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In keeping with the Privacy Act, the Application Form is confidential once completed. To ensure that all applicants' personal information is protected, the following principles will apply:
In keeping with these principles, information management for participants' data will be undertaken as follows:
Provision of the information requested on this form is voluntary.
The personal information requested in this report is collected under the authority of the Department of Health Act, the Food and Drugs Act, and the Food and Drugs Regulationsfor the purpose of establishing a pool of individuals whose input will be solicited by HPFB programs on a range of health products and food related consultations.
Failure to provide the personal information requested may affect Health Canada's ability to match Pool participants with HPFB programs seeking individuals for consultations.
Personal information that you provide is protected under the provisions of the Privacy Act. The Privacy Act gives you the right to access and/or to correct your personal information. The collection of personal information is described in Personal Information Bank HP PPU 413. If you require clarification about this statement, contact our Access to Information and Privacy Coordinator at 613-954-9165 or e-mail atip-aiprp@hc-sc.gc.ca.