Canadian Permanent Residency

Application for Canadian Permanent Residency – Provincial Nominee Class (IMM P7000)

Overview

Application package for Canadian Permanent Residency

This  Canadian PR Process application package has:

• an instruction guide, and
• the forms you need to fill out.

The instruction guide:

• has information you must know before you submit your application, and
• explains how to fill out the forms and gather your supporting documents.

Read the Canadian Permanent Residency application instruction guide completely and then fill out each of the applicable forms.

The forms are designed with questions that will help the processing of your application.

Symbols used in this guide

This guide uses these symbols to draw your attention to important information:

What you must do to have your application processed.

Important information that you need to know to avoid delays or other problems.

Where to get more information.

Read and follow the steps below to help you fill out the form.

Application Details

Question 1

From the list, select the Program under which you are applying:

• Family
• Economic
• Refugee
• Other

Question 2

From the list, select the Category under which you are applying:

• If you chose “Family” in question 1, select one of the following:
  • Spouse
  • Common-law partner
  • Conjugal partner
  • Dependent child/adopted child
  • Child to be adopted in Canada
  • Parents/grandparents
  • Orphaned
    sibling/nephew/niece/grandchild
  • Other relative
• If you chose “Economic” in question 1, select one of the following:
  • Atlantic High Skilled Program
  • Atlantic International Graduate Program
  • Atlantic Intermediate Skilled Program
  • Home Child Care Provider Pilot
  • Home Support Worker Pilot
  • Rural and Northern Immigration Program
  • Federal Skilled Worker
  • Federal Skilled Trades
  • Self-Employed
  • Provincial Nominee
  • Canadian Experience Class
  • Quebec Selected Skilled Worker
  • Quebec Selected Entrepreneur
  • Quebec Selected Self Employed
  • Quebec Selected Investor
  • Live-in Caregiver Program (LCP)
  • Start-up Business
  • Caregivers Program (select for the Interim Pathway for Caregivers)
  • High Medical Needs Program
  • Immigrant Investor Venture Capital Pilot Program
  • Agri-Food Immigration Pilot
• If you chose “Refugee” in question 1, select one of the following:
  • In Canada – Refugee Claim
  • In Canada – Protected Person (for Convention Refugees or other protected persons applying for permanent residence from within Canada)
  • Outside Canada – Refugee (for Convention Refugees or other protected persons applying for permanent residence from outside Canada)
• If you chose “Other” in question 1, select one of the following:
  • In Canada – Humanitarian & Compassionate Considerations
  • Permit Holder Class
  • Temporary Public Policy for Out-of-Status Construction Workers in the Greater Toronto Area

Question 3

Enter the total number of family members included in your application. This includes yourself and any family members, regardless of whether they intend to accompany you to Canada or not.

For refugee claimants in Canada only: Enter the total number of family members included in your application for refugee protection who are with you in Canada.

Question 4

Language preference

From the list, select your preferred language for:

1. correspondence
2. interview: if your native language is not in this list, select “other”
3. interpreter requested: you must select “yes” if you do not select English or French for the interview

Question 5

Where do you plan on living in Canada?

From the list select the:

1. Province/Territory
2. City/Town

Question 6

If you plan to live in the Province of Quebec and are applying under a Quebec immigration program, have you received your Certificat de Sélection du Québec (CSQ)?

1. Select the corresponding box
2. If you selected “Yes”, enter the CSQ number
3. If you selected “No”, enter the date when you applied for your CSQ (if you have not yet applied, please do so before applying for permanent residence)

Principal Applicant’s Personal Details

The Principal Applicant must answer the following questions.

Question 1

Enter your full family name (surname or last name) as shown on your passport, travel or identity document.

Enter all of your given name(s) (first, second or more) as shown on your passport, travel or identity document. Do not use initials.

Question 2

Nickname/Alias

Select the box to tell us if you have ever used any other names than those indicated in question one. This could be your birth name, maiden name, married name, nickname, etc. If “Yes”, enter your nickname/alias in the family name and given name(s) fields.

