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Application Form RAC 2020-21

The document is an application form for RAC that collects personal identification information such as name, date of birth, contact details, and educational objectives. It also collects proof of identification and residency if born outside Quebec. The form collects signatures and is for office use only.

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Aakashdeep Shome
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62 views2 pages

Application Form RAC 2020-21

The document is an application form for RAC that collects personal identification information such as name, date of birth, contact details, and educational objectives. It also collects proof of identification and residency if born outside Quebec. The form collects signatures and is for office use only.

Uploaded by

Aakashdeep Shome
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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RAC Application Form

Personal Identification

Family Name Given Name (s)


F M
Date of birth (YYYY-MM-DD) Gender Social Insurance Number

Father’s Family Name Father’s Given Name (s)

Mother’s Family Name Mother’s Given Name (s)

Permenent Code Mother tongue

Second Language

Contact Information

Area Primary Phone Area Alternate Phone


Code Code

No. Street Apt P.O. Box

City Province Postal Code

@
Email Address

Educational Objective
If no, which competencies?
Y N
Program Sought Diploma?

Where did you hear about RAC?

Signature Date
OFFICE USE ONLY
IDENTIFICATION
 Birth certificate/ Affidavit
 Confirmation of permanent resident paper
 Permanent resident card
 Landed Immigration Card
 Canadian citizenship Certificate or card
 Study Permit
 Other

RESIDENCY (IF BORN OUTSIDE QUEBEC)


PROOF OF RESIDENCY OF STUDENT IN QUEBEC
Document 1 Document 2
Medicare Card  CSQ 
Driver’s License  Lease (12 Months) 
Hydro Quebec Bill 
Municipal tax 
School tax 
Notice of assessment 
Other 
I hereby confirm having verified the original documents provided to prove the residency of the student

Signature of the person responsible for the admission Date

SOURCE OF FINANCING

MEES 
Other 

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