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Declaration of Student Whose Parents or Spouse Do Not Reside in Canada

Form number: 1095

This form is to be used for applications relating to the September 1, 2017–August 31, 2018 award year.

This form must be completed by the student who is a refugee or protected person or who has obtained his or her permanent residence or Canadian citizenship but whose parents or spouse do not reside in Canada.

This form will not be considered valid unless it has been countersigned by a Commissioner for Oaths.

This form does not apply to Canadian-born citizens.

Details

  • Check only one box in Section 2.
  • The address needed in Section 2 is the address outside of Canada.

Download the form

Digital transmission

Once you print and fill out the form, sign it yourself and have it signed by a Commissioner for Oaths, then scan it. Use our Online Services to upload the completed form.

Other way to submit your document

Mail

If you are unable to submit this form digitally you can mail it to us. Print the form, fill it out, sign it yourself, have it signed by a Commissioner for Oaths and mail it to the address shown on the form itself.

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