Question 3

If you know your Unique Client Identifier number (UCI) or Client Identification number (Client ID), enter it here without any spaces. If you applied for temporary or permanent residence in the past, this is an 8 or 10 digit number you can find on previous documents sent by us. If this is your first application with us, or if you do not know your UCI, leave this space blank.

Question 4

From the list, select your gender (F-Female, M-Male or X-Another gender).

Question 5

Enter your height in either centimetres or feet and inches.

Question 6

From the list, select your eye color.

Question 7

Enter your date of birth. If you do not know your complete date of birth, please use an “*” (asterisk) to fill in the spaces for the unknown year, month or day. For example, if the day and month of your date of birth is unknown you could enter 1964/*/*.

Question 8

Enter your place of birth, including the city or town, or country of birth as shown in your passport or your travel document.

Question 9

Citizenship(s)

1. From the list, select your country of citizenship.
2. If you are a citizen of more than one country, select your other country of citizenship.

Question 10

Current country of residence

From the list, select:

• The name of your current country of residence. Your country of residence is the country in which you are residing, provided that you have been lawfully admitted to that country.

For refugee claimants in Canada only: select Canada whether you have been lawfully admitted or not.

• Your immigration status in that country (indicate one of the following):
  • Citizen
  • Permanent resident
  • Visitor
  • Worker
  • Student
  • Other
  • Protected Person
  • Refugee Claimant
  • Foreign National
• Other: This section must be completed if you selected “Other” as a status.
• The dates (From – To) you have been living in your current country of residence.

For out-of-status applicants:

• for “Status” select “Other”;
• for “Other” type in “Out of status, requires restoration”;
• leave the “From” and “To” boxes blank.

Question 11

Enter the date of your last entry to Canada, if applicable.

Enter the place you last entered Canada (example: Toronto airport, Lacolle border crossing, seaport Yarmouth, etc.).

Question 12

Previous countries of residence

Select the box to tell us if you have lived in any country other than your country of citizenship or your current country of residence for more than six (6) months in the past five (5) years.

If you checked “Yes”, for each country select:

• The name of the country you lived in
• Your immigration status for the time you were in that country:
  • Citizen
  • Permanent resident
  • Visitor
  • Worker
  • Student
  • Other
  • Protected Person
  • Refugee Claimant
  • Foreign National
• Other: This section must be completed if you selected “Other” as a status
• The dates (From – To) you were living in that country.

Question 13

1. From the list, choose your current marital status:

   Annulled Marriage:

   This is a marriage that is legally declared as not valid. An annulment can also be a declaration by the Catholic Church that the marriage union did not have a binding force.

   Common-
   Law:

   This means that you have lived continuously with your partner in a marital-type relationship for a minimum of one (1) year.

   Divorced:

   This means that you are officially separated and have legally ended your marriage.

   Legally Separated:

   This means that you are married, but no longer living with your spouse.

   Married:

   This means that you and your spouse have had a ceremony that legally binds you to each other. Your marriage must be legally recognized in the country where it was performed and in Canada.

   Single:

   This means that you have never been married and are not in a common-law relationship.

   Widowed:

   This means that your spouse has died and that you have not re-married or entered into a common-law relationship.

2. Enter the date (year, month and day) you were married or you entered into your current common-law relationship.
3. Enter the family name(s) and given name(s) of your current spouse or common-law partner.

Question 14

Select the box to tell us if you have been married or in a common-law relationship. If you checked “Yes”, give the following details for your previous spouse/common-law partner:

• Family name(s)
• Given name(s)
• Type of relationship:
  • Common-law or
  • Married
• Dates (From – To) for which you were in the relationship with your previous spouse/common-law partner
• Date of birth.

