Request for approval of an award of a Commonwealth and/ or Foreign Order, Decoration or Medal to a Canadian Citizen
PDF Version (83 KB)Footnote *
Donor Country:
Proposed order, decoration or medal:
Name and address in Canada of proposed recipient:
Place of birth:
Date of Canadian citizenship (if born outside Canada):
Criterion under which it is proposed to make the award (indicate by placing an X in appropriate box):
(a) an extraordinary service to mankind;
(b) conspicuous bravery in saving or attempting to save life;
(c) an exceptional service rendered to the country desiring to make the award;
(d) any substantial act or acts contributing to better relations between Canada and the country desiring to make the award.
Description of meritorious act(s) and/or achievement(s) for which the award will be made (use additional page(s) if necessary):
Footnotes
- Footnote *
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