Immigration and
Refugee Board of Canada
Refugee Appeal
Division
Commission de l'immigration
et du statut de réfugié du Canada
Section d'appel
des réfugiés
Client ID No:
NOTIFICATION OF WITHDRAWAL OF AN APPEAL
[Refugee Appeal Division Rules, Rule 47(2)]
,in the Province of
Disponible en français
RAD.22.01 (May 11, 2015)
I,
, hereby notify the Refugee Appeal Division that
I am withdrawing my appeal.
(Signature of Appellant)
day of
on ,
I (please print clearly),
, certify that I have accurately translated the
In the appeal relating to:
Appellant's Declaration
I declare that I am able to read English and that I fully understand the entire content of this notice in English.
Interpreter's Declaration
OR
RAD File No:
Note
Pursuant to Rule 47(3) of the Refugee Appeal Division Rules , if you want to withdraw your appeal, but if the
requirements set out in Rule 7, for deciding your appeal have been met, you must make an application to the
Refugee Appeal Division under Rule 37. In that case, you may not use this form.
Signed at
I am freely withdrawing my appeal and I am fully aware of the consequences of this withdrawal. I am aware that as
a result of the withdrawal of my appeal, Canada Border Services Agency may ask or require me to leave Canada.
(Signature of Appellant)
day of
on
,
content of this form to the appellant, from the English language to the
(Signature of Interpreter)
day of
on
,
language. The appellant indicated that he / she fully understands the entire content of this notice as translated.
(Appellant/Name of the person who is the subject of the appeal)
Select province or territory
