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Request to Appear as a Delegation

Please complete the application form; required fields are marked with *
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Freedom of Information and Protection of Privacy Act (FOIPPA)

Information collected on this form/application is done so under the general authority of the Community Charter and FOIPPA, and is protected in accordance with FOIPPA. Personal information will only be used by authorized staff to fulfill the purpose for which it was originally collected, or for a use consistent with that purpose.

City of Nanaimo public meetings may be recorded and made available online for public access. By speaking at these meetings, you are consenting to disclosure of any personal information made evident through your speech or presentation materials. You are also asserting that your presentation is in compliance with the Federal Copyright Act, and grant the City of Nanaimo license to publish these materials.

For further information regarding the collection, use, or disclosure of personal information, please contact the Legislative Services Department at 250-755-4405 or at foi@nanaimo.ca.

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