Embassy of Ottawa <<<<<<<<<<<<< < < < < < < <ÌÈfi^flf◊÷]<ÏÖ^Àä÷] اوﺘﺎوا Ambassade du Liban

Request of Citizenship by marriage

I the undersigned ______, holding the ______nationality, wife of the Lebanese ______, Registry No. /______/______, District ______. Considering that our marriage is registered in Lebanon for more than a year, I am presenting this application to acquire the Lebanese nationality by marriage, and I kindly ask you to send my request to the Lebanese directorate of civil status.

Please attach the following original documents with 2 photocopies of each one: 1- Family civil registration (recent Ikhraj kayd) to show that the marriage was registered in the Lebanese civil census for more than one year. 2- Copy of the wife's valid for more than one year with the husband's name added on it. 3- Wife's birth certificate (translated to in case it is not in English or French). 4- Lebanese or Canadian marriage certificate if available. (You need to make sure that the wife’s place of birth is registered in the same way on her Birth certificate, Marriage certificate and Passport). 5- Husband's Lebanese passport if available. 6- Certificate of cohabitation issued by an official and religious authority. 7- The amount of $20.00 for the application. * Fees should be paid by money order payable to the Embassy of Lebanon (if by mail) 9- Commitment from the person attesting that she is not Lebanese and her father is not also (Annexed hereto). 10- 2 prepaid (registered) self addressed envelope. 11- For Syrian Citizen: An extract of personal registration (Bayan Kayd sealed and stamped by the Ministry of Foreign Affairs of Lebanon), with date of issuance not exceeding six months, including husband’s name and nationality and a photocopy of the Syrian Identity Card. 12- For Palestinian Citizen: An extract of personal registration (Bayan Kayd), with date of issuance not exceeding six months including husband’s name and nationality and a photocopy of the Blue Card including husband’s name and nationality.

N.B.: In case of not being able to come to the Embassy, all documents should be signed in front of a Notary Public and legalized by the Canadian Department of Foreign affairs.

Date: / /

NOTARY PUBLIC Signature:

640 Lyon Street S., Ottawa, ON K1S 3Z5 Tel: (613) 236-5825 Fax: (613) 232-1609 [email protected]

Embassy of Lebanon Ottawa <<<<<<<<<<<<< < < < < < < <ÌÈfi^flf◊÷]<ÏÖ^Àä÷] اوﺘﺎوا Ambassade du Liban

ﻣﻮاﻓﻘﺔ ﻋﻠﻰ ﻣﻨﺢ ﺟﻨﺴﯿﺔ وﺗـﻌﮭـــﺪ ﺑﺘﺼﺤﯿﺢ ﻗﯿﺪ

File No. at the Embassy Telephone No. H: ( ) - W: ( ) - Name Surname

Street No. Street Name Apt. No.

City Province Postal Code

Email address @ Occupation

ﺟﺎﻧﺐ اﻟﺴﻔﺎرة اﻟﻠﺒﻨﺎﻧﯿﺔ ﻓﻲ أوﺗﺎوا

أﻧﺎ اﻟﻤﻮﻗﻊ أدﻧﺎه ------واﻟﺪﺗﻲ------، ﻣﻦ ﻣﻮاﻟﯿﺪ ------، ﺑﺘﺎرﯾﺦ -----/------/------، رﻗﻢ ﺳﺠﻞ ﻧﻔﻮﺳﻲ /------/ ------، ﻗﻀﺎء------، ﻣﺘﺄھﻞ ﻣﻦ------ﺣﺎﻣﻠﺔ اﻟﺠﻨﺴﯿﺔ ------، واﻟﺘﻲ ﺗﺤﻤﻞ ﺟﻮاز ﺳﻔﺮ ------، رﻗﻢ ------، اﻟﺼﺎدر ﻓﻲ ------، ﺗﺎرﯾﺦ ------/------/------, أواﻓﻖ ﻋﻠﻰ ﻣﻨﺢ زوﺟﺘﻲ اﻟﺠﻨﺴﯿﺔ اﻟﻠﺒﻨﺎﻧﯿﺔ وﻗﯿﺪھﺎ ﻋﻠﻰ ﺧﺎﻧﺘﻲ.

ﻛﻤﺎ أﺗﻌﮭﺪ ﻋﻠﻰ ﻣﺴﺆوﻟﯿﺘﻲ ﺑﺄن أﻋﻤﻞ ﻋﻠﻰ ﺗﺼﺤﯿﺢ ﻗﯿﺪ زوﺟﺘﻲ اﻟﻤﺬﻛﻮرة ﻓﻲ ﺳﺠﻠﮭﺎ اﻷﺳﺎﺳﻲ، ﻣﻦ ﻋﺰﺑﺎء إﻟﻰ ﻣﺘﺄھﻠﺔ ﻣﻨﻲ، وﻋﻠﻰ ﻗﯿﺪ اﺳﻤﻲ ﻋﻠﻰ ﺟﻮاز ﺳﻔﺮھﺎ، وأﺗﺤﻤﻞ أﯾﺔ ﻣﺴﺆوﻟﯿﺔ ﻗﺪ ﺗﻨﺘﺞ ﻻﺣﻘﺎً ﻋﻦ ھﺬا اﻟﻘﯿﺪ ﻓﻲ اﻟﺴﺠﻼت اﻟﻠﺒﻨﺎﻧﯿﺔ.

