FORM 9 CTZ4 Version 6.5 Apr 23

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Version 6.

5 Apr 23

FORM 9 – Irish Nationality and Citizenship Act 1956 FORM CTZ4


Application for a Certificate of Naturalisation by a naturalised Irish
citizen acting on behalf of his/her minor child

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 application form if you are a naturalised Irish citizen seeking to obtain a
certificate of naturalisation on behalf of your minor (under the age of 18) child. Your child
should generally have 3 or more years residence in the State prior to the date of application.
Please note
• If you resided in Ireland for three of the four years prior to the birth of your minor child you
may seek a passport for your minor 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 – your child’s Name, Nationality, Date and Place of Birth which will be recorded on
your certificate of naturalisation, should your application be approved, will be as stated by you in
your application. Please ensure the details you provide are correct. Once a certificate has issued it
cannot be amended.

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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
Registration Unit
Immigration Service Delivery
Department of Justice
PO Box 73
Tipperary Town
Ireland
E34 N566

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Data privacy notice

1. The data you provide in this form is collected by Immigration Service Delivery (ISD), a part of the
Department of Justice. The data controller for the information you provide is the Department of
Justice. The data controller’s contact details are: Citizenship Division, Immigration Service Delivery,
the Department of Justice, 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, 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
3. We may also use the personal data you provide in this form and in associated
correspondence as part of any future considerations regarding your immigration or
citizenship status.

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, 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

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4. Department of Children and Youth Affairs
5. Health Services and TUSLA
6. 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. It will be referred thereafter to the Director of National
Archives for appraisal under the National Archives Act 1986.

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
http://www.justice.ie/en/JELR/Pages/Data_Protection or from any Department of Justice Public
Office, and forwarding it to [email protected] or by post to the Department of
Justice Data Protection Officer at the address below. 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, 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.

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Parental consent
If your minor child is aged 16 years or more on the date of your application on their behalf, your
minor 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 minor 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

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Version 6.5 Apr 23

Form 9 – Irish Nationality and Citizenship Act 1956 FORM CTZ4

Application for a Certificate of Naturalisation by a naturalised Irish citizen acting on


behalf of his/her minor child
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 now 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.

Section 1 Naturalised parent’s details

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

1.1 Full Name


Forename(s) (as shown in passport)

Surname(s) (as shown in passport)

1.2 Date of birth


D D M M Y Y Y Y

1.3 Place and country of birth

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1.4 Naturalisation certificate number 1.5 Date of naturalisation
D D M M Y Y Y Y

1.6 Person identity number ( This is specified on all correspondence issued by Immigration
Service Delivery since October 2011)

Section 2 Minor’s Details

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

2.1 Forename(s)

2.2 Surname(s)

2.3 Mother’s birth surname

2.4 Place and country of birth of minor child

2.5 Date of birth


D D M M Y Y Y Y

2.6 Gender ( )
Male Female Other

2.7 Present nationality

2.8 PPS Number (if they have one)

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2.9 Person identity number ( This is specified on all correspondence issued by Immigration
Service Delivery since October 2011)

2.10 Does your minor child have refugee status?( )


Yes No
Please supply a copy of the letter confirming Refugee Status if appropriate

Please supply a photocopy of your minor child’s original Civil Birth Certificate that
has been certified to be a true copy of the original by a notary public, commissioner
for oaths, peace commissioner or solicitor.

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

Date you started living at this address


D D M M Y Y Y Y

3.2 Email

3.3 Phone (day time) 3.4 Phone (evening)

3.5 Phone (mobile )

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Section 4 Residency details (minor)
In this section, you will need to provide the date your child arrived in the State, their passport
number and the number of years your child has resided in the State.

4.1 Date of arrival in Ireland


D D M M Y Y Y Y

4.2 Passport number 4.3 Number of years resident in the State

Section 5 Education details (minor)


In this section, you will need to provide details of your child’s current school, the date they
enrolled in the school and details of their attendance since they enrolled.

5.1 Name of school

5.2 Date of enrolment


D D M M Y Y Y Y

5.3 Periods of attendance


From To
D D M M Y Y Y Y D D M M Y Y Y Y
D D M M Y Y Y Y D D M M Y Y Y Y

Declaration

I
being the parent / guardian of the person to whom the particulars above relate, hereby apply
on his/her behalf to the Minister for Justice for a certificate of naturalisation.

