CLS OATH or SOLEMN AFFIRMATION / SERMENT ou AFFIRMATION SOLENNELLE DE ATC

CLS OATH or SOLEMN AFFIRMATION / SERMENT ou AFFIRMATION SOLENNELLE DE ATC
Candidate please complete section 1 and save form. A link will be emialed to you within 30 minutes. Send the link to the CLS or A person duly authorized to take oaths or affidavits to complete section 2. Once section 2 is completed the Candidate can proceed wiht payment on section 3.

SECTION 1
Name / Nom*

First Name / PrénomLast Name / Nom de famille
Personal Phone Number / téléphone personnel*
Email*
example@example.com
Oath or Solemn Affirmation required by Section 23.(a) of the Regulations under the Canada Lands Surveyors Act from every candidate for a Commission as a Canada Lands Surveyor / L'alinéa 23.(a) du Règlements de la Loi sur l'arpenteurs des terres du Canada requiert de chaque candidat pour un brevet de l’arpenteur des terres du Canada le serment suivant ou affirmation solennelle.
Language / Langue*

EnglishFrench
Pick one

OathSolemn Affirmation
Choisissez-en une

SermentAffirmation solennelle
I, blanks , do solemnly swear that I will faithfully discharge the duties of a Canada Lands Surveyor according to law and without favour, affection or partiality, so help me God.
I, blanks , do solemnly affirm that I will faithfully discharge the duties of a Canada Lands Surveyor according to law and without favour, affection or partiality.
Je, blanks , jure solennellement que j'exercerai mes fonctions d'arpenteur des terres du Canada fidèlement et d'une manière impartiale et conforme à la loi.
Je, blanks , affirme solennellement que je remplirai fidèlement les fonctions d'arpenteur des terres du Canada, conformément à la loi et sans favoritisme, affection ou partialité.
Subscribed and affirmed before me at / fait sous serment devant moi , Location* on this / le Date
INSTRUCTIONS

Save your form now!

You will receive an email link. Send that link to your duly authorized person to receive oaths and affidavits. They can complete their sections, save and send back to you for completetion and payment.

If you do not receive a link within 30 minutes please check your junk/spam folder.
SECTION 2
Name

First NameLast Name
Indicate authority (A person duly authorized to take oaths or affidavits, incl. CLS's)/ Indiquer l'autorité (Une personne dûment habilitée à recevoir des sermentsou des déclarations sous serment, y compris un ATC)
Signature

Powered by Jotform SignClear
SECTION 3
FEES*
Categories:All

All
prevnext( X )
Oath / Serment
$55.00CAD

Total

$0.00CAD
Should be Empty: