Template of the Basic International Telecommunications Services (BITS) Affidavit
The bracketed text is for example purposes only. Replace it with your own information.
Affidavit for BITS Licence
In the matter of an application for the issuance of a licence for the provision of basic international telecommunications services (BITS) pursuant to section 16.3 of the Telecommunications Act
I, [Sacha Rivard] (full legal name of individual whose name matches the individual’s name in form 503),
of [Gatineau] (city/town)
of [Quebec] (province/territory/state),
in the country of [Canada].
MAKE OATH AND SAY / [] SOLEMNLY AFFIRM as follows:
Personal knowledge
I have personal knowledge of the matters hereinafter deposed to, and I believe the same to be true.
Relationship to applicant
I am authorized to make this affidavit on behalf of the applicant and, as of the date of this affidavit, I am:
[] an officer of the applicant, holding the title of [Chief Operating Officer]; or
legal counsel to the applicant.
Applicant’s legal status
The applicant is a legal entity incorporated on [July 1, 1855] (date of incorporation),
under the laws of [Quebec] (jurisdiction of incorporation or formation: province/territory/status/country, etc.).
Legal name of the applicant (name of legal entity)
The legal name of the applicant (legal entity), as it appears on form 503, is:
[Chaudière Link Telecom]
Operating/trade names (if applicable)
The applicant operates, or intends to operate, as a telecommunications service provider under the following brand or trade name(s) (if any):
[Hull Packets, Rivière Link Télécom]
Applicant’s address
The principal business address of the applicant
[1 Promenade du Portage,
Gatineau QC
J8X 4B1]The applicant intends to manage or operate or resell or convert from analog to digital (or vice-versa) telecommunications service traffic between Canada and another country.
Pursuant to section 16.4 (2) of the Telecommunications Act, the applicant consents to the revocation of any Basic International Telecommunications Services licence previously issued to it, upon the issuance of the licence requested in this application.
SWORN/SOLEMNLY AFFIRMED before me at the
of the [Gatineau] (city/town)
of [Quebec] (province/territory/state),
in the country of [Canada],
this [5] day of [May] (month) in the year of [2026].
Commissioner for Oaths (Canada only) / Notary Public
Signature of Deponent
- Date modified: