TEMPLATES

1. Bank Reference Letter

2. Employer Reference Letter
3. Gift Deed
4. Affidavit
NB: There is no fixed sample. Just a specified format from CIC/IRCC.

Take Note of the following:

• Some banks/Financial Institutions already have a Reference Request form, all you just need to do is go
to the bank and fill out the form to make your own request.
• But sometimes their Reference letter format may not meet the requirement for IRCC so you may need
to submit your request letter providing a template of what you want them to highlight in the Letter of
Reference
• Some banks may not want to follow the template below to exempt themselves from any liability that
may arise but once they provide the basic requirements for IRCC, it’s okay for use

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30th September, 2019.
The Branch Manager
Access Bank PLC (Adeola Odeku)
8, Adeola Odeku Street
Ebinpejo 1, Kebbi State.

Dear Sir/Madam,

REQUEST FOR A REFERENCE LETTER

I am applying for Permanent Residency to Canada and one of the prerequisites to provide a reference letter
from my bank with the following instructions:

“The applicant should provide an official letter(s) from one or more financial institutions that lists all current
bank and investment accounts as well as outstanding debts, such as credit card debts and loans.

The letter(s) must be printed on the letterhead of the financial institution and must include the applicant’s
name, the contact information of the financial institution (address, telephone number and email address), the
account numbers, the date each account was opened and the current balance of each account as well as the
average balance for the past six months”.

Reference letter format

(on bank letter head)

Date
Central Intake Office (CIO)
Immigration, Refugees and Citizenship Canada (IRCC)
Sydney, Nova Scotia
Canada

Dear Sir,
LETTER OF REFERENCE – FIRST NAME LAST NAME (ACCOUNT NUMBER)
This letter is to certify that (immigrant’s name) maintains the following accounts with Access Bank PLC, Adeola
Odeku branch.
1. Current Account: Account number
Date opened: ……..…..
Current balance as at today, 30th September, 2019: …..…….

2. Domiciliary account (US Dollars): Account Number

Date Opened: …………
Current balance as at today, 30th September, 2019: …..…….

This is to certify that funds are fully free of any liens, debts and/or encumbrances and are maintained and
available for immediate transfers or use as of today, 30th September, 2019
3. Mrs. ….….. also holds a Nigerian Treasury Bills Investment in the Sum of …… (in words) with the bank.

Effective date: ………..

Maturity date: ………..

This letter is issued on the request of the customer.

Authorized signatory, {Bank Stamp}

For: Access Bank PLC ______________

I will be grateful if you would avail me with the letter to aid my application.

Yours faithfully,
Signature
Your Name

Tips for Employer Reference Letters

Reference Letter is a very important document in your application package. It plays important role in evaluating
your personality and your technical skills.
I would request you to always check the below points while preparing the letter
· Your reference letter should be on letterhead of your organization.
· Reference letter should always have a valid date on it
· Should carry full name of the employee
· Should carry full name of the signing executive;
· Should carry the designation of the signing executive;
. Should carry annual/monthly gross salary.
· Should carry dates of related experience (from when to when);
· Should confirm that the employee is working full time; if you could add the number of hours per week then
that would be really helpful.
· Should confirm the designation held by the signing executive while being in the employment of the company;
· Should confirm the duties and responsibilities performed by the employee
· Should carry the contact details (phone number and email ID of the signing executive.

Employer Reference Letter Format

November 13, 2017
Immigrations, Refugees and Canada
Centralized Intake Office
Sydney,
Nova Scotia

Dear Sir/Madam,

REFERENCE LETTER FOR JUDAS ISCARIOT

This is to confirm that Pontius Pilate was/is a staff of Jerusalem Nigeria Limited.
Please find his employment details below.
Job Title: Senior Betrayer of the Lord
Unit: Head Office
Start Date: 2nd January 2007
End Date: 12th June 2008
Nature of Employment: Permanent/Full-Time
Number of work hours/week: 40 hours/week
Salary: =N=10,200,000 (Annual)

DUTIES
1. Constantly ensure that you betray everybody and anything.
2. Analyze and review more ways of betrayals
3. Effectively monitor all earthly betrayals and train on betrayals
For further inquiries, please contact jerusalem@gmail.com

Thank you.

Yours faithfully,

Pontius Pilate
Head, HR/Admin
For: Jerusalem Nigeria Limited

Request for RSA Pension Letter

***Address***
***Date***

The Manager
XYZ Pension Managers Ltd.
**********,
Lagos

Dear Sir/Madam,

REQUEST FOR REFERENCE LETTER/STATEMENT OF RETIREMENT SAVINGS ACCOUNT

I am applying for permanent residency to Canada and require a reference letter/statement on my RSA from your
institution as evidence that I have some savings with you. As stipulated by the Canadian Immigration body, the
letter should be provided on the official letterhead (with contact information of your institution (address,
telephone number and email address) and show the following:
• Date account was created
• RSA number
• Current balance since inception
• That 25% of my RSA balance will be available to me upon 4 months after voluntary retirement before the age
of 50 years.

The letter should be addressed to:

Immigration, Refugees and Citizenship Canada (IRCC)
Central Intake Office (CIO)
Sydney, Nova Scotia
Canada

I will be grateful if you would avail me the letter and the statement of account to aid my application.
Thank you.

Yours faithfully,

***Your name***
RSA No: PEN*********
Gift Deed

I, Your Father Name, S/o Your Grandfather Name, R/o ADDRESS, do hereby on dated 00/10/2016 make a gift-
deed for a gift made on dated of 00/10/2016, Cds. 000000/-

(Rupees Only) out of love and affection to my Son (Your Name), S/o Father Name, ADDRESS. I confirm that I am
a resident of Ghana. I, further confirm that this gift is being made out of my own funds standing to the credit of
my A/c No.- 000000000 in ABC Bank, Bank Address. I, further confirm that the consideration for this gift is the
love and affection for my Son (Your Name) and no other consideration.

I further confirm that the gift has been made by Cheque No. 000000 dated 00/10/2016 drawn on ABC Bank,
BANK ADDRESS. This gift is irrevocable and I have no claim left

whatsoever on the said gifted amount and he is free to utilize it in any manner.

PLACE:

DATED:
(Your Father Name)

Witness:
The gift as stated above is accepted

(Your Name)

Or swear an Affidavit
AFFIDAVIT

I, Your Father Name S/o Your Grandfather Name R/o ADDRESS, do hereby state as under:
That I have gifted a sum INR Rs. 000000 (Rupees Only) through Cheque No. 00000 dated 00-10-2016 drawn on
ABC Bank, BANK ADDRESS to my son Your Name R/o ADDRESS.
That I am an Income Tax assessed having PAN No. XXXXXXXX and this gift is being made from my own past
savings.
That this gift is irrevocable and I have no claim left whatsoever on the said gifted amount and he is free to utilize
it in any manner.
(DEPONENT)

VERIFICATION
I, Your Father Name S/o Your Grandfather Name do hereby verify and confirm that contents of above deposition
are true and correct and nothing material has been

concealed therefrom.

(DEPONENT)
PLACE: -
DATE: -