I-0.2, r. 1 - Regulation respecting the granting of loans to foreign nationals in a particularly distressful situation

Schedule Disposition versions

2012-09-01

SCHEDULE I

(s. 1)

LOAN APPLICATION FORM

File No.:

(1) I, ____________________________________________________________________________ undersigned, residing in ______________________________ Québec, hereby apply to the Minister of Immigration and Cultural Communities for a loan.

(2) I hold selection certificate No. ________________________________________, issued under section 27 of the Regulation respecting the selection of foreign nationals (chapter I-0.2, r. 4).

(3) I was admitted to Canada on ______________________________ as evidenced in the following document: ______________________________, produced in support of my application.

(4) I have the following sums available: ______________________________ as evidenced by the following documents: ______________________________ produced in support of my application.

(5) I apply for this loan:

□ to purchase movable property relating to the holding of employment in Québec (employment ______________________________ place of employment ______________________________);

□ to purchase movable property for my establishment in Québec;

□ to meet basic needs (food, clothing, domestic and personal needs, dwelling-related expenses);

□ to pay the cost, in full or in part, of transportation from my point of arrival in Québec to my place of settlement in Québec.

(6) I am settling in Québec with:

□ my spouse, who has the following sums available ______________________________________, as evidenced by the following document(s): ______________________________________________;

□ the following dependants:

Name Date of birth Relationship

---

---

---

---

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(7) In the event that this application is accepted, I hereby agree:

(1) to furnish to the Minister all vouchers justifying the use made of the sum loaned;

(2) to reimburse the loan in ______________________________ equal and consecutive monthly instalments beginning on the first day of the month following the month in which I receive the loan.

(8) I understand that any late payment will bear interest from the date on which it is payable, at the rate determined under section 28 of the Tax Administration Act (chapter A-6.002).

(9) This application constitutes an acknowledgment of debt for the amount loaned to me.

(10) In witness whereof, I have signed at ______________________________________________ this ______________________________ day of ______________________________ 20__________.

________________________________________________

Signature of applicant

Signed before me at ______________________________ this _________________________________ day of _________________________________________________________________ 20__________.

________________________________________________

For the Minister of Immigration and Cultural Communities

Loan

□ Granted Sum loaned $_____________________________________

Cheque No. ______________________________

□ Refused

________________________________________________ _________________________________

For the Minister of Immigration and Cultural Communities Date

O.C. 466-91, Sch. I.