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Canada Income Tax Forms

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					 NSERC                                                     Form E-9
 350 Albert Street                            Address for Income Tax Form T4A
 Ottawa, Ontario                 (Visiting Fellowships in Canadian Government Laboratories)
 K1A 1H5
 Canada


                                                                                        To be completed and returned to NSERC
                                                                                   upon completion/termination of the fellowship
 Date                                        PIN                                         Application ID




 Please send my statement of income for tax purposes (form T4A) to the following address (please print).
 Name



 Address

 _________________________________________________________________________________________________________

 _________________________________________________________________________________________________________

 Fellow’s signature




September 2007

				
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