اﻟﺘﺎرﯾﺦ: / /

اﻟﺘﻮﻗﯿﻊ:

NOTARY PUBLIC

640 Lyon Street S., Ottawa, ON K1S 3Z5 Tel: (613) 236-5825 Fax: (613) 232-1609 [email protected]

إﻓﺎدة ﺑﺎﻟﻤﺴﺎﻛﻨﺔ اﻟﺸﺮﻋﯿﺔ ﺟﺎﻧﺐ ﺳﻔﺎرة ﻟﺒﻨﺎن ﻓﻲ أوﺗﺎوا ﻧﺤﻦ اﻟﻤﻮﻗﻌﺎن أدﻧﺎه______و______، ﻧﻔﯿﺪ ﺑﺄﻧﻨﺎ ﻧﻘﯿﻢ ﺳﻮﯾﺔ ﻋﻠﻰ اﻟﻌﻨﻮان اﻟﺘﺎﻟﻲ:______، رﻗﻢ اﻟﮭﺎﺗﻒ:______، وﻟﺪﯾﻨﺎ أوﻻد / أو ﻻ (أﺳﻤﺎء:______ﻧﻤﻠﻚ ﺳﯿﺎرة – ﺣﺴﺎب ﻣﺼﺮﻓﻲ ﻣﺸﺘﺮك أو ﻣﻤﺘﻠﻜﺎت اﻟﺘﺎرﯾﺦ ﻓﻲ: اﺳﻢ اﻟﺰوج: اﺳﻢ اﻟﺰوﺟﺔ: اﻟﺘﻮﻗﯿﻊ: اﻟﺘﻮﻗﯿﻊ:

Proof of cohabitation

We the undersigned Mr.______and Mrs.______Certify that we live and reside together at: address______Tel. :______, we have/not children (names______We have car – joint account or properties Date: Name: Spouse name: Signature: Signature:

Preuve de cohabitation Nous les soussignées M.______et Mme.______Certifie que nous habitons ensemble à : adresse :______Tel. : ______, nous avons/pas des enfants (noms______Nous avons une voiture – compte joint de banque ou des propriétés Date : Nom : Nom de l’épouse : Signature : Signature :

NOTARY PUBLIC

ﺟﺎﻧﺐ ﺳﻔﺎرة ﻟﺒﻨﺎن ﻓﻲ أوﺗﺎوا

أﻧﺎ اﻟﻤﻮﻗﻌﺔ أدﻧﺎه ______زوﺟﺔ ______أﺗﻌﮭﺪ أن واﻟﺪي______ﻟﯿﺲ ﻟﺒﻨﺎﻧﯿﺎً وأﻧﺎ ﻻ اﺣﻤﻞ اﻟﺠﻨﺴﯿﺔ اﻟﻠﺒﻨﺎﻧﯿﺔ. وﺑﻨﺎء ﻋﻠﻰ اﻟﻄﻠﺐ أﻋﻄﯿﺖ ھﺬه اﻹﻓﺎدة. ﺗﺎرﯾﺦ: اﻻﺳـــﻢ: ______

اﻟﺘﻮﻗﯿﻊ: ______

I the undersigned ______wife of ______

Certify that neither my father ______nor I has a Lebanese citizenship.

This attestation is given upon request.

Date:

Name:______

Signature:______

Je soussignée ______épouse de ______

Certifie que ni mon père ______ni moi n'ont une citoyenneté libanaise. Cette attestation est donnée sur demande.

Date:

Nom:______

Signature:______

NOTARY PUBLIC EMBASSY OF LEBANON OTTAWA AMBASSADE DU LIBAN

طلب إلزامي لفتح ملف شخصي أو تجديده (يُرفق مع جميع المعامالت) Application to open or renew a personal file (Mandatory for all Applications)

االسم ______First name

الشھرة ______Last name

اسم األب ______Father’s name

اسم األم وشھرتھا______Mother’s name

رقم ومحل السجل______No. and place of registry

اسم الزوج/الزوجة والشھرة ______Spouse’s first and maiden name

عدد األوالد في كندا ______Number of children in

الوظيفة ______Occupation

عنوان العمل ورقم الھاتف______Work address and Phone number

عنوان المنزل ورقم الھاتف______Residence address and Phone number

البريداإللكت روني ______Email address

خاص بالبعثة رقم الملف: ______تاريخ فتح الملف:______