31-101F1 - Election to use NRS and Determination of Principal Regulator [F - Rescinded]

Concurrently Published:

• BCN 2006/16 - Adoption of amendments to National Instrument 31 101 National Registration System and National Policy 31 201 National Registration System [BCN - Lapsed]

General Instructions

1. A firm filer must use this form to notify its principal regulator and non-principal regulator(s) of its election to use and to have its individual filers use NRS for an application submitted in more than one jurisdiction or in a jurisdiction of a non‑principal regulator.
2. This form must be filed in paper format with the firm filer’s principal regulator and non-principal regulator(s) when submitted in connection with an application.
3. If this form is not submitted with a firm filer’s application, it may be submitted with the filer’s principal regulator and non‑principal regulators by e‑mail at the following addresses:

Alberta	nrs@seccom.ab.ca
British Columbia	registration@bcsc.bc.ca
Manitoba	securities@gov.mb.ca
New Brunswick	information@nbsc-cvmnb.ca
Newfoundland & Labrador	skmurphy@gov.nl.ca
Nova Scotia	nrs@gov.ns.ca
Ontario	registration@osc.gov.on.ca
Prince Edward Island	mlgallant@gov.pe.ca
Québec	inscription@lautorite.qc.ca
Saskatchewan	dmurrison@sfsc.gov.sk.ca
Northwest Territories	ann_burry@gov.nt.ca
Nunavut	svangenne@gov.nu.ca
Yukon Territory	corporateaffairs@gov.yk.ca

 

1.     Identification of Filer

NRD # (if applicable):                                                                                               

Firm Name:                                                                                                                

2.     Identification of Regulators

The undersigned firm is submitting an application or is registered in the following jurisdictions:

a)   Jurisdiction of Principal Regulator:                                                               

b)   Jurisdiction(s) of Non‑Principal Regulator(s):                                              

                                                                                                                       

3.     Reasons for Designation of Principal Regulator

State here the location of firm filer’s head office.

                                                                                                                                   

                                                                                                                                   

                                                                                                                                   

                                                                                                                                   

                                                                                                                                   

Certification and Submission to Jurisdiction

I, the undersigned, certify on behalf of ____________________________________ (the “Firm”) that all statements of fact provided in this notice are true and, by submitting this form, the Firm irrevocably and unconditionally submits itself to the non-exclusive jurisdiction of the judicial, quasi-judicial and administrative tribunals of each jurisdiction to which this form has been submitted and any administrative proceedings in that jurisdiction, in any action, investigation or administrative, disciplinary, criminal, quasi-criminal, penal or other proceeding (each, a proceeding) arising out of or relating to or concerning its activities as a registered filer under the securities legislation of the jurisdiction, and the Firm irrevocably waives any right to raise as a defence in any proceeding any alleged lack of jurisdiction to bring that proceeding.