THE LAW SOCIETY OF UPPER CANADA CHECKLIST TO THE APPLICATION FOR CANADIAN LEGAL ADVISOR LICENCE (L3) (under By-Law 4)

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THE LAW SOCIETY OF UPPER CANADA CHECKLIST TO THE APPLICATION FOR CANADIAN LEGAL ADVISOR LICENCE (L3) (under By-Law 4) Instructions to the Applicant: Complete all sections of this application. The Law Society of Upper Canada may investigate or verify any information supplied in this application, and may require further explanation from you. Omissions or inaccuracies in your answers may delay processing. If the space provided for any answer is insufficient, complete your answer on a separate sheet, sign and date the sheet and staple it to the application. The Law Society of Upper Canada s By-Law 4 is available for your information at: www.lsuc.on.ca Applicant s Checklist: A completed and original Application for Canadian Legal Advisor Licence A non-refundable application fee of $500 + HST CDN funds (Note: When licensed, Law Society annual membership fees must be paid.) Original Certificates(s) of Standing (dated within the last 30 days) from each Law Society of which you are or have been a member, inside and outside of Canada. NOTE: Your Certificate(s) of Standing must be replaced if it becomes more than 60 days old at the time your application is ready to be approved by Administrative Compliance. A notarized copy of your Canadian Birth Certificate as proof of age and full legal name, OR, A notarized copy (front and back) of your Canadian Citizenship Card An original criminal record search issued within the last 90 days from a Canadian police service (a municipal or regional police force, the Ontario Provincial Police or the Royal Canadian Mounted Police) Two coloured passport photos Proof of Education Canadian Law School transcript or NCA certificate Final law school transcripts must show the degree and conferral date and must be forwarded to Administrative Compliance (AC) directly from the University/issuing institution Proof of insurance - Applicants must maintain the full mandatory professional liability insurance coverage required by the Barreau du Quebec. Additional pertinent documents to comply with specific application requirements (if required Application Process Mail to: Review and Approval: Licensing: Accounts Receivable The Law Society of Upper Canada Osgoode Hall 130 Queen St W Toronto ON M5H 2N6 Administrative Compliance Questions? Tel: (416) 947-3315 and ask to be transferred, or, Email: lsforms@lsuc.on.ca Licensing Process, Licensing and Accreditation Questions? Tel: (416) 947-3315 and ask to be transferred, or, Email: licensingprocess@lsuc.on.ca Page 1

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THE LAW SOCIETY OF UPPER CANADA APPLICATION FOR CANADIAN LEGAL ADVISOR LICENCE (under By-Law 4) PART A APPLICANT INFORMATION 1. PERSONAL INFORMATION 4. CANADIAN MEMBERSHIP INFORMATION First Name: Middle Name(s): Last Name: Date of Birth: / / DD MM YYYY Place of Birth: (City/Country) I am or have been a member of the following Canadian Law Societies: Law Society Name: Year of Call: Member Number: Status: Name called under (if different from personal information in question 1): _ 2. HOME CONTACT INFORMATION 5. MEMBERSHIP INFORMATION: OUTSIDE OF CANADA Address: Telephone Number: Facsimile Number: Email Address: 3. BUSINESS CONTACT INFORMATION Law Firm/Employer Name & Address: Telephone Number: Facsimile Number: Email Address: I am or have been a member of the following Law Societies outside of Canada: Law Society Name: Year of Call: Member Number: Status: Name called under (if different from personal information in question 1): _ Provide an original Certificate of Standing (dated within the last 30 days) from each Law Society of which you are or have been a member, inside and outside of Canada. NOTE: Your Certificate(s) of Standing must be replaced if it becomes more than 60 days old at the time your application is ready to be approved by Administrative Compliance. Page 3

6. PROOF OF LEGAL NAME a) Are you a Canadian citizen or permanent resident of Canada? If Yes: Provide a certified copy of a: Canadian Birth Certificate; OR Canadian Citizenship Card (front and back) If No: Contact the Administrative Compliance department of the Law Society at (416) 947-3315 before submitting your application. b) Have you used another name or changed your name by court order, marriage, or other means? If Yes: Provide a certified copy of a: Canadian Name Change Certificate; OR Canadian Marriage Certificate; OR Court Order 7. CANADIAN LAW DEGREE(S) OR NATIONAL COMMITTEE ON ACCREDITATION (NCA) CERTIFICATE a) What Canadian Law Degree(s) do you hold? LL.B / JD (Common Law Degree) Name of institution LL.L / B.C.L (Civil Law Degree) Name of institution NOTE: Arrange for your original Canadian Law School transcript(s) to be forwarded directly to Administrative Compliance from the Canadian University / institution. b) Complete i) or ii) if you have received a Certificate of Qualification from the National Committee on Accreditation (NCA) based on the evaluation of your law school degree from: i) Quebec Law School: OR ii) Country in which you received your law degree: NOTE: Arrange for an original NCA Certificate to be forwarded directly to Administrative Compliance from the NCA. Page 4

