Ontario Immigrant Nominee Program Applicant Consent

ON00596E (2024/02) © King's Printer for Ontario, 2024 Disponible en français Page 1 of 6

Ministry of Labour, Immigration,

Training and Skills Development

Ontario Immigrant Nominee Program

Applicant Consent

This Applicant Consent Form is to be signed by the applicant and, if applicable, their spouse and dependents. This

Form is required to be uploaded as part of the Ontario Immigrant Nominee Program (“OINP”) application. If this Form

is incomplete, the application will be returned as incomplete and will not be processed. Please ensure you

complete all applicable signature boxes with your name, signature and date.

Caution: Please sign all pages after reviewing your online application for errors.

This form must be dated after you have received either a Notification of Interest (Express Entry streams) or an

Invitation to Apply (Expression of Interest streams).

Fields marked with an asterisk (*) are mandatory.

Applicant Information

Last Name *

First Name *

Middle Initial

Date of Birth (yyyy/mm/dd) *

Personal Telephone Number *

Personal Email Address *

File Number Stream

Current Residential Address

Unit Number Street Number * Street Name * PO Box

City/Town * Province/State *

Postal/Zip Code *

Country *

By completing this Form I confirm that I have reviewed my online application, including supporting documentation and that all the

information is accurate, correct and not misleading.

Application Schedules (A, B, C and D)

Important: As part of your application, you must ensure that Schedules A, B, C and D are completed. If applicable, your

accompanying spouse or common-law partner and any accompanying dependents (aged 16 and over) must also complete

Schedules B and C. If you have more than three dependents aged 16 and over, please complete and upload additional

Schedules B and C. If you have questions about these Schedules, please contact the Ontario Immigrant Nominee Program at

1-866-214-6820, 416-327-0374 or by email at [email protected].

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Schedule A: Declarations (Applicant)

You, the applicant, must read and sign this Schedule A to acknowledge your agreement before you can submit your application

to the Ontario Immigrant Nominee Program (OINP).

Declarations:

I, the Applicant, make the following declarations concerning, among other things, this application:

1. The information in this application, including any information related to any expression of interest (EOI) and all supporting

documentation, is accurate, correct, and not misleading.

2. If I was issued an invitation to apply under an EOI based OINP stream, I have reviewed the EOI information and confirm that

all the information in my EOI was accurate, correct and not misleading as of the date of registration and is currently accurate,

correct and not misleading and I acknowledge that my EOI forms part of this application.

3. I acknowledge that if it is determined that any information provided in this application, including my EOI (if applicable), was

not and is not accurate, correct and not misleading, that this application may be refused and I may be subject to

administrative penalties and/or prosecution of an offence under the Ontario Immigration Act, 2015.

4. I understand and agree that the Government of Canada is solely responsible for approving and granting all applications for

temporary work permits and permanent residence under the federal Immigration and Refugee Protection Act notwithstanding

any OINP nomination.

5. I agree not to hold the Ministry of Labour, Immigration, Training and Skills Development (MLITSD) responsible for any

damages, injuries, costs, expenses, lost profits, or any other losses whatsoever, including indirect, special, or consequential

damages that are in any way related to my OINP application.

Applicant

I have read, understand, and agree with all of the above declarations. *

Name (First and Last Name) * Signature * Date (yyyy/mm/dd) *

ON00596E (2024/02) Page 3 of 6

Schedule B: Authorizations and Notice of Collection (Principal Applicant, Accompanying Spouse/

Common-Law Partner and Dependents aged 16 and over)

You, the applicant, and your accompanying spouse or common-law partner and any dependents aged 16 and over (if applicable)

must read and sign this Schedule B before you can submit your application to the Ontario Immigrant Nominee Program (OINP).

