Actuel Page 1 Page 2 Aperçu Personal information on this form is collected under Section 31(c) of the Freedom of Information and Protection of Privacy Act R.S.P.E.I. 1988, c f-15.01 as it relates directly to and is necessary for determining eligibility. If you have any questions about this collection of personal information, you may contact the Innovation PEI Office by telephone at 1-800-563-3734 or by email at innovation@gov.pe.ca. Identification Prénom Initiale Nom Adresse 1 Adresse 2 Ville, municipalité, communauté Province Code postal Exemple : C1B 0X1 ou 12345 Pays Numéro de téléphone Exemple : 902-555-5555 Adresse courriel Cell Phone Number For example 902-555-5555 County - Sélectionner -PrinceQueensKings Is the civic address/location of this project different from the address above? - Sélectionner -YesNo Civic Address Address City, Town or Community Postal Code For example C1B 0X0 or 12345 Applying as: - Sélectionner -Property OwnerLeaseholder with Approval from the Property Owner Are you a full-time permanent resident of PEI? - Sélectionner -YesNo