APPENDIX – Information for each additional online undertaking

Sample form only: do not complete

This form is for reference purposes only. It is not to be completed in this format. To complete this form and submit it to the CRTC, download the MSWord format form.

Instructions

1. Online undertaking information

All information with an * is required. Information without an * is optional.

1.1 Identification of the online undertaking

* Name of the online undertaking:

Launch date (in Canada) (year/month/day):

Website(s) address(es):

1.2 Broadcasting services information

Date modified: