I (WE) DO HEREBY AUTHORIZE the designated of:

1. Office of Immigration and Multiculturalism, Government of Newfoundland and Labrador;
2. Immigration, Refugees and Citizenship Canada and Canada Border Service Agency;
3. and/or person(s) or organizations referenced in my application;

to exchange all personal information contained in my application to the Newfoundland and Labrador Provincial Nominee Program, regarding myself or any dependent members of my family, and to use it in conjunction with any other agency or branch of either government in evaluating my application.

I also authorize this personal information to be shared as required with third parties either within or outside Newfoundland and Labrador for the purpose of assessing my application under the Provincial Nominee Program and promoting my intergration into the provincial labour market. I understand that the Government of Newfoundland and Labrador and its agencies may contact such parties to verify information provided by me in this application.

I understand that I have the right to examine and request corrections or amendments to my personal records, whether held by a provincial or federal government office. Any information provided to Newfoundland and Labrador will be disclosed only in the manner provided in this Authorization to Disclose Personal Information or as required by the Laws of Canada and of Newfoundland and Labrador.

I DECLARE that:

4. I intend to live and reside in Newfoundland and Labrador on a permanent basis;
5. The information I have given in this application is truthful, complete and correct;
6. I understand that any false statements or concealment of a material fact may result in my exclusion from Canada and may be grounds for my prosecution or removal;
7. I understand all the foregoing statements, having had the opportunity to ask for and obtain an explanation of every point that was not clear to me;
8. I understand that the information I have provided is protected under federal and provincial privacy legislations;
9. I have read and understand this declaration.

* Please Note: Partially completed applications that remain inactive for 90 days or more may be closed at the discretion of the Office of Immigration and Multiculturalism.