FORM 9 CTZ4 Version 6.5 Apr 23
FORM 9 CTZ4 Version 6.5 Apr 23
FORM 9 CTZ4 Version 6.5 Apr 23
5 Apr 23
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.
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)_______________________________________
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.
Date D D M M Y Y Y Y
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Version 6.5 Apr 23
In this section, you will need to provide some personal details about yourself as the person
making the application.
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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)
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)
2.6 Gender ( )
Male Female Other
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2.9 Person identity number ( This is specified on all correspondence issued by Immigration
Service Delivery since October 2011)
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.
In this section, you will need to provide details of the current address at which you and your
child reside.
Eircode
3.2 Email
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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.
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.
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.
* 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.
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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
Signature
Date D D M M Y Y Y Y
Stamp of certifier
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