Form 11 Irish Nationality And Citizenship Act 1956


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Version 6 Jan 20

FORM 11 – IRISH NATIONALITY AND CITIZENSHIP ACT 1956

CTZ6

Application by a parent or guardian of, or person who is in loco parentis to a minor born in the state who did not at birth have an entitlement to Irish citizenship under Section 6A of the Act of 1956

A person who gives false or misleading information is guilty of an offence under the Act and liable to a fine and/or imprisonment. Giving false or misleading information may also result in an application being refused or, where a certificate of naturalisation has been granted, the revocation of that certificate.
Who is this form for?  You should use this form if your child was born in the state after the 1st of January 2005, and your child was not entitled to citizenship at the time of their birth.
Please note  If you resided in Ireland for three of the four years prior to the birth of your minor child you may apply for a passport for your child directly from the passport office. Please refer to https://www.dfa.ie/passports-citizenship/how-to-apply-for-a-passport/ for details.
How to complete this form:  Please complete this form using a black pen in CAPITAL letters and place a tick in the relevant box  Answer ALL questions. If a question does not apply, put N/A as your answer. Use a black pen and
PRINT IN BLOCK CAPITALS.  Cross out any errors – Do not use correction fluid.  We recommend you send your application by Registered Post  Registered Post can be tracked on the An Post website www.anpost.ie If your application is successful a certification fee of up to €200 may be payable by you, see the citizenship fees page on the Immigration Service Delivery website at https://www.irishimmigration.ie/citizenship/ . If your application is refused you will be advised of the decision and, where appropriate, the reasons for refusal. There is no appeals process; however, you can re‐apply at any time if you believe you meet the criteria.
Important – If your application is approved your child’s Name, Nationality, Date and Country of Birth will be recorded on the certificate of naturalisation, This information will be as stated by you in your application. Please ensure the details you provide are correct. A certificate of naturalization cannot be amended.

1. Important ‐ please note the following points:
Naturalisation is a privilege and not a right. The onus is on each applicant to disclose all information and evidence to help demonstrate that he or she satisfies the conditions for a certificate of naturalisation, including being of good character. The Minister is not obliged to give advance notice of adverse information of which the applicant is already aware. Should adverse information come to light in the course of the processing of the application which the applicant could reasonable foresee could be taken into account, the Department will not correspond with the applicant on the matter. However, such information will be taken into consideration in the decision making process.
You should be aware that citizenship legislation requires the publication of details of all persons granted a certificate of naturalisation, including name, address and date of issue of the certificate of naturalisation, in the official journal ‘Iris Oifigiúil’. This is a legal requirement, there are no exceptions.
Applications where the applicant has a case pending in the court system will not be processed until the matter is concluded. Therefore do not submit an application for naturalisation until the case is closed.
Please note: Section 15 (3) of the Irish Nationality and Citizenship Act 1956, as amended, defines “applicant”, in relation to an application for a certificate of naturalisation by a minor, as being the parent or guardian of, or person who is in loco parentis to, the minor.
Please post the fully completed form, fee and all required documentation to:
Citizenship Applications (Minor) Immigration Service Delivery Department of Justice and Equality Rosanna Road Tipperary Town Ireland E34 N566

2. Online residency checker (not required in respect of EU/EEA Citizens):
An online residency checker is available to enable you to check if you satisfy the residency conditions for naturalisation before applying. You are required to use the Online Residency Checker, available at www.irishimmigration.ie/citizenship/. This will show whether you satisfy the naturalisation residency conditions and, if not, indicate how long you should wait before signing the Statutory Declaration and lodging the application. You are required to print a copy of the result and enclose it with your application. If an applicant does not have the full required residency at time of application their application can be deemed ineligible. Each application requires a €175 application fee, and ineligible applications cannot be refunded. Residency is calculated back from the date of application, which is the date you have signed the Statutory Declaration on the application form.
Statutory Declaration A Statutory Declaration is a written Statement, declared to be true by you in the presence of an authorised witness. An authorised witness is a solicitor or commissioner for oaths or notary public or peace commissioner. By signing this Declaration you are stating that you understand the application form and that the facts provided in the application form are true and correct to the best of your knowledge. You should complete boxes A1, A2 and A3 and your authorised witness should complete W1, W2, W3 (either W3.0, W3.1, W3.21, W3.22, W3.23, W3.24 or W3.25), W4, W5, W6, W7 and W8. Important: When completing the Statutory Declaration, clearly print your full name as you stated it in section 1 of this form. Ensure that you sign and date the Statutory Declaration in the presence of the authorised witness and that the authorised witness signs and dates it in your presence. Check that the dates match before you post the application. ENSURE that the authorised witness has ticked the relevant box showing how the authorised witness has identified you. If you have identified yourself to the authorised witness by presentation of an identity document (such as a passport) you must provide a copy of that this document with your application.

Data privacy notice
1. The data you provide in this form is collected by the Immigration Service Delivery (ISD), a part of the Department of Justice and Equality. The data controller for the information you provide is the Department of Justice and Equality. The data controller’s contact details are: Citizenship Division, Immigration Service Delivery, the Department of Justice and Equality, 13 – 14 Burgh Quay, Dublin 2, D02 XK70.
2. You can contact the Data Protection Officer for the Department of Justice by writing to: The Data Protection Officer, the Department of Justice and Equality, 51 St. Stephen’s Green, Dublin 2, D02 HK52. Or by email – [email protected]
3. We will use the personal data you provide in this form for the following purposes: 1. Assessing your eligibility for this application 2. Verifying your identity
4. We collect and process this data in order to comply with our legal obligations or to perform tasks in the public interest. The specific basis for collecting and processing this data is as follows:
1. Irish Nationality and Citizenship Act 1956,as amended (Part III) Naturalisation. 2. To fulfil the function of the Minister for Justice and Equality {granting a certificate of
naturalisation to applicants that satisfy the statutory conditions as set out in Section 15 of the Irish Nationality and Citizenship Act 1956, as amended} as designated in the Ministers and Secretaries Act 1924 (as amended) 3. We are obliged to collect and process this data in order to perform a task which fulfils an important public interest. The public interest includes ensuring the effective and efficient operation of the immigration services of Ireland. 4. To protect the integrity of the immigration process and to ensure that the statutory provisions of the Irish Nationality and Citizenship Act 1956 are complied with. 5. The personal data provided here will be stored securely in Immigration Service Delivery’s databases and the Garda National Immigration Bureau’s databases. It may be shared, if necessary, with the following third parties: 1. The Department of Foreign Affairs 2. An Garda Síochana / UK Border Agency 3. Department of Social Protection 4. Department of Children and Youth Affairs 5. Health Services, TÚSLA, Other Government departments and agencies.

6. This data may be retained until Immigration Service Delivery can be sure that you will have no further contact with the immigration services. This is an indeterminate period as your immigration history in the State may span a full lifetime. 7. The personal data you provide in this form is necessary for us to determine if you meet the criteria for this scheme. If you do not provide this data, your application for this scheme cannot be processed.
8. You have the right to request access to, and a copy of, your personal data that we process. You can do this by filling in a Subject Access Request form, available at www.justice.ie, and sending it to [email protected] You may be required to verify your identity before we send the information to you.
9. You have the right to request us to rectify any errors in your data or to erase your data, as well as to seek a restriction of the processing of your data or to object to the processing of your data in certain circumstances. To do this you should write to Citizenship Division, Immigration Service Delivery, The Department of Justice and Equality, 13 – 14 Burgh Quay, Dublin 2, D02 XK70 explaining what errors need to be rectified or erased or your reasons for seeking the restriction of, or objecting to, the processing.
10. You have a right to lodge a complaint with the Data Protection Commission if you believe your personal data is being processed by us unlawfully. Information about how to make a complaint can be found on www.dataprotection.ie.
_________________________________________________________________________ I acknowledge that I have read and understood the information outlined above, which relates to my data protection rights.

