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Form Caq 2

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Immigration,

Franclsation
et intégration
Declaration, commitments and authorizations
Québeca
This lorm musi be signed to complele an online appicatton for temporary selecton for studes
de Lima Alves da Silva, Marco Aurelio Application number: 1069767

, the undersigned, declare thal the inlormation I submit in the ontine application for temporary selechion lgr stydies i3 rue,
complete and accurate.
understand thal the Ministre de l'Immigration, de la Francisation et de rintégration may
verity or have verified by third parties the accuracy of intormation provided and that if Ireporttothe Ministere, the nvestigator
or auditor any intormation that I know or should have known to be false or misleading with regard to an appicaton for
temporary selection, I am committing an infraction of the law and l am subject to a fine.

Iunderstand that the Minister may reject an application, in particuliar:


when an applicant has not demontrated the veracity of the statements submitted;
when an applicant has provided, either directly or indirectly, in the five years previous to the review of the applicalion, any
false
misleading information or document
or

when the application contain any false or misleading information


or document.
I understand that the Minister may cancel the decision with regard to en application for temporary selection i:
the application contain any false or misleading information or a false or misleading document
the decision was made in error;
the required conditions for making the favourable decision cease to exist;
it is in the public interest.

commit to receiving education for the program or for the level of studies indicated in this application.

I commit to making the studies my principal activity (tull time studies) (1).
agree to maintain, for the duration of my studies in Québec, health and hospitalization insurance (2) for myself and each famity
member who accompanies me, if any.
authorize the Ministère de l'Immigration, de la Francisation et de l'Intégration to send to theeducational institutionwhere wil
pursue my siudies the following relating to Québec Acceptance Certficate (CAQ) for studies: The CAQ number.
information my
its period of validity and the program or intended level of studies.

Signed in ugomcA- on N/08/4S (Year/ Month / Day)


(Cty) (Country)

Signature of the applicant

Signature of parent or guardian


(Also required if the student is under the age of 17 years at the time of application)

and members of their family as well as family members of foreign


emporary workers and members of their family, asylum seekers
students are exempted from this condition.
under a social security treaty with their
Students and their family members who benefit from health and hospitalization insurance in Québec
( country are considered to adhere to this commitment.

Ministère de l'mmigration, de la Francisation et de l'ntégration


Immigration,
Francisation
ot Intégration Personalized Checklist
Québec aS
1069767
de Lima Alves da Silva, Marco Aurelio Application number
selection for studies:
Here is the list of documents to forward to complete your application tor temporary
dated and signed
Declaration, commitments and authorizations form,
bearing personal information and the photo (well
Legible copy of pages of your passport
defined). Your passport must be valid
establishment that you will aftend
Letter of admission from the registrar (or Admissions Office) of the educational

Digital transmission of documents


and save them as a PDF
of the required documents in this checklist, scan the pages of the same document together,
For each and accurate.
file (Portable Document Format). Make sure they are legible, complete
translation in French or in English signea
All submitted documents must be in French or in English or be accompanied by a
and certified by a professional translator.
next 48 hours. Nole
selection for studies portal within the
Afile number will be send to you via the Online application temporary
this number, as you will need it to send your PDF in Arima.
on the Arrima platform. When creating your
protile on, De sure
nce you nave received your tile number, create a user account i.e., the family name and first name enterea
wnen
first name as written in your passport,
Ener e same tamiuly name and selection for studies portal. It you already nave an
you submitted your application on the Online application for temporary
Arima account, sign in to this account.
to
and click on "Mes dossiers". Follow the instructions
Once your protile has been created in Arrima, log back in to the platform
submit your document.
Once your documents are transmitted in Arrima, be sure to submit them so that your application may be processed.
a
go to the page Dépôt de documents -Demande de sélection temporaire pour
can études to rerer to
At anytime, you in Arrima. Here you WIll also ind a
tutorial and "Frequently Asked Questions" on the procedure for submitting documents
form to request user support.

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