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AL irpgaton cetgees—ingraon, puns PROTECTED WHEN COMPLETED - 8 ‘and clizenshp Canada ot Gloyendts Canada aoe Foro use only Fas ana APPLICATION TO Sd RENOUNCE CANADIAN fesse CITIZENSHIP Under subsection 9(4) [ansam= LO arevea oO Sere a ET) a ‘Before you start, read the instructions: ee Posts Pantin a 2 J tana ooat one Gera ao anata rena feviow | eset ‘Us any ther ness (bce curt oer Mai name() alases and nicknames). These names wit al eppear on yur enunciation crate Date ofbith (YYYV-N00) Pace ob 1980-04-17 [ruowiv bulgaria ‘Coury of brn oti ‘Spec itnet on te et other, [eutgaria ] Gender [L] Female [Tx anether gender vo [ina eolo*[ a | . | 4 trey requesting 2 change tthe personal deals youheve provided question 3? D> No—etiptosacton 5 [7] Yes[] Iryes, pase specty [J lonta een ane tan te name on my etznsip abr certiat to apear on my ranean crate (eat cans he tctn gui fr ‘aque suppering dosamenton) Requestes ven namate) Requested Sumamelast rane [!wonte teen ato btn than the dt of thon my zsh orth erate on my renuneation ceafiate oo> coms nono ne br requred sunoring eocmansson seem a hee eI oh aN - ci aeye Seen amare oh Canada PAGES OFS isese 44 SIGNATURE OF APPLICANT (check each of the following:) | agree to advise Immigration, Refugees nd Cilzenship Canad (IRC) if any information on this form changes before the processing of my application is complete | undetsiand the content of this frm andthe signifies of renouncing my Canadian clzenship. | deciare tat the information provided Is __ttue,corec and complete, and tha he photograph enclosed isa tue Tkeness of me. understand that |, o someone on my behal, make @ false sentation, comm rad or oneal any material crcumsances relevant to my appicaton my application could be denied, my coriiate of rion coul be take away, an | eae be charged wih an offence as prowded for under the Citizenship Act o he Criminal Coc ste cantante fom, cee eatin, Regees and tlensip Canad (FIC) any Information on his fom changes efor the procesing of my sppenton scampi, rhc sigeanes of renouncing my Canale cisnaiy andthe, #aprove, los al to rhs ar prlages of beng Canaan lien enn z = cect ntmaion prove te, sas ons nthe sctpaphenossea we Manes fe, June ti or acne ony nim as prseiton cn ud of oneal ay mtr kurta rt my aptaten my ‘elon sls don ny celina tuneon costs ten any, anal cous be charges iho fore se rove or nda te Chen ko he Sol ose conten hat wih enunce my Canaan lento he ovng ease I want to rencunce ay Canadian citizenship becouse there is & high Likelihood to be appointed es « Minister as ew 23, Slaatre of APPLICANT e ace sofia mulgacta 1 3 = ia REMEMBER: * u “{\tyou are sending more than one application, send all of them together in one envelope. ie ‘The applications will be processed togethe! ~ & Bi Vv col FAILURE TO INCLUDE THE NECESSARY DOCUMENTATION J WILL RESULT IN YOUR APPLICATION BEING RETURNED. eV A) > SZ a Faded eran 4 Persona formation Sune SSCP-PU60 oration in tis o's clei under the iizenstp At deem aly tothe ran of Canadien eens ao man 2 ear of ens to wom czsip ‘hart werlaoau Udo fe Pay Act you hve ita soos, rent caecbon of orhave atin sae ae oration concern ee cr 0302 (02.2021) Gouvernem= du Canade Official Receipt — Regu officiel wwii iit $100.00 CAD CARD NUMBER ~ NUMERO DE LA CARTE: EXPIRY DATE ~ DATE D'EXPIRATION : CARD TYPE - TYPE DE CARTE: Visa RECEIPT NUMBER — NUMERO DU REGU: 456661139 DATE OF 2YMENT — DATE DU PAIEMENT = 2021-04-21 05:15:19 EDTIHAE, CARDHOLDER - TITULAIRE DE CARTE : KIRIL PETKOV ORDER - COMMANDE: Online Payment - Paiement en ligne AUTHORIZATION CODE ~ CODE D’AUTORISATION : 808231 Se NUMBER — NUMERO DE REFERENCE : 663252180010206310 01 |S ACTION TYPE ~ TYPE DE TRANSACTION : purchase CODE MESSAGE—MESSAGE DE CODE DE REPONSE: 027 APPROVED 3 = REFUND POLICY - POLITIQUE DE REMBOURSEMENT. ~ \ Uniess otherwise specified, fees paid will ot be refunds: ‘yefefused by IRCC. In the event of a refund, IRCC com: stipulates thatthe money must be returned or repaid to foran application RCC, oF approved or withthe Financial ion Act (FAA) which 1 person who performed the payment. fina tn a aa ai et in bbls pr ann rr por IRC, (Cette cong ite: Sle cnn ercomere Cwm isa tne WES S/ finances publiques (LGFP) qui stipule que les fais doivent etre rastués @ la personne quia effectué le paiement. Ha 21.4.2021 r.,

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