33.6. A collection agent representative must, upon applying for the issue or renewal of a certificate, send the following to the president, on the form provided by the latter:(a) the representative’s name, domicile address and professional address, date of birth, personal and professional telephone numbers and, if applicable, the representative’s personal and professional electronic addresses and fax number;
(b) the name, address and permit number of each collection agent to whom the representative is bound by an employment contract or a service contract; and
(c) a statement whereby the applicant, at the time of the application, certifies thati. he has not committed, during the 3 preceding years, an offence against the Act or this Regulation;
ii. he has not been found guilty, during the 3 preceding years, of an offence against a statute or regulation under the administration of the Office de la protection du consommateur, or of a criminal offence, unless a pardon has been granted; and
iii. the information provided in the application is true.