Division(s): ID ☐ RPD ☐ IAD ☐ RAD ☐
IRB file number(s): ________________________________________________
Version française disponible
I
RB/CISR 101.01 (06/2018)
Immigration and Refugee Board of C anada
http://www.irb-cisr.gc.ca
Notification of Client Contact Information
Notification of Client Contact Information
To be completed by the individual appearing before the Immigration and Refugee Board of Canada (IRB).
Name
Date of birth (dd/mm/yyyy)
MY CONTACT INFORMATION
Street number, street name and apartment number
City
Province Postal code
Country (if outside of Canada)
Landline telephone number
( _____ )
Area Code Phone Number
Cellphone number
( _____ )
Area Code Phone Number
Fax number
( _____ )
Area Code Fax Number
Email address
Date (dd/mm/yyyy)
IMPORTANT INSTRUCTIONS
Providing your contact information:
You must provide your contact information in writing to the IRB division
handling your case no later than the time limit set out in the rules of that
division. If you have proceedings before more than one IRB division, you
do not need to complete a separate form for each division; at the top of
this form, simply indicate any IRB division before which you have a
proceeding, and provide your IRB file number for each division.
Changing your contact information:
If any of your contact information changes, you must complete a new
form without delay and provide it to the IRB office handling your case.
Y
ou must also inform Immigration, Refugees and Citizenship Canada
and/or the Canada Border Services Agency, depending on which
organization(s) you have matters with, of any changes to your contact
information.
Changing the location of your proceeding:
If you have moved and you wish to submit an application to change the
location of the proceeding, you must complete an Application to Change
the Location of a Proceeding form or follow rule 53 of the Refugee
Protection Division Rules, rule 42 of the Immigration Division Rules,
rule 47 of the Immigration Appeal Division Rules or rule 66 of the Refugee
Appeal Division Rules. Please note that an application to change the
location of a proceeding will be allowed only in certain circumstances. If
you have not received a response from the IRB, you must appear for the
proceeding at the location set and be prepared to start or continue the
proceeding.
Notice: The confidentiality of the information you provide in this form is
protected by the Privacy Act. Your personal information may be disclosed
only in circumstances where such disclosure is permitted under the terms
of the Privacy Act and the Access to Information Act.