PART B GOOD CHARACTER NOTE: All applicants must provide a criminal record search issued within the last 90 days. If you answer Yes to any of the questions in this part, provide full details on a separate sheet and attach any relevant documents including orders and/or judgments. 8. Are you currently the subject of criminal proceedings or proceedings for any other offence under any statute in Canada or elsewhere? 9. Have you ever been found guilty of, or convicted of, any offence under any statute in Canada or elsewhere? Exclude speeding and parking tickets. 10. Has judgment ever been entered against you in an action involving fraud? 11. Are there any outstanding civil judgments against you? 12. Have you ever disobeyed an order of any court requiring you to do any act or to abstain from doing any act? 13. While attending a post-secondary institution, have allegations of misconduct ever been made against you or have you ever been suspended, expelled or penalized by a post-secondary institution for misconduct? 14. Have you ever been refused admission as a student-at-law, articled clerk or similar position in any professional / regulatory / governing body? 15. Are you now or have you ever been suspended, disqualified, censured, the subject of a conduct, capacity or competence proceeding or otherwise the subject of discipline in any jurisdiction(s) where you are or were licensed to practise law or provide legal services? 16. Are you now or have you ever been a member of a professional/regulatory/governing body (other than a Canadian Law Society) in any jurisdiction? 17. Have you ever been denied a licence or permit, or had any licence or permit revoked for failure to meet good character requirements? 18. Are you now the subject of a prosecution or have you ever been prosecuted, suspended, disqualified, censured, the subject of a conduct, capacity or competence proceeding or otherwise disciplined by any professional organization? 19. Are you aware of any complaint or charge pending against you in your professional capacity, which has not yet come to the attention of your Law Society or professional/regulatory/governing body? 20. Are you now or have you ever been the subject of an insurance claim under a policy for professional liability insurance? 21. Have you ever been discharged from any employment where the employer alleged there was cause? 22. Have you ever been disciplined by an employer, or been a respondent in proceedings alleging a violation of the Human Rights Code or similar legislation in any jurisdiction (e.g., sexual harassment, racial discrimination)? 23. Are you or any company or partnership of which you are or were a director, officer or employee currently subject to a petition or assignment in bankruptcy or a proposal to creditors under the Bankruptcy and Insolvency Act, or similar legislation in any jurisdiction and/or have you or any company or partnership of which you are or were a director, officer or employee ever been bankrupt or insolvent, under any statute? 24. Are there events, circumstances or conditions, other than those mentioned above, that are potentially relevant to your ability to practise law? Page 5

PART C AUTHORIZATION AND DECLARATION I hereby authorize the Law Society of Upper Canada to make inquiries of any person or government, any official or body, including, without limitation, any police or academic authority, with regard to my background or character. On request by the Law Society of Upper Canada, I will furnish any additional specific authorization or any release that is required for the purpose of enabling the Law Society of Upper Canada to obtain information related to my background or character. I understand that if approved, a Canadian Legal Advisor Licence authorizes me to: give a person advice with respect to the laws of Quebec, the laws of Canada, and public international law; select, draft, complete or revise a document for use in a proceeding with respect to matters concerning the laws of Canada; and represent a person in a proceeding before an adjudicative body with respect to matters concerning the laws of Canada. I understand that if I am licensed in Ontario, I must comply with the Law Society Act, By-Laws, the Rules of Professional Conduct, and all other rules, regulations and requirements of the Law Society of Upper Canada. I understand that I have a continuing obligation to notify the Law Society of Upper Canada immediately of any change to the information that I have provided in this application. I shall immediately give written notice to the Law Society of Upper Canada as soon as I cease to be legally authorized to practise law in any jurisdiction outside of Ontario. I acknowledge that my application for a licence shall be deemed to have been abandoned by me immediately if I fail to: provide to the Law Society at the time that I submit my completed application, all documents and information specified by the Law Society on the application form relating to the requirement that I be of good character; or provide to the Law Society by the time specified by the Law Society, all additional documents and information specified by the Law Society relating to the requirement that I be of good character. I,, solemnly declare that all information provided by me with respect to this application, and in the documents furnished in connection with this application, is true, accurate, and complete. DECLARED BEFORE ME ) at, ) on the day of, 20 ) Signature of Applicant A Commissioner for Taking Affidavits Print Name (for office use only) Approved by: Approval date: _ Page 6

Remittance Slips Complete this remittance slip and submit the original with your application. Application for Canadian Legal Advisor L3 Licence (under By-Law 4) Any application received without the application fee cannot be processed. Application fee is non-refundable & non-transferable. FULL NAME Return this remittance slip with your non-refundable payment and enclose it with your application. Please print your name and phone number clearly on the front of your certified cheque or money order. Certified Cheque or Money Order payable to the Law Society of Upper Canada OR Charge my Credit Card VISA Mastercard AMEX Credit Card No.: Card Holder Name: Expiry Date (mm/yy): Card Holder Signature: Application Fee: $ 500. 00 HST: #121712863 $ 65. 00 Total: $ 565. 00 Yes, I would like a receipt Mail to the following address: (Please print) Tel: Office use only: Applicant Number: Page 7