Declaration, commitments and authorizations

This form must be signed to complete an online application for a Québec Acceptance Certificate (CAQ) for studies.
JAMILAZARI, ARSHAM No. of the CAQ application: 558903
I declare that the information contained in my online application for a CAQ for studies is complete and accurate.

I understand that the Ministère de l'Immigration, de la Diversité et de l'Inclusion may:

confirm, or have a third party confirm, the accuracy of information provided, and that I am breaking the law and am liable to a
penalty if I give the Ministère, an inquiry officer or reviewer any information that I know or should know is false or misleading
with respect to an application for a CAQ;
refuse any application that contains false or misleading information or document;
refuse to consider an application for a certificate from a person who has provided false or misleading information or
documentation within the past five years relative to an application under the Act respecting Immigration to Québec;
cancel a CAQ if the application contains false or misleading information or document, when the certificate was issued by
mistake, or if the conditions required for the issue cease to exist.

I pledge to pursue the program or the level of studies indicated in this application.
I pledge to make my studies my principal activity (full-time studies) (1).

I also pledge to maintain, throughout my study stay in Québec, medical and hospitalization insurance (2) for myself and each of
the members of my family who are accompanying me, where applicable.

Signed in: on the

City Country Year / Month / Day

Signature of applicant:

Signature of the parent or legal guardian:

(Also required if the student is under 17 years of age at the time the application is made.)

(1) Temporary workers and members of their family, asylum seekers and members of their family as well as members of the family of foreign
students are exempted from this condition.
(2) The student and his family who benefit from medical and hospitalization insurance in Québec under a social security agreement are
considered to comply with this commitment.

Ministère de l'Immigration, de la Diversité et de l'Inclusion

 personalized checklist

JAMILAZARI, ARSHAM No. of the CAQ application: 558903

List of documents to be forwarded with this checklist to complete your application for a CAQ for study.

Staple here
Check the boxes to make sure you haven't forgotten anything.

The original Declaration, commitments and authorizations form, dated and signed. PHOTO
MANDATORY
An original recent ID photo, passport format (35 mm x 45 mm), with your name on the back and
stapled in the box opposite.

Legible photocopy of pages of your passport bearing personal information and the photo (well Passport size
(35mm x 45 mm)
defined). Your passport must be valid.

Letter of admission from the registrar (or Admissions Office) of the educational establishment that you will attend

Make sure you enclose all the documents listed above and your photo so as not to delay the processing of your application.
These documents will not be returned to you. Make sure you have other copies for your application for a Study Permit.
Any document provided must be in French or English or be accompanied by a translation into French or English signed and
certified by a professional translator.
Send your application to: Service aux étudiants
Ministère de l'Immigration, de la Diversité et de l'Inclusion
285, rue Notre-Dame Ouest, 4e étage
Montréal (Québec) H2Y 1T8
CANADA

Processing your application

Your application will be processed no later than four weeks following the receipt of your documents. To check your
application's progress, consult your file online.
If the decision is positive, you will receive a copy of your Certificat d'acceptation du Québec (CAQ) for study at your mailing
address.

A notice of conditional acceptance will simultaneously be forwarded to the Canadian visa office where you will submit your
Study Permit application in order to evaluate your financial capacity to continue your studies in Québec.

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