Disponible en français Immigration and Refugee Board of Canada
http://www.irb-cisr.gc.ca
Application for an Extension of Time to File or Perfect an Appeal
RAD.00 (2017/01) Page 1 of 3
Application for an Extension of Time to File or Perfect an Appeal
Subsection 159.91(2) of the Immigration and Refugee Protection Regulations
Rules 6 and 37 of the Refugee Appeal Division Rules
Select one of the following:
Application for an extension of time to file and perfect an appeal:
Refugee Protection Division (RPD) decision: _______________________________ ___________________________________
Date of the notice of decision Date RPD reasons received
(yyyy/mm/dd) (yyyy/mm/dd)
Important: Attach three copies of the Notice of Appeal and two copies of the Appellant’s Record. Provide any evidence in support of this application in an
original affidavit or statutory declaration.
Application for an extension of time to perfect an appeal:
Refugee Appeal Division (RAD) file no.: _______________________________
Important: Attach two copies of the Appellant’s Record. Provide any evidence in support of this application in an original affidavit or statutory declaration.
Signature of appellant/
designated
representative
Language
chosen for
appeal
Representative
designated by
RPD
RAD file no.
(for office use)
___________________________________________
LAST NAME, first name, middle name(s)
___________________________________________
Date of birth
___________________________________________
Country of nationality/Country of citizenship
None
Yes. Provide
information
on page 3.
___________________________________________
LAST NAME, first name, middle name(s)
___________________________________________
Date of birth
___________________________________________
Country of nationality/Country of citizenship
None
Yes. Provide
information
on page 3.
___________________________________________
LAST NAME, first name, middle name(s)
___________________________________________
Date of birth
___________________________________________
Country of nationality/Country of citizenship
None
Yes. Provide
information
on page 3.
___________________________________________
LAST NAME, first name, middle name(s)
___________________________________________
Date of birth
___________________________________________
Country of nationality/Country of citizenship
None
Yes. Provide
information
on page 3.