Contact Information

Question 1

Enter your current mailing address (where information should be mailed) by typing the following information:

• Post Office Box (P.O. Box) number, if applicable. If you do not enter a post office box, you must provide the Street number must
• Apartment (Apt.) or Unit, if applicable
• Street number (No.), if applicable. It is the number on your house or apartment building. You must provide a street number if you did not enter in a P.O. Box
• Street name, if applicable
• City or Town
• From the list, select the Country of your current mailing address
• Province or State
• Postal code/zip code
• District, if applicable

If you wish to have a representative who can conduct business on your behalf, you must provide their address in this section and on the Use of a Representative (IMM 5476) form.

For more information read the Use of a Representative guide.

Question 2

Select the box to tell us if your residential address (where you live) is the same as your mailing address. If “No”, enter the following information:

• Apartment (Apt.) or Unit, if applicable
• Street Number (No.). It is the number on your house or apartment building.
• Street Name
• City or Town
• Country
• Province or State
• Postal Code/zip code
• District, if applicable

Question 3

Enter your telephone number including the country code, area/regional codes, etc. (et cetera)

If you have an extension number, indicate it after your phone number under “Ext. (extension)”

Select the box to tell us if your telephone number is from Canada/the United States (US) or Other (any other country).

From the list, select the type of telephone:

• Residence (home)
• Cellular (cell/mobile)
• Business (work)

Question 4

If you have a second telephone number enter it here including the country code, area/regional codes, etc. (et cetera).

If you have an extension number, indicate it after your phone number under “Ext. (extension)”

Providing an alternate telephone number will help make sure we can contact you with information about your application.

Select the box to tell us if your second telephone number, is from Canada/the United States or Other (any other country).

From the list, select the type of telephone:

• Residence (home)
• Cellular (cell/mobile)
• Business (work)

Question 5

If you have a fax number, enter it here, including country code, area/regional codes, etc. (et cetera).

Select the box to tell us if the facsimile (fax) number is from Canada or the United States or Other (any other country).

Question 6

If you have an email address, enter it here. (e.g.:[email protected])

Passport

Question 1

Select the box to tell us if you have a valid passport or travel document If you don’t have one or can’t obtain one, you must select the “No” box.

Question 2

If you select “Yes”, provide your passport or travel document number exactly as shown on the document. Make sure there is no space between each number or letter.

Question 3

From the list, select the name of country or territory that issued your passport or travel document.

Question 4

Enter the date your passport or travel document was issued.

Question 5

Enter the date your passport or travel document will expire.

Question 6

For this trip – select Yes or No to tell us if you are using a passport issued by the Ministry of Foreign Affairs in Taiwan that shows your personal identification number.

Question 7

For this trip – select Yes or No to tell us if you are using a National Israeli passport.

National Identity Document

Question 1

Select the box to tell us if you have a valid national identity document.

Question 2

If you selected “Yes”, provide your national identity document number exactly as shown on the identity document. Make sure there is no space between each number or letter.

Question 3

From the list, select the name of the country or territory that issued your national identity document.

Question 4

Enter the date your national identity document was issued.

Question 5

Enter the date your national identity document will expire.

Education/Occupation Detail

Question 1

From the list, select your highest level of education.

• None: No education
• Secondary or less: High school diploma obtained after elementary school and before college, university, or other formal training.
• Trade / Apprenticeship certificate / Diploma: Diploma completed in a specific trade, such as carpentry or auto mechanics.
• Non-university certificate / Diploma: Training in a profession that requires formal education but not at the university level (for example, dental technician or engineering technician).
• Post-secondary – No degree: Post-secondary studies at a college or university but no degree earned.
• Bachelor’s degree: Academic degree awarded by a college or university to those who completed an undergraduate curriculum; also, called a baccalaureate. Examples include a Bachelor of Arts, Science or Education.
• Post Graduate – No degree: Post Graduate studies at a college or university but no degree earned (Master of PhD).
• Master’s degree: Academic degree awarded by a graduate school of a college or university. You must have completed a Bachelor’s degree before a Master’s degree can be earned.
• Doctorate – Ph D: Highest university degree usually based on at least three (3) years of graduate studies and a thesis. Normally, you must have completed a Master’s degree before a PhD can be earned.

Question 2

Enter the total number of years of formal education that you have completed, including elementary and secondary school.

Question 3

Enter your current occupation.

Question 4

Enter your intended occupation in Canada.

Language Detail

Question 1

This question is not for selection purposes. One of Canada’s immigration objectives is to support and assist the development of minority language communities in Canada.

1. From the list, select your first (native) language. This is the language that you learned at home during your childhood and that you still understand. If your native language is not in this list, select “Other”.
2. If your native language is not English or French, select which one you would most likely use:
   • English
   • French
   • Neither

Question 2

From the list, select whether you are able to communicate in English and/or French:

• English
• French
• Both
• Neither

Dependant(s)

You must answer each question on behalf of each of your dependant(s).

To add a new dependant to the application, click the “Add Dependant” button, located at the bottom of the page.

To remove a dependant from the application, click the “Remove Dependant” button.

You can add up to five (5) dependants using this form.

If you have more than five (5) dependants:

To include everyone in your application you must complete the following form for each additional family member:

• Additional Dependants/Declaration [IMM 0008DEP] (PDF, 0.44 MB)

Note

Important

You must list all family members in your application for permanent residence, whether they are accompanying you to Canada or not. You must also provide details on family members whose location is unknown (including those missing or presumed dead). If these family members are not listed on your application, you will not be able to sponsor them at a later date.

Dependant’s Personal Details

Questions 1-9

Questions 1 to 9 are the same questions you answered for yourself. See the previous instructions to help you answer the questions for your dependant(s).

Question 10

1. From the list, select your dependant’s relationship to you, the principal applicant:
   • Adopted Child
   • Child
   • Common-law partner
   • Grandchild
   • Other
   • Spouse
   • Step-Child
   • Step-Grandchild
2. Complete if you select “Other”

Question 11

1. Select the box to tell us if your dependant will accompany you to Canada.
2. If you answered “No”, explain why your dependant is non-accompanying.

Question 12

From the list, select the type of dependant:

Type A

The dependant is under the age of 22 and single (not married and not in a common-law relationship).

Type B (Important: This dependent type applies only if your child’s age was locked in before August 1, 2014)

The dependant has been continuously enrolled in and in attendance as a full time student at a post-secondary institution accredited by the relevant government authority and has depended substantially on the financial support of a parent since before the age of 22.

Type C

The dependant is 22 years of age or older, has depended substantially on the financial support of a parent since before the age of 22, and is unable to provide for themselves because of a medical condition.

Not sure which type of dependant your child is? Check if your child qualifies as a dependant by answering a few questions.

Question 13

Current country of residence

From the list, select the appropriate information to tell us:

• The name of your dependant’s current country of residence. The country of residence is the country in which they are residing, provided they have been lawfully admitted to that country.

For refugee claimants in Canada only: select Canada whether your dependant has been lawfully admitted or not.

• Your dependant’s immigration status in that country (indicate one of the following):
  • Citizen
  • Permanent resident
  • Visitor
  • Worker
  • Student
  • Other
  • Protected Person
  • Refugee Claimant
  • Foreign National
• Other: This section must be completed if you selected “Other” as a status.
• The dates (From – To) your dependant has been living in their current country of residence.

For out-of-status applicants:

• for “Status” select “Other”;
• for “Other” type in “Out of status, requires restoration”;
• requires restoration, Leave the “From” and “To” boxes blank.

Question 14

Enter the date of your dependant’s last entry to Canada.

Tell us the place they last entered Canada (example: Toronto airport, Lacolle border crossing, seaport Yarmouth, etc.).

Question 15

Previous countries of residence

Select the box to tell us if your dependant has lived in any country other than their country of citizenship or their current country of residence for more than six (6) months in the past five (5) years.

If you checked “Yes”, select the appropriate information from the list to tell us the following:

• The name of the country your dependant lived in
• Your dependant’s immigration status for the time they were in that country:
  • Citizen
  • Permanent resident
  • Visitor
  • Worker
  • Student
  • Other
  • Protected Person
  • Refugee Claimant
  • Foreign National
• Other: This section must be completed if you selected “Other” as a status
• The dates (From – To) your dependant was living in that country.

Question 16

1. From the list, select your dependant’s current marital status:
   • Annulled Marriage
   • Common-Law
   • Divorced
   • Legally Separated
   • Married
   • Single
   • Widowed
2. Enter the date (year, month and day) your dependant was married or entered into their current common-law relationship.
3. Tell us the family name(s) and given name(s) of your dependant’s current spouse or common-law partner.

Question 17

Select the box to tell us if your dependant has previously been married or in a common-law relationship. If you selected “Yes”, give the following details for your dependant’s previous spouse/common-law partner:

• Family name(s)
• Given name(s)
• Type of relationship:
  • Common-law or
  • Married
• Dates (From – To) your dependant was in the relationship with their previous spouse/common-law partner.

Passport

Question 1

Select the box to tell us if your dependant has a valid passport or travel document. If you don’t have one or can’t obtain one, you must select the “No” box.

Question 2

If you selected “Yes”, provide their passport or travel document number exactly as shown on the document. Make sure there is no space between each number or letter.

Question 3

From the list, select the name of the country or territory that issued their passport or travel document.

Question 4

Enter the date their passport or travel document was issued.

Question 5

Enter the date their passport or travel document will expire.

Question 6

For this trip – select Yes or No to tell us if they’re using a passport issued by the Ministry of Foreign Affairs in Taiwan that shows their personal identification number.

Question 7

For this trip – select Yes or No to tell us if they’re using a National Israeli passport.

National Identity Document

Question 1

Select the box to tell us if your dependant has a valid national identity document.

Question 2

If you selected “Yes”, provide their national identity document number exactly as shown on the document. Make sure there is no space between each number or letter.

Question 3

From the list, select the name of the country or territory that issued their national identity document.

Question 4

Enter the date their national identity document was issued.

Question 5

Enter the date their national identity document will expire.

Education/Occupation Detail

Question 1

From the list, select your dependant’s highest level of education.

• None: No education
• Secondary or less: High school diploma obtained after elementary school and before college, university, or other formal training.
• Trade / Apprenticeship certificate / Diploma: Diploma completed in a specific trade, such as carpentry or auto mechanics.
• Non-university certificate / Diploma: Training in a profession that requires formal education but not at the university level (for example, dental technician or engineering technician).
• Post-secondary – No degree: Post-secondary studies at a college or university but no degree earned.
• Bachelor’s degree: Academic degree awarded by a college or university to those who completed an undergraduate curriculum; also, called a baccalaureate. Examples include a Bachelor of Arts, Science or Education.
• Post Graduate – No degree: Post Graduate studies at a college or university but no degree earned (Master of PhD).
• Master’s degree: Academic degree awarded by a graduate school of a college or university. You must have completed a Bachelor’s degree before a Master’s degree can be earned.
• Doctorate – Ph D: Highest university degree usually based on at least three (3) years of graduate studies and a thesis. Normally, you must have completed a Master’s degree before a PhD can be earned.

Question 2

Tell us the total number of years of formal education that they completed, including elementary and secondary school.

Question 3

Tell us their current occupation.

Question 4

Tell us their intended occupation in Canada.

Language Detail

Question 1

This question is not for selection purposes. One of Canada’s immigration objectives is to support and assist the development of minority language communities in Canada.

1. From the list, select your dependant’s first (native) language. This is the language that they learned at home during their childhood and they still understand. If their native language does not appear in this list, select “Other”.
2. If your dependant’s native language is not English or French, select which one they would most likely use:
   • English
   • French
   • Neither

Question 2

From the list, select if they are able to communicate in English and/or French:

• English
• French
• Both
• Neither

Question 3

Select Yes or No to tell us if your dependant(s) have taken a test from a designated testing agency to assess their proficiency in English or French.

Consent and Declaration of Applicant

1. Once the application is completed, click on the “Validate” button located at the top or bottom of the form. This will generate a barcode page or pages (see image below).

1. Print all pages of your application form.
2. Read all of the statements in all sections carefully and:
   
   Note
   1. Write your name in the space provided.
   2. Check the appropriate box to indicate if you agree that the information contained in this application related to your intended occupation, education and work experience may be shared with prospective employers in order to assist them in hiring workers.
   3. Sign, with a hand written signature, and date in the spaces provided.

   By signing, you certify that you fully understand the questions asked, and that the information you have provided is complete, truthful, and correct. If you do not sign and date, the application will be returned to you.

3. Place the barcode page(s) on the top of your application (forms and supporting documents) when you submit it.

Additional Dependants/Declaration Form (IMM 0008DEP)

Who must fill out this application form?

This form must be completed by:

• You, the principal applicant, on behalf of each of your dependants not included in the Generic Application Form for Canada (IMM 0008).

The questions are the same that you answered for yourself and other dependants on the IMM 0008.

Follow the previous instructions to help you answer the questions.

Consent and Declaration of Applicant

Read all of the statements in all sections carefully and then:

1. Write your dependant’s name in the space provided.
2. Select the box to tell us if you agree that the information contained in this application related to your dependant’s intended occupation, education and work experience may be shared with prospective employers to assist them in hiring workers.
3. Sign and date in the spaces provided.

By signing, you certify that your dependant fully understands the questions asked, and that the information you have provided is complete, truthful, and correct. If you do not sign and date, the application will be returned to you.

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Schedule A – Background/Declaration (IMM 5669)

This form must be completed by:

• you, the principal applicant;
• your spouse or common-law partner (whether accompanying you to Canada or not), and
• your dependent children aged 18 years or older (whether accompanying you to Canada or not).

For refugee claimants in Canada: Only family members included in your application for refugee protection who are with you in Canada must complete this form.

Question 1

Enter your full family name (surname or last name) exactly as it is shown on your passport, travel or identity document.

Enter all of your given name(s) (first, second or more) exactly as they are shown on your passport, travel or identity document. Do not use initials.

Question 2

Enter your name in your native language or script (if applicable).

For example: Arabic, Cyrillic, Chinese, Farsi, Korean, Japanese characters or Chinese commercial/telegraphic code.

Question 3

Enter your date of birth. If you do not know your complete date of birth, please use an “*” (asterisk) to fill in the spaces for the unknown year, month or day. For example, if the day and month of your date of birth is unknown you could enter 1964/*/*.

Question 4

Provide your father’s personal details including their:

• family name (surname or last name),
• given name(s),
• date of birth,
• town or city of birth,
• country of birth,
• date of death (if applicable).

Question 5

Provide your mother’s personal details including their:

• family name (surname or last name),
• given name(s),
• date of birth,
• town or city of birth,
• country of birth,
• date of death (if applicable).

Question 6

Answer each question by checking the appropriate box.

If you answered “Yes” to one or more of these questions, you must explain what happened in the space provided. If you need more space, attach a separate sheet of paper.

For questions 7-12, when answering:

• Do NOT use abbreviations
• Do NOT leave gaps in time

If a question doesn’t apply to you, write “N/A” in the question.

If you need more space, attach a separate sheet of paper.

Important information: Processing will be delayed if you do not account for all periods of time.

Question 7

Education

Enter the number of years of formal education you have completed at each of the levels indicated.

Provide the details about each secondary and post-secondary educational institution you attended, including the:

• period of time that you attended the institution,
• name of the institution,
• city and country,
• type of certificate or diploma issued, and
• field of study.

If no diploma was issued, write “N/A”. If you need more space, attach a separate sheet of paper.

Question 8

Provide the details of your personal history since the age of 18, or the past 10 years, whichever is most recent.

Start with the most recent information.

If you were working:

• under “Activity”, enter your occupation or job title.
• make sure you provide a specific job title
• If your job title is not clear, provide a brief list of your duties

If you were not working:

• Explain what you were doing (for example: unemployed, studying, travelling, retired, in detention, etc.)

If you were outside your country of nationality, enter your status of the country you were in.

Important information: Please ensure that you do not leave any gaps in time. Failure to account for all time periods will result in a delay in the processing of your application.

Question 9: Membership in organizations

If you were or still are a member of an association or organizing, enter the names here.

This includes:

• political organizations,
• social organizations,
• youth or student organizations,
• trade unions, and
• professional associations.

If you were not a member of an association or organization, do not write “not applicable”. Instead, enter: “I have never been a member of an organization or association”.

Question 10

Enter any government positions you have held in the past such as:

• Civil servant;
• Judge;
• Police officer;
• Employee in a security organization;
• Etc.

Do not use abbreviations.

Enter “NONE” in the box if you have not been a member of an association or organization.

Include:

• the name of the country and the level of jurisdiction (examples: national, regional or municipal),
• the name of the department or the branch you worked for, and
• activities and/or positions that you held.

Question 11

Give complete details about your military or paramilitary service (if applicable). Provide the details of your military or paramilitary service for each of the countries whose armed forces you served in. If you were not in any military or paramilitary service, write “NONE”. Do not leave gaps in time.

Question 12

Enter the residential addresses where you have lived since your 18th birthday or the past 10 years, whichever is most recent, complete with the postal code. Do not use P.O. Box addresses.

Authority to disclose personal information
Declaration of applicant

Read all of the statements in all sections carefully. Sign and date in the boxes provided. By signing, you certify that you fully understand the questions asked, and that the information you have provided is complete, truthful, and correct. If you do not sign and date, the application will be returned to you.

Question 3

Indicate which provincial or territorial government nominated you and under which provincial or territorial stream or category the province has nominated you.

Question 4

Funds
Indicate the amount of unencumbered (by debts or obligations) transferable and available funds you have in Canadian dollars.

Question 1

Write your full family name (surname or last name) as it appears on your passport or on the official documents that you will use to obtain your passport.

Write all of your given names (first, second or more) as they appear on your passport or official documents. Do not use initials.

Question 2

Write your date of birth.

Question 3

Check the box to indicate if you ever made a business exploration trip to Canada in the five (5) years preceding the date of your application. If you check “yes”, please provide details.

Question 4

Business ownership

If applicable, complete your entire business ownership experience. Add a separate sheet of paper if you need more space. Otherwise, indicate “N/A” if this does not apply to your situation.

Question 5

Business plan / Investment / Intended occupation in Canada

Provide details of the business you wish to establish. If you have already invested in a business or plan to invest in a business, provide details of that business.

Question 6C

Publicly traded stocks and other investments

Provide a description of the publicly traded stocks and other investments and include the quantity as well as the estimated current market value in foreign currency (specify currency) and in Canadian dollars.

Question 6D

Business

Include the:

• name of your business,
• percentage owned,
• current book value (net assets), and
• estimated current market value in foreign currency (specify currency) and in Canadian dollars.

Question 6E

Pensions and other assets

Provide a description of your pensions and other assets as well as the amount in foreign currency (specify currency) and in Canadian dollars.

Question 6F

Real property mortgages

Indicate the complete address and the current balance in foreign currency (specify currency) and in Canadian dollars.

Question 6G

Other personal debts

Provide details on the nature of the debt and include the amount in foreign currency (specify currency) and in Canadian dollars.

Question 6H

Net worth

Add the total assets from sections 6A through 6E. Subtract the total liabilities (6F+6G) and include the total net worth in Canadian dollars.

Question 6I

Write the total amount of funds in Canadian dollars available for your settlement in Canada.

