Le Relais: Permanent Resident Registration Form
Welcome to Le Relais Francophone !
We offer FREE settlement and integration services to newcomers across BC

In Victoria, contact Ximena Londono at 250-885-2803 or xlondono@lerelaiscb.ca for any further assistance and information

Information collected in this form is STRICTLY CONFIDENTIAL and is used only for the purposes of registering Permanent residents to our FREE GOVERNMENT FUNDED SERVICES and ACTIVITIES

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Bienvenu au Relais Francophone!

Nous sommes une association à but non lucrative qui offre des services GRATUITS aux résidents permanent qui cherchent à s’établir dans la région de Victoria.

Vos données restent strictement CONFIDENTIELLES et ne nous servent qu’à vérifier votre éligibilité en tant que résident permanent à nos services



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Helping newcomer families settle and integrate

Nous aidons les nouveaux arrivant à s’installer dans la communauté


First and last name of the head of the household (principal provider of the family)
Nom et prénom de la personne à contacter dans la famille
Email
Telephone
Postal code
Full address (including apartment number and buzz)
Date of birth
MM
/
DD
/
YYYY
Permanent resident number (number in front of your PR card as shown in the picture)
What programs and activities are you interested in participating?
Please note all our programs and activities are completely FREE of charge


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How many members of the family are there in total excluding yourself and what is their immigration status?
- Permanent residents
- Refugee claimant
- Naturalized Canadian citizens
- Temporary resident visa
- Student visa
- Visitor visa
For EACH member of the family, please provide 
- Relationship (wife, husband, son, daughter, etc)
- Full name
- Date of birth 
- Permanent resident number (or visa number)
Please note that for FREE Party Bus Tickets or $10 DISCOUNT for Fiesta Decembrina con Sabor Latino the information must be complete for EVERY PERSON in the family participating in this activity

For EACH member of the family, please provide 
- Relationship (wife, husband, son, daughter, etc)
- Full name
- Date of birth 
- Permanent resident number (or visa number)
For EACH member of the family, please provide 
- Relationship (wife, husband, son, daughter, etc)
- Full name
- Date of birth 
- Permanent resident number (or visa number)
For EACH member of the family, please provide 
- Relationship (wife, husband, son, daughter, etc)
- Full name
- Date of birth 
- Permanent resident number (or visa number)
For EACH member of the family, please provide 
- Relationship (wife, husband, son, daughter, etc)
- Full name
- Date of birth 
- Permanent resident number (or visa number)
For EACH member of the family, please provide 
- Relationship (wife, husband, son, daughter, etc)
- Full name
- Date of birth 
- Permanent resident number (or visa number)
For EACH member of the family, please provide 
- Relationship (wife, husband, son, daughter, etc)
- Full name
- Date of birth 
- Permanent resident number (or visa number)
For EACH member of the family, please provide 
- Relationship (wife, husband, son, daughter, etc)
- Full name
- Date of birth 
- Permanent resident number (or visa number)
Submit
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