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Decision Content

 

FORM 31-103F3 USE OF MOBILITY EXEMPTION

 

(section 2.2 [client mobility exemption – individuals])

 

This is to notify the securities regulatory authority that the individual named in paragraph 1 is relying on the exemption in section 2.2 [client mobility exemption – individuals] of National Instrument 31-103 Registration Requirements, Exemptions and Ongoing Registrant Obligations.

 

1.             Individual information

 

Name of individual: _________________________________________________________________________

 

NRD number of individual: ______________

 

The individual is relying on the client mobility exemption in each of the following jurisdictions of Canada:

 

________________________________________________________________________________________

 

________________________________________________________________________________________

 

2.             Firm information

 

Name of the individual’s sponsoring firm:

 

 ___________________________________________________________________

 

 

NRD number of firm:_________________ 

 

                                                                                               

 

Dated: ____________________________________

 

__________________________________________

(Signature of an authorized signatory of the individual’s sponsoring firm)

 

__________________________________________

(Name and title of authorized signatory)

 

 


 

 

 

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