A-208 FANS Statutory Declaration Loan Remission

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FANS Statutory Declaration Loan Remission

THIS FORM SHOULD BE COMPLETED ONLY IF YOU HAVE A REMISSIBLE LOAN AND ARE APPLYING FOR REMISSION.

First

Last

Address

Community

Province/Territory

Postal Code

Telephone (Home)

CANADA
NUNAVUT TERRITORY
TO WIT:

IN THE MATTER OF CLAIMING FOR
REIMBURSMENT FROM FINANCIAL
ASSISTANCE FOR NUNAVUT STUDENTS FOR
CORRESPONDENCE COURSES

First

Last

(please print your full name)

Home Community in the Nunavut Territory

DO SOLEMNLY DECLARE THAT I AM AND HAVE BEEN A RESIDENT OF NUNAVUT IN THE SENSE OF EATING, SLEEPING, AND CARRYING ON MY NORMAL ACTIVITIES IN THE NUNAVUT TERRITIORY SINCE

Date

UNTIL THE DATE OF THIS DECLARATION.

And, I make this solemn Declaration conscientiously believing it to be true, and knowing it is of the same force and effect as if made under oath, and by virtue of the CANADA EVIDENCE ACT.

DECLARED BEFORE ME AT

IN THE Nunavut Territory,

Date

A Commissioner for Oaths, Notary Public, Justice of the Peace for the Nunavut Territory.

Sign above

My Commission Expires - Date

DECLARANT

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