Declaration, commitments and authorizations

This form must be signed to complete an online application for a Qubec Acceptance Certificate (CAQ) for studies. PATEL, ANKIT

No. of the CAQ application: 85850

I declare that the information contained in my online application for a CAQ for studies is complete and accurate. I understand that the Ministre de l'Immigration et des Communauts culturelles may: confirm, or have a third party confirm, the accuracy of information provided, and that I am breaking the law and am liable to a penalty if I give the Ministre, an inquiry officer or reviewer any information that I know or should know is false or misleading with respect to an application for a CAQ; refuse any application that contains false or misleading information or document; refuse to consider an application for a certificate from a person who has provided false or misleading information or documentation within the past five years relative to an application under the Act respecting Immigration to Qubec; cancel a CAQ if the application contains false or misleading information or document, when the certificate was issued by mistake, or if the conditions required for the issue cease to exist. I pledge to pursue the program or the level of studies indicated in this application. I pledge to make my studies my principal activity (full-time studies) (1). I also pledge to maintain, throughout my study stay in Qubec, medical and hospitalization insurance the members of my family who are accompanying me, where applicable.
(2)

for myself and each of

I authorize the Ministre de l'Immigration et des Communauts culturelles to transmit to the educational institution where I will be pursuing my studies the information relating to my Qubec Acceptance Certificate (CAQ) for studies. This information includes the CAQ for studies number, the validity period, and the program of studies or level. Signed in:
City Country

on the
Year / Month / Day

Signature of applicant: Signature of the parent or legal guardian:

(Also required if the student is under 18 years of age at the time the application is made.)

(1) Temporary workers and members of their family, asylum seekers and members of their family as well as members of the family of foreign

students are exempted from this condition.

(2) The student and his family who benefit from medical and hospitalization insurance in Qubec under a social security agreement are

considered to comply with this commitment. Ministre de l'Immigration et des Communauts culturelles

personalized checklist
PATEL, ANKIT

No. of the CAQ application:

85850

List of documents to be forwarded with this checklist to complete your application for a CAQ for study.

Check the boxes to make sure you haven't forgotten anything.

The original Declaration, commitments and authorizations form, dated and signed. An original recent ID photo, passport format (35 mm x 45 mm), with your name on the back and stapled in the box opposite. Legible photocopy of pages of your passport bearing personal information and the photo (well defined). Your passport must be valid.

Staple here

PHOTO MANDATORY

Passport size (35mm x 45 mm)

Letter of admission from the registrar (or Admissions Office) of the educational establishment that you will attend Make sure you enclose all the documents listed above and your photo so as not to delay the processing of your application. These documents will not be returned to you. Make sure you have other copies for your application for a Study Permit. Any document provided must be in French or English or be accompanied by a translation into French or English signed and certified by a professional translator. Send your application to: Service aux tudiants Ministre de l'Immigration et des Communauts culturelles 285, rue Notre-Dame Ouest, 4e tage Montral (Qubec) H2Y 1T8 CANADA Processing your application Your application will be processed no later than four weeks following the receipt of your documents. To check your application's progress, consult your file online. If the decision is positive, you will receive a copy of your Certificat d'acceptation du Qubec (CAQ) for study at your mailing address. A notice of conditional acceptance will simultaneously be forwarded to the Canadian visa office where you will submit your Study Permit application in order to evaluate your financial capacity to continue your studies in Qubec.

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