ARCHIVED - Treaty Related / Interim Measures Report 2015-2016


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PDF Version - Fill & Print (137 Kb, 1 Page)

Form Instructions

DCI# 3843372.BC.NT.GCIMS (2015-2016) v2

Privacy Act Statement

The information you provide in this document is collected under the authority of the Treaties and Aboriginal Government Program. Information on individuals is used by Aboriginal Affairs and Northern Development Canada employees. We do not share the personal information with other government departments. The personal information will be kept for a period of 30 years. Individuals have the right to the protection of and access to their personal information under the Privacy Act. The information collected is described under the Personal Information Bank INA PSU 904, which is detailed at InfoSource.

Note: This reporting template must be used to properly identify and file any attachments in meeting the reporting requirements in GCIMS.

Recipient Name

Recipient Number

Contact - Given Name

Family Name

Email Address

Telephone Number

Project Name

Project Number

Type of Report:

Project Description: Describe the work carried out during the fiscal year for this project/initiative, in accordance with the approved proposal. Include the dates of the project activities for an interim report. If you wish to include attachments, use the "Attachment Table" below.


Project Results: Describe the results of this project/initiative, compared to the objectives in accordance with the approved proposal. If you wish to include attachments, use the "Attachment Table" below.


Attached: Project Expenditures as related to Project Budget (Revenues and Expenditures Statement)

AANDC Funding

AANDC Funding Expended



Indicate the name(s) of supporting document(s) being submitted and the method of submission.

Name of Supporting Document

Method of Submission

I hereby certify that the information provided is accurate to the best of my knowledge.

Person Authorized by the Band Council - Given Name

Family Name




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