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First Name
*
Last Name
*
Name
*
Date of Birth
*
Month
required
Month
January
February
March
April
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June
July
August
September
October
November
December
Day
required
Day
1
2
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8
9
10
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30
31
Year
required
Select your community first, then enter your street number or house number and select your street name or house number from the drop down list.
Street Address
Legal Address
Lot/Block/Plan
Community
*
Arctic Bay
Arviat
Baker Lake
Cambridge Bay
Chesterfield Inlet
Clyde River
Coral Harbour
Gjoa Haven
Grise Fiord
Igloolik
Iqaluit
Kimmirut
Kinngait
Kugaaruk
Kugluktuk
Naujaat
Pangnirtung
Pond Inlet
Qikiqtarjuaq
Rankin Inlet
Resolute
Sanikiluaq
Sanirajak
Taloyoak
Unknown
Whale Cove
Address
*
Address not found. You may continue and enter full details while registering
Apt/Unit