Form 7Z - Uniform termination notice (BC) [F - Rescinded]
Published Date: | 1997-01-03 |
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Effective Date: | 1997-01-31 |
Rescinded Date: | 1997-07-31 |
This is a form required under sections 28(1)(b) and (c) and 28(2)(a) and (b) of the Securities Act.
FORM 7Z
UNIFORM TERMINATION
NOTICE (B.C.)
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Freedom of Information and Protection of Privacy Act
The personal information requested on this form is collected under the authority of and used for the purpose of administering the Securities Act. Questions about the collection or use of this information can be directed to the Supervisor, Registration, British Columbia Securities Commission, 1100 - 865 Hornby Street, Vancouver, British Columbia, V6Z 2H4. Telephone (604) 660-4833. Toll Free within British Columbia 1-800-373-6393.
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Instructions
Registered dealers, underwriters and advisers must file a Uniform Termination Notice (B.C.) where there is termination of employment of a registered salesperson or advising employee or termination of employment or office of a partner, director or officer. References to "employee" in this form should be read to include "partner, director or officer" and "employment" to include "office".
DATE OF TERMINATION: _______________________________________
NAME OF EMPLOYEE: _________________________________________
NAME OF EMPLOYER: _________________________________________
ADDRESS WHERE EMPLOYED: (If branch office, so state) _______________________
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RESIDENTIAL ADDRESS: ______________________________________
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TELEPHONE NO.: ____________________________________________
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PARTICULARS OF DISCONTINUANCE:
o UNSOLICITED (voluntary) o DISMISSED FOR CAUSE
o SOLICITED BY EMPLOYER o OTHER (explain) __________________
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- State reasons for discontinuance:
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_______________________________________________________ - (a) To the best of the employer's knowledge, have there been any changes in the information given in questions 13 through 18 of the Uniform Application for Registration/Approval previously filed by the employee?
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_______________________________________________________ (i) any investigation, disciplinary action or proceeding?
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(ii) any offences under the law?
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(iii) any civil proceedings?
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(v) any judgments, garnishments or out-of-court settlements with clients?
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(b) Is the employee now, or at anytime during employment with the employer, ever been the subject of:
(i) unresolved client complaints?
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(ii) internal discipline or restrictions for violations of regulatory requirements?
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(c) Is the employer in possession of any information that would suggest that the employee has engaged in any conduct that contravenes regulatory requirements or is inconsistent with dealing fairly, honestly and in good faith with clients?
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(d) If "yes" to any of the above give full particulars:
_______________________________________________________ - (a) Are employee's accounts, or those controlled by the employee, fully secured, margined or paid?
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(b) Are clients' accounts fully margined, secured or paid?
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(i) If "No", indicate total number of unmargined or bad debt accounts in excess of $5,000.00 and set out amounts of each account (including those written off or charged to the employee in the past 12 months):
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(ii) In the opinion of the employer, were unmargined or unsecured client accounts the result of bad business or credit practices on the part of the employee?
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Provide particulars:
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_______________________________________________________ - (a) Has the employee seen this form?
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(b) If the employee's signature is not obtained, state the reasons:
_______________________________________________________
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I am satisfied that the information in this Uniform Termination Notice (B.C.) reflects the knowledge of the employee's supervisors and the employer's management.
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Date Signature of Authorized Person
_________________________________ _________________________________
Position Held Name of Authorized Person (Please Print)
I have reviewed this Uniform Termination Notice (B.C.) and do/do not agree with the information contained therein
Provide particulars for not agreeing _______________________________________
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Date Signature of Employee