Custodianship Declaration Form - Canada
Download a blank fillable Custodianship Declaration Form - Canada in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Custodianship Declaration Form - Canada with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1CUSTODIANSHIP DECLARATION – CUSTODIAN
STUDENT Information
Student’s full name
Citizenship
Date of birth
Sex
(dd/mm/yyyy)
K Male
K Female
Name and address of school in Canada
Address where student will reside in Canada
PARENTS/GUARDIANS Information (Preferably from both parents/guardians)
Parent/Guardian 1
Parent/Guardian 2
Full name
Date of birth (dd/mm/yyyy)
Home address
Telephone number
CUSTODIAN Information
Full name
Status in Canada
Date of birth
K Canadian citizen or
(dd/mm/yyyy)
K Permanent resident
Home address
Telephone number
The application of the official seal below confirms that the notary public has received evidence that the custodian is a Canadian citizen or a
permanent resident, is over 19 years of age, and currently resides at the home address stated above.
I, ____________________ (name of custodian), hereby solemnly declare that I will undertake the full custodianship for the said student,
____________________ (name of student), during his/her stay in Canada, while under the age of majority in the province in which he/she
resides. As a custodian, I have made the necessary arrangements for the care and support of the said student in place of the parents as
appropriate. By signing this custodian agreement, I certify that I reside within a reasonable distance of the student’s intended residence and
school and will be able to fulfil my obligations as a custodian in the event of an emergency.
Signature of custodian: __________________________
Date: __________________
Sworn before me at: ___________________ (city), in the
province of____________(province/territory),
_____________ country (if applicable)
This ____day of ________ (month), _______ (year)
Signature of notary: _____________________________
Official seal of Notary Public
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal