translate English to French: Signature of Applicant or Authorized signing officer of Applicant ____________________________________________________________ Date ________________________________________________ Name of Signing Officer (if applicable) ________________________________________________________________________________ Signature of Witness __________________________________________________________________ Date _______________________ MAIL OR COURIER YOUR COMPLETED, SIGNED APPLICATION TO:
Signature du demandeur ou d'un représentant autorisé du demandeur _________________________________________________________ Date ________________________________________________ Nom du signataire (si applicable) : _____________________________________________________________________________________ Signature du témoin __________________________________________________________________ Date _________________________ ENVOYER VOTRE DEMANDE COMPLÉTÉE ET SIGNÉE PAR COURRIER OU PAR MESSAGER, À: