Word Version File number Subject matter Notice is given that, Name of person, company, foreign government or Canadian government institution , intends to participate in the above-referenced matter. Counsel information Counsel information The undersigned will not be represented by counsel*. The undersigned will be represented by counsel*. Name of counsel* Address of counsel* *The term “counsel” includes any person who acts in a proceeding on behalf of a party. Party information Name of authorized official Title of authorized official Name of company, foreign government or Canadian government institution Address City and province Telephone Fax Email Postal code I understand that checking this box constitutes my legally binding signature. This box must be checked for the form to be considered complete. Dated at Location on Date Print