2011 Indian Act Amendments - Gender Equity in Indian Registration Act Application for Registration and Secure Certificate of Indian Status
PDF Version (111 Kb, 5 Pages)
PDF Version - Fill & Print (331 Kb, 5 Pages)
The PDF Version - Fill & Print is the recommended format which allows applicants to complete this form electronically.
Privacy Act Statement
Personal information provided in this document is collected under the authority of the Indian Act to determine entitlement to inclusion in the Indian Register and, if applicable, in a Band List maintained by the Department of Indian Affairs and Northern Development (DIAND), and to obtain an in-Canada format of a Secure Certificate of Indian Status (in-Canada SCIS). Individuals have the right to the protection of and access to their personal information under the Privacy Act. If registered, DIAND may disclose the applicant's personal information to Health Canada for the provision of non-insured health benefits and/or services, and to a third party for the purpose of printing the in-Canada SCIS. The personal information will be retained indefinitely by DIAND. Details of the collection, use, disclosure and retention of personal information are described in the Personal Information Bank INA PPU 110.
This application form is for individuals who meet ALL three of the following conditions to apply to be registered pursuant to the 2011 Indian Act amendments, Gender Equity in Indian Registration Act. Complete and submit if:
- the applicant's grandmother lost her entitlement to registration as a Status Indian as a result of marrying a non-Indian;
- one of the applicant's parents is/was entitled to be registered pursuant to subsection 6(2) of the Indian Act; AND
- the applicant, or one of his/her siblings of the same entitled to be registered parent, was born on or after September 4, 1951.
Note: If the applicant�s grandparents were not married to each other before April 17, 1985 and the parent of the applicant was born after April 17, 1985, the 2011 Indian Act amendments may not entitle the applicant to registration.
In this integrated application form, the individual has the opportunity to apply for both registration as an Indian under the Indian Act AND for an in-Canada Secure Certificate of Indian Status (in-Canada SCIS).
- The new in-Canada SCIS is intended to replace the Certificate of Indian Status (CIS), commonly referred to as the Status or
Treaty card. The in-Canada SCIS is a secure identity document issued by Department of Indian Affairs and Northern Development
(DIAND) to confirm that the cardholder is registered as an Indian as defined in the Indian Act.
- An in-Canada SCIS may be used to obtain services and benefits conferred in Canada exclusively to registered Indians (e.g., health benefits) in the same way as the existing CIS is used.
Who can apply using this form:
ADULT applicants (16 years of age or older) who meet ALL three conditions above may apply by completing Parts 1,2,3,4 and 5 of the application form and providing the required documents (see Section A for instructions for ADULT applicants).
PARENTS or GUARDIANS may apply on the behalf of children (15 years of age and younger) or dependent adults who meet ALL three conditions above by completing Parts 1,2,3,4 and 6 of the application form and providing the required documents (see Section B for instructions for applying PARENTS or GUARDIANS).
For more information on the 2011 Indian Act amendments, Gender Equity in Indian Registration Act and how the amendments could apply to you, visit the Department of Indian Affairs and Northern Development (DIAND) website at www.inac-ainc.gc.ca.
For additional assistance on completing the form contact DIAND by dialling toll-free 1-800-567-9604 or by email at InfoPubs@inac-ainc.gc.ca.
Complete and mail this application form and required documents to be registered, and if entitled to registration under the Indian Act, to receive the in-Canada SCIS.
- Use this application form to apply by mail only; mail the completed application form and documents to:
Application Processing Unit
Department of Indian Affairs and Northern Development
GD Stn Main
Winnipeg MB R3C 0M2
- Follow the instructions in Section A if you are an ADULT applicant (16 years of age or older).
- Follow instructions in Section B if you are a PARENT or GUARDIAN applying on behalf of a child (15 years of age and younger) or dependent adult.
- Original documents that you provide with the application will be photocopied and/or scanned and returned to you by mail.
INTER 83-114E 2011-01-31
- Date modified: