Form VI—Extended declaration and undertaking

File number

Subject matter

, act as counsel* of record for

. I represented the party or parties in preliminary injury inquiry PI-

, and I filed a declaration and undertaking with the Canadian International Trade Tribunal about 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-

or expiry review RR-

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

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

Address

City and province

Postal code

Telephone

Fax

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