I. Authorization to Collect, Use, Retain and Disclose Personal Information

The authorization provided below will permit the Ministry of Labour, Immigration, Training, and Skills Development (MLITSD),

the ministry responsible for administering the OINP, to collect, use, retain, and disclose my personal information as might be

required in connection with my participation in the OINP. I understand that, in the authorization below, the term “personal

information” has the same meaning as under the Freedom of Information and Protection of Privacy Act, and includes the

personal information contained in this application, which for greater certainty includes any expression of interest (EOI) personal

information I submitted, and in any subsequent communication with MLITSD, whether provided by me or through my

representative.

1. I authorize MLITSD to collect, use, retain and disclose my personal information for the purposes of processing, assessing

and verifying this application, and for statistical and program evaluation purposes.

2. I authorize MLITSD to disclose my personal information to other ministries of the Government of Ontario for the purposes of

processing, assessing and verifying this application, and authorize such other ministries to collect my personal information

for these purposes. Likewise, I authorize other ministries of the Government of Ontario to disclose my personal information

to MLITSD for these purposes, and authorize MLITSD to collect my personal information from such other ministries for these

purposes.

3. I authorize MLITSD to disclose my personal information to officials administering immigration programs within the

Government of Canada for the purposes of processing, assessing and verifying this application and nominating me for

permanent residence, and authorize such officials to collect my personal information from MLITSD for these purposes.

Likewise, I authorize such officials within the Government of Canada to disclose my personal information to MLTSD for these

purposes, and authorize MLITSD to collect my personal information from such officials within the Government of Canada for

these purposes.

4. I authorize MLITSD to disclose my personal information to any Canadian law enforcement agency for the purposes of

processing, assessing and verifying this application and for program integrity purposes, including any compliance or

enforcement activities authorized under the Ontario Immigration Act, 2015, or any other relevant federal or provincial statute

and authorize such law enforcement agencies to disclose my personal information to MLITSD for these purposes, and

authorize MLITSD to collect my personal information from such law enforcement agencies for these purposes.

5. I authorize MLITSD to disclose my personal information to other Canadian provincial and municipal governments for the

purposes of processing, assessing and verifying this application, and authorize such governments to collect my personal

information for the same purpose. Likewise, I authorize such governments to disclose my personal information to MLITSD for

these purposes, and authorize MLITSD to collect my personal information from such governments for these purposes.

6. I authorize MLITSD to contact any individuals, academic institution, or businesses referenced in this application or otherwise

provided to MLITSD for the purposes of processing, assessing and verifying this application, and to collect any additional

related personal information for these purposes. I authorize any such individuals, academic institution, or businesses to

provide such verification or additional information to MLITSD for these purposes.

7. If my application is based on a job offer under an OINP job offer stream, I authorize MLITSD to inform my employer if the

approval of my application for a certificate of nomination is refused or cancelled and of the date of same.

II. Authorization for the Purposes of Quality Assurance and Program Evaluation

I authorize MLITSD to use my personal information provided in connection with this application to determine how my potential

nomination meets OINP's objectives, as well as to compile statistical information about the OINP and to evaluate its success.

In the event I receive OINP's nomination for permanent residence, I consent to being contacted by MLITSD, for up to five years

after nomination, concerning my participation in the OINP. I agree to participate in such follow-ups, which may occur at different

intervals (e.g., eight months, or one, three and five years after nomination), and that these follow-ups will examine whether and

how such nomination satisfies the OINP’s policy objectives.

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III. Freedom of Information and Protection of Privacy Act Notice of Collection

MLITSD is subject to the Freedom of Information and Protection of Privacy Act (FIPPA). All information collected in this

application is necessary for the OINP's proper administration, including to process this application. The OINP is authorized under

the Ontario Immigration Act, 2015. Any personal information collected by MLITSD in connection with this application will be used

for the purposes of ensuring the OINP's proper administration, including processing, assessing and verifying this application for

nomination for permanent residence, as well as for program integrity, evaluation, and statistical purposes. In this application,

personal information has the same meaning as under FIPPA. Questions about the collection may be directed to the FIPPA

Coordinator, Ontario Immigrant Nominee Program, 400 University Ave., Toronto ON M7A 2R9, telephone: 416-327-0374.

