Human Pathogens and Toxins Regulations — 12
Application 12 (1) An individual who wishes to obtain a security clearance must submit an application to the Minister. Content of application (2) The application for a security clearance must be signed and dated by the applicant and must contain all of the following information and documents: (a) the applicant’s full name, all other names used by them and the details of any name changes; (b) their gender, height, weight and eye and hair colour; (c) their date and place of birth and (i) if they were born in Canada, a copy of their birth certificate, or (ii) if they were born outside Canada, the entry point and date of entry into Canada, or the intended entry point and date of entry into Canada, and, in the case of a naturalized Canadian citizen or a permanent resident of Canada, the number of the applicable certificate that was issued under the Citizenship Act or the Immigration and Refugee Protection Act ; (d) their address and telephone number, at home and at work, and their email address; (e) the addresses where they have lived during the past five years; (f) the names and addresses of their employers during the past five years and of any post-secondary educational institutions that they attended during that period; (g) their fingerprints, taken by any of the following: (i) a Canadian police force, (ii) a private company that is accredited by the Royal Canadian Mounted Police to submit fingerprints to it for the purpose of a criminal record check, or (iii) a department or agency of the Government of Canada; (h) a copy of each of two pieces of valid government-issued identification, one of which must be photo identification; (i) if they are not a Canadian citizen or a permanent resident of Canada, the following documents: (i) a copy of their curriculum vitae that sets out their professional qualifications and work history, (ii) a valid visa, if applicable, and (iii) the results of a police record check from every jurisdiction where they have lived during the past five years, if that jurisdiction provides police record checks; (j) the dates, destination and purpose of any travel for periods longer than 90 days outside their country of residence, excluding business travel for the Government of Canada, during the five years before the date of their application; (k) if they have a spouse or common-law partner, all of the following information with respect to that spouse or common-law partner: (i) their gender, full name, all other names used by them and the details of any name changes, (ii) their date and place of birth, (iii) if they were born in Canada, a copy of their birth certificate, (iv) if they were born outside Canada, the information described in subparagraph (c)(ii), and (v) their current address, if known; (l) in the case of a former spouse or common-law partner who died or with whom the relationship ended within the past five years, the information described in subparagraphs (k)(i), (ii) and (v) and, if applicable, their date of death; and (m) subject to subsection (4), a statement that certifies that they require the security clearance and the part of the facility for which it is required, signed and dated by both the applicant and either the licence holder or an applicant for a licence for that facility. One statement per facility (3) The application must include a statement described in paragraph (2)(m) in respect of each separate facility. Exception — inspectors (4) An inspector who is designated under section 40 of the Act need not include the statement described in paragraph (2)(m) in their application.