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KMC Client Registration Form

Welcome to the Kababayan Multicultural Centre (KMC) client registration form. By completing this form, you will be connected with one of our counsellors, who will provide timely and personalized support to meet your needs.

All of our services are free of charge, made possible through funding from Immigration, Refugees and Citizenship Canada (IRCC) and other government partners. As part of our funding requirements, we collect specific information from our clients to ensure our programs meet your needs and to report on our services.

Please be assured that KMC is fully committed to protecting your privacy and maintaining the confidentiality of all personal information provided through this secured form. KMC adheres to all Canadian privacy laws, including the Personal Information Protection and Electronic Documents Act (PIPEDA). For more details, you can review KMC's Consent and Confidentiality Statement at the end of this page.

Your Personal Details

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Current Residential Address

Immigration Related Information

Note: UCI (Unique Client Identifier) is optional but encouraged—if not provided, our counsellor will contact you to collect this information before receiving services.

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Immigration Document: Optional but encouraged—if not provided, our counsellors must verify your information using one of the following immigration documents before services can be delivered:

  • Permanent Resident Card
  • A confirmation of Permanent Residence (COPR) letter/document
  • A Notice of Decision letter
Drop files here or
Accepted file types: pdf, docx, doc, jpg, gif, tiff, Max. file size: 10 MB, Max. files: 1.

    Services

    Details of Family Members

    Would you like to register your family members so that they can also receive services with us?

    Member 1

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    Member 2

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    Member 3

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    Member 4

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    Member 5

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    Member 6

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    Consent for the Collection, Use and Disclosure of Personal Information

    KMC is committed to protecting your privacy and ensuring that your personal information is collected, used, and disclosed in a secure and respectful manner. KMC adheres to the Government of Canada’s Privacy Act, the Province of Ontario’s Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c. F.31 and the Personal Information Protection and Electronic Documents Act (PIPEDA) to ensure that your personal information is protected and secured.

    Please find more details about KMC's commitment to protecting your personal information in our Declaration and Consent form.

    By submitting your registration form and providing your initials or signature in the designated box, you confirm your agreement to the terms outlined in this consent form regarding the use of your personal information.

    Mail Consent
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    Charity Registration Number: 118976653RR000

    Downtown Toronto

    1313 Queen St. West

    (416) 532-3888

    North York

    540 Finch Ave. West

    (416) 633-5056

    Toronto Public Library,
    Parkdale Branch

    1303 Queen St. W., Toronto

    (647) 836-9578

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