TO BE COMPLETED BY THE OFFICER. 1 Name of originating office 2 File no. 3 NW) file no. (if known) 4 Cost recovery oode Fee GST Receipt no. 5 FOSS / NCMS ID no. 6 Equivalent offence(s) under Canadian law 7 Maximum penalty under Canadian law 8 Inadmissibility provision(s) 19' IM A36(1)a) O A36(1)b