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OFFICE USE ONLY Use this form if you are a permanent resident that is 18 years of age or older and would like to apply to become a Canadian citizen. Validated No 1 In which language would you like to receive service? 2 Do you have special needs requiring accommodation? This may include wheelchair access, sign language interpretation, braille or large print reading material or access for an assistant or seeing eye dog. If yes, please select the type of accommodation required FOR OFFICIAL U.

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