North Bay Presbytery LLWL – Annual Declaration Police Records Check

By my indication below, I declare that since my last Police Record Check in my possession and available to be reviewed upon request that:
Charges or Convictions:



I have no criminal charges or convictions under the Criminal Code of Canada up to and including the date of this declaration, for which a pardon has not been issued or granted under the Criminal Records Act (Canada)


I have the following criminal charge(s) or conviction (s) to declare under the Criminal Code of Canada, for which a pardon has not been issued or granted

Disclaimer:

By submitting this form I hereby declare that the information provided on this form is accurate as of the date of submission. Providing false or misleading information may result in discipline, loss of position or loss of employment.

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