Application for Renewal of an Eligibility Certificate for 2018-2019 Tax Exemption for Foreign University Professors Deadline for submitting applications: February 28, 2019 1 Information on the applicant – Mr. Ms. Applicant’s name: Address: Social insurance number: Citizenship: Country of birth: 2 Declaration by the eligible university concerning the applicant – name: Professor’s Establishment: We certify that this person was hired as a professor and will work exclusively or almost exclusively in the field of science and engineering, finance, health, or new information and communications technologies for the establishment mentioned above from the date he or she was hired until the end of his or her employment contract. We undertake to inform the de of any change to the employment situation. Ministère de l’Éducation et l’Enseignement supérieur professor’s Change status since hiring: Yes No in professor’s If yes, date of change (YYYY-MM-DD): Explanation: 3 Signature – I declare that the information provided in this application is accurate and complete. Signature of the designated representative Date (YYYY-MM-DD): of the eligible university: The application for a certificate must be mailed to: Direction de l'enseignement et de la recherche universitaires Direction générale des affaires universitaires et interordres Ministère de et de l’Éducation l’Enseignement supérieur 1035, rue De La Chevrotière, 18e étage Québec (Québec) G1R 5A5
Application for Renewal of an Eligibility Certificate for 2018-2019 Tax Exemption for Foreign University Professors Deadline for submitting applications: February 28, 2019 1 – Information on the applicant Mr. Ms. Applicant’s name: Address: Social insurance number: Citizenship: Country of birth: 2 – Declaration by the eligible university concerning the applicant Professor’s name: Establishment: We certify that this person was hired as a professor and will work exclusively or almost exclusively in the field of science and engineering, finance, health, or new information and communications technologies for the establishment mentioned above from the date he or she was hired until the end of his or her employment contract. We undertake to inform the Ministère de l’Éducation et de l’Enseignement supérieur of any change to the professor’s employment situation. Change in professor’s status since hiring: Yes No If yes, date of change (YYYY-MM-DD): Explanation: 3 – Signature I declare that the information provided in this application is accurate and complete. Signature of the designated representative of the eligible university: Date (YYYY-MM-DD): The application for a certificate must be mailed to: Direction de l'enseignement et de la recherche universitaires Direction générale des affaires universitaires et interordres Ministère de l’Éducation et de l’Enseignement supérieur 1035, rue De La Chevrotière, 18e étage Québec (Québec) G1R 5A5