A Self Declaration Form For Address Proof is commonly used in Canada when individuals need to verify their residential address but may lack traditional documentation such as utility bills or lease agreements. This document is particularly relevant when opening bank accounts, enrolling in educational institutions, applying for government services, or completing employment procedures. The form includes the declarant's personal information, current address details, duration of residence, and a formal declaration of truth. It must comply with federal regulations such as PIPEDA for personal information handling and provincial statutory declaration requirements. The document typically requires witness verification or notarization to ensure its authenticity and legal standing. It serves as a legally binding statement, with the declarant acknowledging potential legal consequences for false declarations under Canadian law.
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1. Declarant Information: Full legal name, date of birth, and other identifying information of the person making the declaration
2. Address Details: Complete current residential address being declared, including street address, city, province, postal code
3. Period of Residence: Duration of stay at the declared address, including start date
4. Declaration Statement: Formal statement declaring that the provided address information is true and accurate
5. Legal Acknowledgment: Statement acknowledging that false declarations may result in legal consequences
6. Signature Block: Space for declarant's signature, date, and witness/notary details
1. Previous Address: Details of previous residential address, used when proof of address history is required
2. Temporary Residence Statement: Additional section for declaring temporary residence status, used for short-term or non-permanent living arrangements
3. Purpose of Declaration: Specific purpose for which the address proof is being submitted, used when required by specific institutions
4. Additional Contact Information: Secondary contact details or alternative address, used when required for comprehensive verification
5. Landlord/Property Owner Details: Information about the property owner or landlord, used when required for additional verification
1. Appendix A - Supporting Documents: List of any supporting documents attached to verify the address (utility bills, lease agreement, etc.)
2. Appendix B - Witness Information: Detailed information about the witness or notary public, including their credentials and contact information
3. Appendix C - Instructions: Guidelines for completing the form and requirements for acceptable supporting documentation
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