Name _____________________________

Signature __________________________

Date ____________________

Parental consent
If your child is aged 16 years or over on the date of your application on their behalf, your child will be vetted by the National Vetting Bureau. Please complete the following consent. Please note that reports are obtained from An Garda Síochána and may be obtained from other Government Departments and other agencies. Failure to disclose any material matter will adversely affect this application and may also affect future applications for up to 10 years. Even if you do not believe a matter to be material or you believe it to be “spent”, it is important to disclose it. Name of child (as shown in passport)_______________________________________
Irish Residence Permit (GNIB) Number __________________________________________
Are you aware of any information that the Minister should be aware of in the context of forming a judgement as to the good character of the minor applicant? If so, please provide details below and continue on a separate sheet if necessary.

I

Print Name

being the Parent / Guardian of the person to whom the particulars above relate, consent for the National Vetting Bureau to conduct vetting in respect of the above named minor in accordance with the National Vetting Bureau (Children and Vulnerable Persons) Acts 2012 to 2016.

Parent / Guardian signature

Date

D D

M M

Y Y Y Y

Version 6 Jan 20

Form 11 – Irish Nationality And Citizenship Act 1956

FORM CTZ6

Application by a parent or guardian of, or person who is in loco parentis to a minor born in the state who did not a birth have an entitlement to Irish citizenship under Section 6A of the Act of 1956

Please note before completing the form: Ensure that the information you provide is true, correct and complete. WARNING: Giving an untrue answer in this form is an offence.

Section 29A of the Irish Nationality and Citizenship Act 1956, as amended provides that a person who knowingly or recklessly makes a declaration under this Act, or a statement for the purposes of any application under this Act that is false or misleading in any material respect, shall be guilty of an offence and shall be liable on summary conviction to a fine not exceeding €3,000 or imprisonment for a term not exceeding 12 months, or to both, or on conviction on indictment to a fine not exceeding €50,000 or imprisonment for a term not exceeding 5 years, or both.

A certificate of naturalisation may be revoked if the certificate was procured by fraud, misrepresentation, (whether innocent or fraudulent), or concealment of material facts.

 Use a black pen and PRINT IN BLOCK CAPITALS.
 Cross out any errors – Do not use correction fluid.
 Answer ALL questions. If a question does not apply put N/A
as your answer.

Section 1

Details of parent / guardian

In this section, you will need to provide some personal details about yourself as the person making the application.

1.1 Forename(s) (as shown in passport)

1.2 Surname(s) (as shown in passport)

1.3 Previous names

1.4 If you have changed your name, please explain why: (you will need to supply documents)

1.5 Date you changed to present name D D MM Y Y Y Y
1.6 Place of birth

1.7 Country of birth

1.8 Date of Birth

D D

M M

Y Y Y Y

1.10 Present nationality

1.11 PPS number

1.9 Gender Male

Female

Other

1.12 Registration number 1.13 Person identity number

Please supply a certified photocopy of your Long Form Civil Birth Certificate. If you do not have your birth certificate, you must get it before lodging this application.

Section 2

Details of minor born in the State

In this section, you will need to provide some personal details about the person (your child) on whose behalf you are making the application.

2.1 Forename(s) (as shown in passport)

2.2 Surname(s) (as shown in passport)

2.3 Full name of father

2.4 Full name of mother

2.5 Mother’s birth surname

2.5 Date of birth of minor

D D

M M

Y Y Y Y

2.6 Gender of minor

Male

Female

2.5 PPS number (if one has been issued to your child)

Other

Section 3

Residential address (parent/guardian and minor)

In this section, you will need to provide details of the current address at which you and your child reside.

3.1 Current address

Eircode 3.2 Your email address 3.3 Phone (day time) 3.4 Phone (evening) 3.5 Phone (mobile)

Date you started living at this address

D D

M M

Y Y Y Y

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Form 11 Irish Nationality And Citizenship Act 1956