[2/5] DOMESTIC POLITICALLY EXPOSED PERSON (PEP)

Do you hold or have you held within the last 5 years one of the following specific offices or positions in or on behalf of the Canadian federal government, a Canadian provincial government, or a Canadian municipal government:

• Governor General, lieutenant governor or head of government
• Member of the Senate or House of Commons or member of a legislature
• Deputy minister or equivalent rank
• Ambassador, or attaché or counsellor of an ambassador
• Military officer with a rank of general or above
• President of a corporation that is wholly owned directly by Her Majesty in right of Canada or a province
• Head of a government agency
• Heads of Indigenous government organizations or other leaders within an Indigenous community
• Judge of an appellate court in a province, the Federal Court of Appeal or the Supreme Court of Canada
• Leader or president of a political party represented in a legislature; or mayor (a mayor includes the head of a city, town, village, or rural or metropolitan municipality, regardless of the size of the population)

(Note: A person ceases to be a domestic PEP 5 years after they have left office. Have you held one of the above positions in the past five years?)

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[3/5] HEAD OF AN INTERNATIONAL ORGANIZATION (HIO)

Do you hold - or have held in the past five years - one of the following positions:

• The head of an international organization established by the governments of states
• The head of an institution established by an international organization
• The head of an international sports organization

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[4/5] FAMILY MEMBER OF A PEFP / PEP / HIO

Do any of your family members hold or have they ever held any of the above-listed offices or positions?

(Note: For the purpose of this inquiry, family members include mother or father, child, spouse, or common-law partner, spouse's or common-law partner's mother, father, brother, sister, half-brother, or half-sister (that is, any other child of the individual's mother or father).)

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[5/5] Mortgage Usage

I confirm that the mortgage I am applying for is for my own use and benefit, and I am not acting on behalf of any third party to obtain this financing.

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