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    Use of Rep - Nov 2021

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    Usayd Mahmud
    Chal hat

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    © All Rights Reserved
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    Use of Rep - Nov 2021

    Uploaded by

    Usayd Mahmud
    6 views1 page
    Chal hat

    Original Title

    Use of Rep - Nov 2021 (1)

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    Chal hat

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    6 views1 page

    Use of Rep - Nov 2021

    Uploaded by

    Usayd Mahmud
    Chal hat

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 1

    Page 3 of 3

    SECTION D: YOUR DECLARATION


    10. Your declaration
    • I declare that I have fully and truthfully answered all questions on this form and any attached application (if applicable).
    • I also declare that I have read and understood all the statements on this form, having asked and obtained an explanation for every point that was not
    clear to me.

    Signature of applicant Date (YYYY-MM-DD)

    Signature of spouse or common-law partner for sponsorship application Date (YYYY-MM-DD)

    Warning! It is a serious offence to give false or misleading information on this form.

    Personal information provided on this form is collected by Immigration, Refugees and Citizenship Canada (IRCC) under the authority of the Immigration and
    Refugee Protection Act (IRPA) and of the Citizenship Act. The personal information of the applicant is used for identification and authorization purposes. The
    personal information of the immigration representative is used to verify that the representative is authorized to offer representation services according to the
    provisions of IRPA and of the Citizenship Act.

    The personal information of both the applicant and the representative may be disclosed to other federal government institutions, non-governmental and inter-
    governmental organizations, regulatory bodies, investigative bodies, and provincial/territorial governments for the purposes of validating identity, information,
    and supporting an investigation.

    Personal information of both the applicant and the representative may be used for other purposes including research, statistics, program and policy evaluation,
    internal audit, compliance, risk management, strategy development and reporting.

    Failure to complete the form in full will result in a delay to processing. The Privacy Act gives individuals the right of access to, protection, and correction of
    their personal information. If you are not satisfied with the manner in which IRCC handles your personal information, you may exercise your right to file a
    complaint to the Office of the Privacy Commissioner of Canada. The collection, use, disclosure and retention of your personal information is further described
    in IRCC's Personal Information Bank - IRCC PPU 013, 042, 054, 068.

    IMM 5476 (11-2021) E

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