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For office use only – Date recieved NEW Application …

Tel: 416-207-4800 FOR office USE ONLY. Real Estate Council Toll Free: 1-800-245-6910. Approved By: Date: of Ontario Fax: 416-207-4820. E-mail: Registration No.: 3300 Bloor St. W. Website: West Tower, Suite 1200 MyWeb: Toronto, Ontario M8X 2X2 Scanning Code For office use only Date recieved NEW RST CAT . Important: PRINT or TYPE all information in BLACK INK Form ANRBS / July 2014. Application for New/Reinstatement: Broker/Salesperson All new applicants and reinstatements over 60 days must submit a current, original Canadian Criminal Record Check with this form.

3300 Bloor St. W. West Tower, Suite 1200 . Toronto, Ontario M8X 2X2

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