Philippines Eft Form

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PROTECTED WHEN COMPLETED – B RETURN OF APPLICATION FEES FOR THE FEDERAL SKILLED WORKER PROGRAM (FSW) Completed form can be returned by e-mail to: [email protected] (CIC preferred method) OR by mail to the following address: Citizenship and Immigration Canada (CIC) P.O. Box 9639, Ottawa, (Ontario), K1G 4B3, CANADA PLEASE PRINT ALL INFORMATION ENTERED BELOW A. MANDATORY INFORMATION ON PRINCIPAL APPLICANT Immigration File # (i.e. B123456789) Family Name Given Name(s), Middle Name Date of birth (YYYY/MM/DD) E-mail Address (For future communications) B. ALTERNATE PAYEE INFORMATION, IF REQUIRED Payee Family Name Payee Given Name(s), Middle Name I authorize CIC to issue the fee return to the person designated in section B in accordance with their information in section C (or D where applicable). Signature of principal applicant C. MANDATORY PAYEE INFORMATION Payment will be made to the principal applicant, unless section B is properly completed. Payments requested in China will take longer to process. Residential address of principal applicant or individual designated in section B cannot be in Iran, Syria, Myanmar (Burma), Sudan, Libya or Cuba PO Box or Street Address City State, province or other Postal or ZIP code Country Name D. PAYEE BANK ACCOUNT INFORMATION (Final recipient bank information only in this section) EFTs will be payable to the principal applicant, unless sections B is properly completed. Payee name and bank account holder must match. Banking information of principal applicant or individual designated in section B cannot be for a bank in Iran, Syria, Myanmar (Burma), Sudan, Libya or Cuba Bank Name Bank Address PO Box or Street Address City State, province or other Postal or ZIP code Country Name Bank code : BRSTN (9 digits starts with a mandatory zero) Bank Identifier Code (SWIFT code)

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Philippines Eft Form

Transcript of Philippines Eft Form

PROTECTED WHEN COMPLETED B

RETURN OF APPLICATION FEES FOR THE FEDERAL SKILLED WORKER PROGRAM (FSW)

Completed form can be returned by e-mail to: [email protected] (CIC preferred method) OR by mail to the following address: Citizenship and Immigration Canada (CIC) P.O. Box 9639, Ottawa, (Ontario), K1G 4B3, CANADA

PLEASE PRINT ALL INFORMATION ENTERED BELOWA. MANDATORY INFORMATION ON PRINCIPAL APPLICANT

Immigration File # (i.e. B123456789)

Family Name

Given Name(s), Middle Name

Date of birth (YYYY/MM/DD)

E-mail Address (For future communications)

B. ALTERNATE PAYEE INFORMATION, IF REQUIRED

Payee Family Name

Payee Given Name(s), Middle Name

I authorize CIC to issue the fee return to the person designated in section B in accordance with their information in section C (or D where applicable).

Signature of principal applicant

C. MANDATORY PAYEE INFORMATION

Payment will be made to the principal applicant, unless section B is properly completed. Payments requested in China will take longer to process.

Residential address of principal applicant or individual designated in section Bcannot be in Iran, Syria, Myanmar (Burma), Sudan, Libya or Cuba

PO Box or Street Address

City

State, province or other

Postal or ZIP code

Country Name

D. PAYEE BANK ACCOUNT INFORMATION (Final recipient bank information only in this section)

EFTs will be payable to the principal applicant, unless sections B is properly completed. Payee name and bank account holder must match.

Banking information of principal applicant or individual designated in section Bcannot be for a bank in Iran, Syria, Myanmar (Burma), Sudan, Libya or Cuba

Bank Name

Bank Address

PO Box or Street Address

City

State, province or other

Postal or ZIP code

Country Name

Bank code : BRSTN (9 digits starts with a mandatory zero)

Bank Identifier Code (SWIFT code)

Bank Account Number (16 digits maximum)

Bank Account Type|_| Chequing |_| Savings

Bank Account Currency|_| PHP |_| CAD |_| USD |_| EUR

Please note that you must get a confirmation from your bank to ensure that they will accept a direct deposit in PHP before submitting your form.

If PHP currency selected

|_| Please check mark this box if you have received a confirmation from your bank

E. INTERMEDIARY BANK INFORMATION (Only if necessary)

Should you choose to use an intermediary bank, please provide the name and the swift code of that bank:-Intermediary bank name:-Intermediary bank swift code:

Disclaimer - Please note that this form includes personal information. Should you choose to return this form by e-mail, please be advised that e-mail is not a secure channel, and Citizenship and Immigration Canada cannot guarantee the secure transmission of the personal information contained therein. If an e-mail address is provided, it implies the agreement that all correspondence with CIC, including personal information, will be sent to this e-mail address.

E-MAIL to: [email protected]