Form IV—Declaration, undertaking and acknowledgement (limited disclosure)

Declaration

I declare that I usually reside in Canada.

Undertaking

I undertake:

1. to use the information disclosed under the conditions of this undertaking exclusively for the purpose of the subject proceeding;
2. not to divulge any information disclosed to me under the conditions of this undertaking to any person connected to the named client, customer or account, or to any other person without the written authorization of the Tribunal, for any purpose;
3. not to reproduce, in any manner, information disclosed under the conditions of this undertaking without prior written approval by the Tribunal, with the exception of documents that are printed directly from any electronic media issued by the Tribunal under the condition that they be remitted to counsel* in accordance with clause (f) below;
4. not to copy to a computer, storage device or shared repository any information disclosed under the conditions of this undertaking and contained on any electronic media issued by the Tribunal, without prior written approval by the Tribunal;
5. to keep confidential and to protect the information disclosed to me under the conditions of this undertaking in the following manner, namely:
   1. except in the context of a hearing before the Tribunal, I will keep the following in my office or under my control:
      • all documents provided to me under the conditions of this undertaking,
      • all documents that I have printed from any electronic media provided to me under the conditions of this undertaking, and
      • any electronic media device provided to me under the conditions of this undertaking,
   2. I will store in a locked vault or safe, or other secure storage device, all documents and electronic media provided to me and containing information disclosed to me under the conditions of this undertaking when they are not being used, and
   3. where I am provided with electronic media issued by the Tribunal, I will not divulge any access passwords;

7. to remove from any server or database all documents containing information disclosed under the conditions of this undertaking, including notes, charts and memoranda based on such information;
8. to report promptly to the Tribunal any violation of a declaration and undertaking; and
9. to inform the Tribunal immediately of any changes in the facts referred to in this undertaking.

^*The term “counsel” includes any person who acts in a proceeding on behalf of a party.