Business Proposal Page 3
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PROTECTED
For internal use only
BUSINESS PROPOSAL
Project Number (Business Proposal)
Privacy Act Statement
The information that you provide is collected under the authority of the Department of Indian Affairs and Northern Development Act for the purpose of
administering the Aboriginal Business Development Program. Personal information is used to evaluate and process requests for financial assistance
and in referrals to other possible sources of financing or business support. Personal information is shared with other government departments and
private sector organizations, as required, in order to fulfill the Aboriginal business development mandate of Aboriginal Affairs and Northern
Development Canada. Personal information will be kept for a period of five years and then will be transferred to Library and Archives Canada. Under
the Privacy Act individuals have the right to the protection of, and access to, their personal information. A copy of the Privacy Act is located at http://
laws-lois.justice.gc.ca/PDF/P-21.pdf. A detailed description of the information stored in Personal Information Bank INA PPU 901 can be found
at
Survey
To help us with our information and marketing efforts, please tell us where you learned about the Aboriginal Business Development
Program. (Check all that apply.)
Advertising
Economic Development Officer
Business Contact
Friend or Family Member
Aboriginal Affairs and Northern Development Canada Office
Aboriginal Affairs and Northern Development Canada Web site
Canada Business Service Centre (Specify)
Other Web Site (Specify)
Past/Current Client (Specify)
Conference / Workshop / Trade Show (Specify)
Aboriginal Business or Financial Organization (Specify)
Other (Specify)
Applicant Information
Structure of the business
Individual / Sole Proprietorship
Corporation
Partnership
Joint Venture
Incorporated Company, Band-Owned or Aboriginal
Other (Specify)
Community-Owned
Applicant Type
Status Indian
Métis
Inuit
Non-Status
Tribal Council
Provincial / Territorial Organization
National Aboriginal Organization
Other (Specify)
Aboriginal Community (Specify)
Is the project located in a First Nation Community? (Information required for statistical purposes only.)
Yes
No
Indicate where the project is located
Urban
Rural Area
Remote Area
Other (Specify)
Applicant Legal Name
Mailing Address
(Number/Street/Apartment/P.O. Box)
City
Province or Territory
Postal Code
Telephone No.
Extension No.
Fax No.
Email Address
INTER 81-008E 2012-04-30
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