APPLICATION FOR ATTESTATION OF JEWISH DESCENT Name: Address: City: Province: Postal code: Phone number: Fax: Email: Cell phone: Date of Birth: Father's name: Mother's name: Mother's Maiden name: Date of Aliya: Signed: Date: APPLICANT’S BIRTH CERTIFICATE AND PASSPORT ARE REQUIRED. IF AVAILABLE, A COPY OF PARENT’S BIRTH CERTIFICATE AND KETUBA IS REQUESTED. PLEASE ATTACH TWO LETTERS FROM TWO RABBIS ATTESTING TO THE APPLICANT’S JEWISHNESS AND IF REQUIRED CELIBACY. A fee of $100.00 (cash or charge) will apply. Credit Card #: Expiry Date: