Canada Disability Savings Bond & Grant Application

**Section 1:**\ Enter the Beneficiary's name **EXACTLY as it appears** on their SIN card.

Enter the **Beneficiary's Date of Birth** in the following format: Day-Month-Year\ For example: 05 June 1992

Enter the **Beneficiary's SIN** number.

**Section 2:**\ Information about the Holder of the account may be entered only IF the Holder of the account is NOT the same person as the Beneficiary.\ For example, **if the Beneficiary is under the age of 18**, their Primary Caregiver (parent) will be the Holder of the account. If *both parents* wish to be a Holder of the account, you will need to **include an Annex A** application to add the second Holder.

Enter the **Holder's SIN** number.\ It must match **EXACTLY** what is on the Holder's SIN card. **Potential Error:**\ Often the mother's (Holder's) last name on their SIN card is a different last name than what is on their government-issued identification. This occurs because of marriage/divorce complications. You MUST use the *exact name* that is on their SIN card.

Enter the **number of Holders** for this account.\ Again, if both parents wish to be a Holder of the account, you must complete an Annex A application to add the second Holder.

**Section 4:**\ Enter the Date this application is signed by the Holder.\ The **Holder must SIGN** this application.

**Section 5:**\ If the **Beneficiary is the age of 18 or older**, they must also DATE and SIGN this application.