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1 Full legal name first middle last All other names by which you have been known Membership Number Age Date and Place of Birth Sex q Male q Female Are you a Canadian citizen q Y qN If no country of citizenship 2 Current residence Address Postal Code Home Phone Work Phone 3 If you are married list your spouse s full legal name. If in a partnership list partner s name first middle last maiden FOR YOUR INFORMATION Spouse/Partner s SIN DOB MEMBER AND SPOUSE FILLING OUT A SEPARATE FORM Place of marr ...

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