Make payable to MGCC for genealogy ONLY

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1 Official genealogical centre of the Canadian Métis Council Intertribal For research to begin please forward the following information: Copy of Photo I.D. Long Form Birth Certificate or Baptismal Record of client with parents listed on it. We require only a copy of this certificate. Parent information for birth, death and marriage dates where applicable. Grandparent information for birth, death and marriage dates where applicable. Great-grandparents names with birth, death and marriage dates where applicable. ONLY use Métis side or mark what side to be done With all of the above provided, (for family members born after 1901) this will give enough information to make a legal verifiable link to Indigenous ancestry- if there is a connection to be made. ***Genealogy can NOT be shared with Brother, Sister, Niece, Nephew, Auntie, Uncle, Cousin or Grandparent. Genealogy is only used between Parent to child or child to parent.*** ***Fees are NON-REFUNDABLE/NON-TRANSFERABLE*** Make payable to MGCC for genealogy ONLY Once you obtain the required information it can be mailed or ed ONLY along with a $ non-refundable/non-transferable (includes shipping to Canada ONLY.) If shipping to the USA add $50.00 extra, Money Order Canadian funds. If you have any further questions, please feel free to contact us: Thank you, Métis Genealogical Centre of Canada Central Processing Office for the Canadian Métis Council 1

2 Surname Given Names Apt Street # Street Name City/Prov./Postal Code Address Phone Date/Place of Birth The above named individual s Ancestor can be identified as being Métis through the attached documents. We certify that the attached documents, and the documentation and information supplied by this individual, are to the best of our knowledge, reliable and authentic. On behalf of Métis Genealogical Centre of Canada, (DATE) I,, agree that the (PLEASE PRINT NAME HERE) MGCC/CMC-IT may keep copies of this completed form with the attached documents for uses pursuant to the MGCC/CMC-IT mandate, policies, and procedures. (SIGN HERE) 2

3 Your Full Name Father Fathers Full Name Mother Mother Full Name Date of Birth Place of Birth Date of Death Place of Death 3

4 ***NOTE: Grandparent/Great Grandparent information required until it reaches at least 110 years as it is covered under the privacy act of Canada*** Your Father s Parents: Grandfather Date of Birth Grandmother 4

5 ***NOTE: Grandparent/Great Grandparent information required until it reaches at least 110 years as it is covered under the privacy act of Canada*** Your Mother Parents Grandfather Grandmother 5

6 ***NOTE: Grandparent/Great Grandparent information required until it reaches at least 110 years as it is covered under the privacy act of Canada*** MÉTIS SIDE ONLY (NOTE who the genealogy is to be done on) Great Grandfather Great Grandmother 6

7 Spouse ***NOTE: Only if applicable*** Father Mother 7

8 Child ***Add an additional sheet if required*** Name Name of Spouse Spouses date of Birth Spouses Place of Birth Child Name Name of Spouse Spouses date of Birth Spouses Place of Birth 8

9 Grandchildren ***Add an additional sheet if required*** Grandchild (goes with child ) Name Date of birth Place of birth Grandchild (goes with child ) Name Date of birth Place of birth Grandchild (goes with child ) Name Date of birth Place of birth Grandchild (goes with child ) Name Date of birth Place of birth 9