Algonquin Woodland Metis Anisnabek Tribe

 

 

 

A.W.M.A.T__APLICATION

Name of applicant: ____________________________________________________________________

Last First Middle

Mailing Address: ______________________________________________________________________

Street PO B0X

________________________________________________

City or Town Province Postal Code

Telephone: home (___)_______________ work (___)___________________

Email: ___________________________

Do you self identify as Métis? Yes___ No___

Date of Birth: _______/____/____ Sex: Male___ Female:___

Month Day Year

Spouses Name: __________________________________________________________

If applicable

Children’s Name(s) (if more room needed, please attach separate sheet) Birth Dates (month/day/year)

_____________________________________________ __________________

                      _____________________________________________ __________________

                      _____________________________________________ __________________

                      _____________________________________________ ___________________

                     _____________________________________________ ___________________

ABORIGINAL ANCESTRY CHART

Please fill out Aboriginal side as complete and accurate as possible. Lack of documentation can cause longer delays in verification. Please allow up to 12 weeks for verification

Name of…

(use maiden names(

Date of Birth (M/D/Y)

Approximately

Where was S/he from?

(town, province)

Does S/he have

Aboriginal ancestry?

If yes, please indicate

Métis/FN/Inuit

Your mother





Your father





Your Mother’s Mother





Your Mother’s Father





Your Father’s Mother





Your Father’s Father





Wieght  __________________

Height   __________________

Hair color _________________

Eye color _________________

All material I submit in this certification is true and accurate to the best of my knowledge. I understand that any intentionally misleading or false information will result in the termination of my AWMATmembership card.

Signature:__________________________________ Date:__________________

This is signature part of the back of your AWMAT membership card. Please sign the appropriate signature line below. (Be sure to include this page with your application – also please stay within the lines)

Signature

Is Aboriginal under Section 35 of the CanadianConstitution Act , 1982. Estautochlone sous section 35 de la adoptee par le gouvemement du Canada sousla Constitution en 1982.

 



A.W.M.A.T__APLICATION_(OWAN-BAND)

Name of applicant: ____________________________________________________________________

Last First Middle

Mailing Address: ______________________________________________________________________

Street PO B0X

________________________________________________

City or Town Province Postal Code

Telephone: home (___)_______________ work (___)___________________

Email: ___________________________

Do you self identify as Métis? Yes___ No___

Date of Birth: _______/____/____ Sex: Male___ Female:___

Month Day Year

Spouses Name: __________________________________________________________

If applicable

Children’s Name(s) (if more room needed, please attach separate sheet) Birth Dates (month/day/year)

_____________________________________________ __________________

                      _____________________________________________ __________________

                      _____________________________________________ __________________

                      _____________________________________________ ___________________

                     _____________________________________________ ___________________

ABORIGINAL ANCESTRY CHART

Please fill out Aboriginal side as complete and accurate as possible. Lack of documentation can cause longer delays in verification. Please allow up to 12 weeks for verification

Name of…

(use maiden names(

Date of Birth (M/D/Y)

Approximately

Where was S/he from?

(town, province)

Does S/he have

Aboriginal ancestry?

If yes, please indicate

Métis/FN/Inuit

Your mother





Your father





Your Mother’s Mother





Your Mother’s Father





Your Father’s Mother





Your Father’s Father





Wieght  __________________

Height   __________________

Hair color _________________

Eye color _________________

All material I submit in this certification is true and accurate to the best of my knowledge. I understand that any intentionally misleading or false information will result in the termination of my AWMATmembership card.

Signature:__________________________________ Date:__________________

This is signature part of the back of your AWMAT membership card. Please sign the appropriate signature line below. (Be sure to include this page with your application – also please stay within the lines)

Signature

Is Aboriginal under Section 35 of the CanadianConstitution Act , 1982. Estautochlone sous section 35 de la adoptee par le gouvemement du Canada sousla Constitution en 1982.