Applicant

I have read, I understand, and I agree with all of the above authorizations and Notice of Collection. *

Name (First and Last Name) * Signature * Date (yyyy/mm/dd) *

Accompanying Spouse or Common Law Partner (if applicable)

I have read, I understand, and I agree with all of the above authorizations and Notice of Collection.

Name (First and Last Name) Signature Date (yyyy/mm/dd)

Dependent aged 16 and over (if applicable)

I have read, I understand, and I agree with all of the above authorizations and Notice of Collection.

Name (First and Last Name) Signature Date (yyyy/mm/dd)

Dependent aged 16 and over (if applicable)

I have read, I understand, and I agree with all of the above authorizations and Notice of Collection.

Name (First and Last Name) Signature Date (yyyy/mm/dd)

Dependent aged 16 and over (if applicable)

I have read, I understand, and I agree with all of the above authorizations and Notice of Collection.

Name (First and Last Name) Signature Date (yyyy/mm/dd)

ON00596E (2024/02) Page 5 of 6

Schedule C: Authorizations Concerning Representatives (Accompanying Spouse/Common-Law

Partner and Dependents aged 16 and over)

If applicable, your accompanying spouse or common-law partner and any dependents aged 16 and over must read and sign this

Schedule C to acknowledge his or her agreement before you can submit your application to the Ontario Immigrant Nominee

Program (OINP).

Authorization Concerning Representatives

For the purposes of appointing or cancelling a representative, I authorize and appoint the applicant to make or cancel such an

appointment on my behalf for purposes of submitting any personal or other information to the OINP and for any related OINP

purposes. I further authorize the applicant to cancel the appointment of a representative on my behalf. I understand that, in the

event the applicant cancels a representative, that representative will no longer to be my representative.

Accompanying Spouse or Common Law Partner (if applicable)

I have read, understand, and agree with the above authorization.

Name (First and Last Name) Signature Date (yyyy/mm/dd)

Dependent aged 16 and over (if applicable)

I have read, understand, and agree with the above authorization.

Name (First and Last Name) Signature Date (yyyy/mm/dd)

Dependent aged 16 and over (if applicable)

I have read, understand, and agree with the above authorization.

Name (First and Last Name) Signature Date (yyyy/mm/dd)

Dependent aged 16 and over (if applicable)

I have read, understand, and agree with the above authorization.

Name (First and Last Name) Signature Date (yyyy/mm/dd)

ON00596E (2024/02) Page 6 of 6

Schedule D: Authorization Concerning Taxpayer Information

Pursuant to subsection 241(5) of the Income Tax Act (Canada), I hereby authorize officials of the Canada Revenue Agency

(CRA) to disclose my taxpayer information to officials of Ontario’s Ministry of Finance (MOF) for the purposes of validating the

authenticity of my application and verifying my eligibility for a certificate of nomination under the Ontario Immigration Act, 2015

(OIA), This includes validating any supporting CRA tax documents submitted during my application process, including T4s and

Notices of Assessment. I authorize the MOF to confirm if any and all tax information submitted with my application is accurate,

correct and not misleading and inform officials of Ontario’s Ministry of Labour, Immigration, Training and Skills Development

(MLITSD). For greater certainty, MOF officials are not authorized to provide my taxpayer information (provided by the CRA) to

MLITSD officials.

I understand that this consent will remain in effect until it is withdrawn, that it can be withdrawn in writing at any time by sending

an email to [email protected], and that if the consent is withdrawn, this may negatively affect my application for a

certificate of nomination under the OIA.

Applicant

I have read, understand, and agree with the above authorization and consent. *

Name (First and Last Name) * Signature * Date (yyyy/mm/dd) *

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