Declaration Guarantor Form PDF Details

In today's interconnected world, the assurance of one's identity plays a pivotal role in accessing various services and rights, particularly for Indigenous communities within Canada. The Secure Certificate of Indian Status (SCIS) stands as a cornerstone document, affirming the identity of Indigenous persons under the auspices of Aboriginal Affairs and Northern Development Canada (AANDC). This credential, a tangible link to the rich tapestry of Indigenous heritage, operates under strict guidelines to safeguard personal information, as outlined by the Privacy Act, underscoring the government's commitment to protecting individual rights. The process of obtaining an SCIS, however, entails a crucial component – the Statutory Declaration in Lieu of Guarantor. This form accommodates individuals who might face difficulties in securing a guarantor, a common requisite for such applications. Applicants are tasked with providing comprehensive personal details alongside references who can vouch for their identity, a measure designed to reinforce the integrity of the process. Moreover, the declarations necessitate endorsement by officials such as Commissioners for Oaths, Notary Publics, or Lawyers, further embedding a layer of verification. The form meticulously outlines the consequences of falsification, ranging from criminal prosecution to the revocation of the SCIS, thereby emphasizing the importance of transparency and honesty in these proceedings. This stringent yet considerate arrangement ensures that all applicants, regardless of their circumstances, are granted an equal opportunity to affirm their status, thereby fostering an inclusive environment that respects and honors Indigenous identity.

QuestionAnswer
Form NameDeclaration Guarantor Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namescanada statutory declaration lieu guarantor, statutory declaration in lieu of guarantor form, statutory declaration lieu, pptc 326 pdf

Form Preview Example

u

Aboriginal Affairs and

Affaires autochtones et

Page 1 of 2

Northern Development Canada

Développement du Nord Canada

PROTECTED B

 

 

SECURE CERTIFICATE OF INDIAN STATUS (SCIS)

STATUTORY DECLARATION

IN LIEU OF GUARANTOR

Privacy Act Statement

Personal information provided in this document is collected by Aboriginal Affairs and Northern Development Canada (AANDC) under the authority of the Indian Act. Individuals have the right to the protection of and access to their personal information under the Privacy Act. The information provided is voluntary. Failure to provide sufficient information may render the application invalid or may result in processing delays. Information provided is subject to routine verifications, including verifications against the Indian Register. AANDC may, for the purpose of receiving applications, collect personal information from Indian Registry Administrators. Furthermore, personal information will be disclosed to a third party for the purpose of printing the SCIS. In the performance of these duties, personal information will be processed and used in accordance with the provisions of the Privacy Act. Further details on the collection, use and disclosure of personal information are described under the Personal Information Bank INA PPU 110, which is detailed at www.infosource.gc.ca.

NOTICE TO ALL APPLICANTS

The SCIS remains at all times the property of the Government of Canada and must only be used by the person in whose name it is issued. Any false or misleading statements on this form or relating to any document in support of this application, including concealment of any material fact, selling an SCIS or permitting any other individual or agency to use your SCIS may lead to criminal prosecution and is cause for revocation of the SCIS and refusal of future SCIS.

Important: This form must be completed and signed before a Commissioner for Oaths, Notary Public or Lawyer.

AApplicant – Personal Information (Complete in block letters using black or dark blue ink)

Family Name (Last Name)

Given Name(s)

Alias

Date of Birth (YYYYMMDD)

Indian Registration No.

Addresses (List your addresses in the past FIVE (5) years beginning with the most current)

Number/Street/Apartment/P.O.Box

City/Town

Province/Territory/State

From

(YYYYMMDD)

To

(YYYYMMDD)

In the last FIVE (5) years,

my employers were

and/or

I was attending education institutions as follows:

 

 

 

 

 

 

 

 

 

Business/School

 

Address

Telephone No.

Nature of Employment/Studies

From

To

 

(YYYYMMDD)

(YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INTER 83-112E 2011-09-30 7530-20-005-9356

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u

Aboriginal Affairs and

Affaires autochtones et

Page 2 of 2

Northern Development Canada

Développement du Nord Canada

PROTECTED B

 

 

BReferences

I have personally sought agreement and consent from the TWO (2) following persons, who are not my relatives and have known me for at least TWO (2) years, to be contacted to confirm my identity:

1.Family Name (Last Name)

Given Name(s)

Relationship

Telephone No. (Daytime)

()

Has known me for (No. of Years)

Address Number/Street/Apartment/P.O.Box

City/Town

 

 

Province/Territory/State

Postal/ZIP Code

2.Family Name (Last Name)

Given Name(s)

Relationship

Telephone No. (Daytime)

()

Has known me for (No. of Years)

Address Number/Street/Apartment/P.O.Box

City/Town

 

 

Province/Territory/State

Postal/ZIP Code

One reference must sign one of the passport style photographs on the reverse side with the statement “This image is a true likeness of (name of applicant/child/dependent adult)”. BOTH references are required to sign and date a copy of the front and back of the applicant's identity documents.

C Declaration of Applicant

For mail-in applications only: I have presented copies (both sides) of my identity documents which together bear my name, photograph and signature and passport style photographs, to the references above for signature.

Declaration: I solemnly declare that I am unable to obtain an eligible guarantor as defined in the Guarantor Declaration (83-111E), the statements made in this declaration are true and the photos enclosed are a true likeness of me or the child/dependent adult.

Signed at (Location)

Province/Territory/State

Date (YYYYMMDD)

Signature of Applicant

X

D Official’s Information and Declaration

4

 

Commissioner for Oaths

 

Family Name (Last Name)

 

 

 

 

Notary Public

Lawyer

Given Name(s)

Telephone No. (Daytime)

()

Business Name, Address or Permanent Residence Address

 

 

Number/Street/Apartment/P.O.Box

City/Town

Province/Territory/State Postal/ZIP Code

Date (YYYYMMDD)

Declaration made before me on

Signed at (Location)

Province/Territory/State

Signature of Official (Affix stamp)

X

INTER 83-112E 2011-09-30 7530-20-005-9356

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Step 2: As you get into our statutory declaration lieu form editing page, you will see each of the actions you can undertake regarding your template at the upper menu.

It is essential to type in the next information in order to create the template:

statutory declaration lieu guarantor empty fields to consider

Complete the INTER E, and qwewrt areas with any particulars that can be requested by the system.

statutory declaration lieu guarantor INTER E, and qwewrt fields to fill

Write the fundamental information when you are on the Family Name Last Name, Given Names, Relationship, Telephone No Daytime, Has known me for No of Years, Address NumberStreetApartmentPOBox, CityTown, ProvinceTerritoryState, PostalZIP Code, Family Name Last Name, Given Names, Relationship, Telephone No Daytime, Has known me for No of Years, and Address NumberStreetApartmentPOBox field.

stage 3 to entering details in statutory declaration lieu guarantor

The area Signed at Location, ProvinceTerritoryState, Date YYYYMMDD, Signature of Applicant, D Officials Information and, Commissioner for Oaths, Notary Public, Lawyer, Family Name Last Name, Given Names, Telephone No Daytime, Business Name Address or Permanent, CityTown, ProvinceTerritoryState, and PostalZIP Code should be where you add each side's rights and responsibilities.

part 4 to completing statutory declaration lieu guarantor

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