; ICR/CRTV No. 5. (If with Dependent/s) Include in this petition is/are my unmarried child/children below 18 years old; Name Relationship Date of Birth Age 6. I am freely and voluntarily filing this petition to re-acquire my Philippine Citizenship, knowing fully well its concomitant rights and obligations; 7. This petition with the Bureau is being filed in accordance with Republic Act No and its implementing rules and regulations.

2 VERIFICATION I,, the petitioner, hereby certify under oath that all the allegations stated herein are true and correct to the best of my own personal knowledge and belief as well and based on the authentic documents in my possession. SUBSCRIBED AND SWORN TO BEFORE ME THIS at the Consulate General of the Philippines, Toronto, above named petitioner EXHIBITED TO ME HER/HIS C A N A D I A N Passport No. Issued on at. Doc. No. : Fee : C$57.50 O.R. No. : Service No. : Book No. : Page No. : Series of : PLEASE SUBMIT TWO (2) PHOTOCOPIES OF EACH OF THE REQUIRED DOCUMENTS: *ORIGINAL SHALL BE PRESENTED TO THE EVALUATING OFFICER REQUIREMENTS: Original Birth Certificate authenticated by the National Statistics Office (NSO)* Marriage Certificate (for married female applicant)* Death Certificate of spouse (if applicable)* Appropriate Philippine Court Order on the annulment of marriage (if applicable)* Four (4) recent 2x2 photographs (colored with WHITE background) Fee of C$57.50/applicant in money order or bank draft payable to the Philippine Consulate General Old Philippine passport* Canadian / foreign passport* Canadian / foreign Citizenship Card/ID* Certificate of Oath Taking as a Canadian* OTHER SUPPORTING DOCUMENTS: Certificate of Non-availability of Birth Record (if born before 1950) from the Local Civil Registrar or from NSO Baptismal Certificate/Joint Birth Affidavit* Marriage Certificate of parents* Order of Adoption, if applicable* DEPENDENT (Two photocopies of the following required documents): Two (2) recent 2X2 photographs (colored with WHITE background). Please see photograph template on Supplement for Dependent for specifications. Canadian / foreign passport* Birth Certificate (long form)* Fee of C$28.75/dependent INSTRUCTIONS: Application form must be duly accomplished and signed. Incomplete information on the application form may cause delay in the processing. All requirements should be submitted with the duly accomplished form. If the documents are complete and satisfactory, applicant will be informed of the schedule for taking the Oath of Allegiance. PERSONAL APPEARANCE IS REQUIRED IN TAKING THE OATH, for the principal applicant. PLEASE DRESS APPROPRIATELY FOR THE OCCASION, (at least smart casual with collared shirt) PLEASE BE INFORMED THAT THE CEREMONY WILL TAKE ABOUT AN HOUR.

3 Application for the issuance of Identification Certificate (IC) under R.A or the Citizenship Retention and Re-acquisition Act of 2003 Name: Date of Birth: Place of Birth: Sex: Civil Status: Color of Hair: Color of Eyes: Distinguishing Marks on Face: Address: Home Phone No.: Mobile Phone No.: Address: I,, the petitioner, hereby certify that all the information stated herein are true and correct to the best of my own personal knowledge and belief as well and based on the authentic documents in my possession. Further, I hereby acknowledge the date of the Oath taking Ceremony as stated in the Notice to Appear to take the Oath of Allegiance on and will comply to its prescribed conditions. Date

4 PHILIPPINE CONSULATE GENERAL TORONTO SUPPLEMENT FOR DEPENDENT I, also known as (AKA) (FULL NAME OF PETITIONER AS APPEARING IN THE DEPENDENT S BIRTH CERTIFICATE), of years of age, (AS WRITTEN ON CURRENT FOREIGN PASSPORT) of petitioner a citizen of, and a resident of, nationality/citizenship complete address with contact no., after having been duly sworn to in accordance with law, hereby declare under oath that: 1. I am the petitioner in the foregoing Petition for Retention/Re-acquisition of Philippine Citizenship under Republic Act No. 9255; 2. I am including in my petition my unmarried child below eighteen (18) years of age pursuant to Section 4 of R.A. 9225, to wit: Paper Photo Head Size Template Name Also known as Date of Birth Place of Birth Nationality (as appearing in the Birth Certificate) (as appearing in the foreign passport) : Age : Gender: : Civil Status: : Valid Passport No.: Date of Issuance : Place of Issuance: Father s Name Mother s Name 3. I surrender for cancellation his/her original Alien Certificate of Registration (ACR) No. and Immigrant Certificate of Residency / Certificate of Residence for Temporary Visitors (ICR/CRTV) No. (Signature over Printed Name of the Petitioner)

5 RA 9225 RETENTION & RE-ACQUISITION OF PHILIPPINE CITIZENSHIP NOTICE TO APPEAR TO TAKE THE OATH OF ALLEGIANCE NAME : Please appear on at 2:30 pm At THE PHILIPPINE CONSULATE GENERAL Eglinton Ave. East, Toronto ON M4P 3B5 When you come to take the Citizenship oath, you must: Bring with you this notice; Personal identification, preferably one which has your photograph and signature on it; In presentable attire, at least smart casual (collared shirt, long pants for men, and shoes). T-shirt, sando, short pants and sandals are not allowed. Allocate about an hour for the ceremony. Please ensure enough time for your parking, if applicable. If you cannot attend this event, you must inform the Consulate General as soon as possible by sending an to: atn.pcgtoronto@gmail.com If you do not attend this event at the aforementioned date, time and place, you will have to either: 1. File a new application for citizenship, OR 2. Provide proof that you could not appear for good reason. You must do this within sixty (60) days of the aforementioned date.

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