Signature of parent / guardian

Date D D M M Y Y Y Y

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Checklist

If you submit the application form without all of the required documentation, if photocopies of certificates
are not certified as true copies of the originals, if the form is not fully completed or if the statutory
declaration has not been completed correctly, your application will be refused as the application
requirements under Section 17 of the Irish Nationality and Citizenship Act 1956, as amended, are not
satisfied and your application fee will not be refunded.

Document description Tick  if submitted


Statutory Application Fee
The statutory application fee of €175 in the form of a Banker’s Draft only, made
payable to the Secretary General, Department of Justice. Personal or business
cheques are not acceptable. This fee is non‐refundable and is required for each
application for a certificate of naturalisation.
Identity documents
A certified colour copy of the biometric page of your child’s current in date passport.
The colour copy must be certified by a solicitor, commissioner for oaths, peace
commissioner or notary public.
A photocopy of your minor child’s original Civil Birth Certificate that has been certified
to be a true copy of the original by a notary public, commissioner for oaths, peace
commissioner or solicitor.
Two colour passport photographs of your child taken within 30 days of the date of
application.
Please write your child’s PPSN on the back of the photographs.
A copy of your Naturalisation Certificate.
Residency
A copy of the letter confirming your child’s refugee status if appropriate
Original (not photocopies of) school letters from each school attended by your child from his
or her date of arrival in the State to date of application. The school letters must show
enrolment dates, periods of attendance and the number of days attended in each school
year.
If your child has attended school in Ireland for less than three years
A letter from the Department of Social Protection stating that you are receipt of child
benefit for your child, and the date on which payment commenced
AND
A letter from your doctor stating that your child is registered with the practice, the date
your child was first registered and the dates your child attended the surgery, including
your child’s Patient Immunisation Record where applicable
If your child is 16 years of age or older on the date of application
A copy of their current Irish Residence Permit issued by the Garda National Immigration
Bureau (GNIB) or Immigration Service Delivery (ISD) as appropriate (if applicable)
Please ensure that you have completed the Parent / Guardian Consent form
Please ensure
You have read and understood the information relating to your data protection rights
You have answered all questions in this form
You have enclosed the Statutory Application Processing Fee of €175
All photocopies of certificates are certified i.e. stamped and signed “true copy of the
original” by a solicitor, commissioner for oaths, notary public or peace commissioner
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You have enclosed copies of certified translations of any documents that are in a
language other than English or Irish

Note regarding copies and certified copies:


• Where a certified copy is required, you must take your original certificates/documents to your
solicitor, or a notary public, commissioner for oaths or peace commissioner and ask them to make a
photocopy of each document and certify that it is a true copy of the original i.e. stamp and sign it
“True copy of the original”.

• If certificates/documents are not in English or Irish, a translation by a professional translator is


required. A copy of the translation as well as the copy of the original document must be provided.
Please note that we may also seek to establish the authenticity of documents submitted with
authorities of the issuing country.

* Persons making an application for a certificate of naturalisation are required to provide satisfactory
evidence of their identity and nationality. This is usually in the form of a currently valid passport and may
include other original supporting documents, such as a previously held or out of date passport, and birth
certificate. In rare circumstances where an applicant cannot produce their current passport, or a previous
passport, birth certificate or other supporting documents the applicant will be required to provide a full
explanation. Such explanation should be, where possible, be supported by satisfactory evidence that they
have attempted to obtain such documentation and correspondence from the relevant authorities or
embassy responsible for the issuing of passports and birth certificates in their country, clearly stating the
reasons the documentation cannot be provided. Immigration Service Delivery will consider the explanation
given and, if satisfied it is for reasons genuinely beyond the applicant's control, may suggest alternative
means to the person to assist in establishing their identity and nationality.

** If you do not have your minor child’s birth certificate you should get it from the relevant authorities in the
country where your birth was registered before making an application for a certificate of naturalisation.

Use of Birth Affidavit


In certain limited and exceptional circumstances, a birth affidavit may be accepted in lieu of a Birth
Certificate where you can show satisfactory evidence that the certificate is not available and cannot be
obtained. If you are not in possession of, or have lost, your birth certificate, an affidavit will NOT be
accepted. You must obtain it from the relevant authorities before applying.

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Certified copy of passport

I a
(tick as appropriate)

Solicitor
Commissioner for Oaths
Peace Commissioner
Notary Public
confirm that the attached colour copy of passport number

is a true copy of the original document

Signature

Date D D M M Y Y Y Y

Stamp of certifier

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