IMMIGRATION CONSULTANTS OF CANADA REGULATORY COUNCIL
CONSEIL DE RÉGLEMENTATION DES CONSULTANTS EN IMMIGRATION DU CANADA
Instructions: To complete this form, you must download and save a blank copy to your computer.
Minimize your Internet browser and open the saved copy from your computer files. Then enter your
information electronically in the fillable form, save it, and upload the completed form on the Annual
have read the current By-Law, RCIC Code of Professional Ethics, Code of Business Conduct and Ethics,
and Regulations of the Council to maintain my knowledge of my obligations as a Member and the scope
of an RCIC’s practice.
I confirm that the personal and professional information provided to the Council is current of today’s
date and understand my obligation to update the Council with 15 days of any changes.
I have never violated the Immigration and Refugee Protection Act (Canada), the Citizenship Act (Canada),
or the Regulations thereunder, nor have I been banned from practice by a provincial immigration
authority or Provincial Nominee Program since July 1
of last year.
I am not currently the subject of any criminal proceeding, do not have criminal charges or arrest
warrants filed against me, nor have I plead guilty to, or been found guilty or convicted of, any criminal or
other statutory offence in any jurisdiction for which a Pardon has not been granted since July 1
year that I have not yet reported to ICCRC.
I am not the subject of a human rights finding nor have I been suspended, disqualified, censure, expelled
or otherwise disciplined (other than for non-payment of dues and fees, or for failing to maintain
continuing professional development requirements) by any court, tribunal, licensing or regulatory body,
or professional organization, in Canada or internationally, for any offence that constituted misconduct
or professional misconduct (regardless of how defined), or for any offence that affected members of the
public, or for any offence that was deemed to bring that profession into public disrepute since July 1
last year that I have not yet reported to ICCRC.
I am not the subject of an open complaint with any professional organization, nor have I been refused
admission to, or had a membership in a licensing or other professional organization revoked, for reasons
relating to a lack of good character since July 1
of last year that I have not yet reported to ICCRC.
I have not disobeyed an order of any court in any jurisdiction since July 1
of last year.