Form VI—Extended declaration and undertaking

Word Version

The term “counsel” includes any person who acts in a proceeding on behalf of a party. More than one counsel from the same firm or government institution acting for the same party can be listed on this form. All references below to the singular include the plural, where applicable.

File number

Subject matter

I, [insert name(s):

], act as counsel of record for

, and represented the party in preliminary injury inquiry PI-

, and filed a declaration and undertaking with the Canadian International Trade Tribunal in that matter.

a. I declare that the terms of the declaration that I made continue to be true.

b. With respect to confidential information to be provided to me in inquiry NQ-

, I undertake to abide by the terms and conditions of the undertaking that I filed in preliminary injury inquiry PI-

Counsel info
Name of counsel Name of firm or government institution Telephone Email address Address City and province Postal code

Each counsel listed on this form understands that the checking of this box constitutes their legally binding signature.

If more than one counsel is listed on the form, each counsel listed on this form has authorized

(name) to check this box and file this form with the Tribunal on their behalf. The signatory must be one of the counsel listed.

This box must be checked for the form to be considered complete.

Dated at

Mandates

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Form VI—Extended declaration and undertaking

Counsel

Mandates

Accountability

Resources

Contact us