Question 6J

Accumulation of funds

You must submit with your application a narrative document bearing your signature and describing how your present financial resources, both family and business, were accumulated. This document could, for example, present information on the following points:

• Employment income: date, amount and source for each year of employment;
• Business income: amount accumulated while the applicant managed the business as well as dates the business was in operation, share of distributed profits and accumulated profits;
• Investment income: shares, units, bonds (date and purchase price, sale price and current market value), interest, dividends, capital gains (date, amount and source);
• Dates and amounts of each investment made;
• Cumulative gains on personal assets: real estate (date and purchase price, sale price and current market value), other;
• Inheritance, donations and non-bank loans: date, amount and source, accompanied by documents confirming:
  • the identity of the donor and/or lender and his financial capacity to give or lend;
  • the transfer of sums borrowed and their complete or partial repayment.

Statutory Declaration of Common-Law Union (IMM 5409)

Who must complete this form?

This form must be completed and signed by the sponsor and common-law partner, only if the latter is a co-signer on the application

Question 1

Write the following information in the space provided:

• Country of current residence
• Province/state/territory of current residence
• Name of the declarant
• Name of the declarant’s partner
• Name of city, town, village
• Name of county (if applicable)
• Name of province/state/territory
• Name of the country
• Number of continuous year(s) in a conjugal relationship
• Date of the relationship (from-to)

Question 1A

Check the box to indicate if you have jointly signed a residential lease, mortgage or purchase agreement relating to a residence in which you both live.

Question 1B

Check the box to indicate if you jointly own property other than your residence.

Question 1C

Check the box to indicate if you have a joint bank, trust credit union or charge card accounts.

Question 1D

Check the box to indicate if you have declared your common-law union under the Canadian Income Tax Act (T-1 “General individual income Tax Return”)

Question 2

Check the box to indicate if you have life insurance on yourself which names your common-law partner as a beneficiary.

Question 3

Check the box to indicate if your common-law partner has life insurance on themselves which names you as a beneficiary.

Question 4

If you answered “NO” to questions 1 to 3, indicate other documentary evidence you have that would indicate your relationship as common-law partners

Question 5

SOLEMN DECLARATION
Write the following information in the space provided:

• Name of the declarant
• Name of the declarant’s partner
• Name of the city, town, village
• Name of the county
• Name of the province/state/territory
• Name of the country
• Date (day, month, year)
• Signature of the declarant
• Signature of the declarant’s partner
• Name of the person who administered the declaration
• Select the person’s title from the choices provided
• Signature of the person who administered the declaration

Use of a Representative (IMM 5476)

Who may use this form?

Complete this form only if you:

• are appointing a representative;
• have to update contact information for your previously appointed representative; or
• are cancelling a representative’s appointment.

If you have dependent children aged 18 years or older, they are required to complete their own copy of this form if a representative is also conducting business on their behalf.

Who is a representative?

A representative is someone who provides advice, consultation, or guidance to you at any stage of the application process, or in a proceeding and, if you appoint them as your representative by filling out this form, has your permission to conduct business on your behalf with Immigration, Refugees and Citizenship Canada (IRCC) and the Canada Border Services Agency (CBSA).

You are not obliged to hire a representative. We treat everyone equally, whether they use the service of a representative or not.

When you appoint a representative:

• you also authorize IRCC and CBSA to share information from your case file with this person in place of you. Please note the representative will receive all correspondence from IRCC or the CBSA, not the applicant;
• your application will not be given special attention nor can you expect faster processing or a more favourable outcome;
• the representative is authorized to represent you only on citizenship or immigration matters related to the application you submit with this form; and
• you can appoint only one (1) representative for each application you submit.

Important information: You must notify IRCC if your representative’s contact information changes, or if you change your representative, or cancel the appointment of your representative. For more information on updating IRCC with your representative’s information, please see below section – Notify IRCC about any changes.

There are two (2) types of representatives.

Uncompensated Representatives:

Uncompensated representatives do not charge fees or receive any other form of consideration or compensation for providing advice or services to represent you before IRCC or the CBSA.

Uncompensated representatives include:

• Friends, family members or other third parties who do not, and will not, charge a fee or receive any other consideration for their advice and services;
• consultants, lawyers and Quebec notaries, and students-at-law under their supervision, who do not, and will not, charge a fee or receive any other consideration to represent you.

Note: You do not have to pay someone for them to be your representative. IRCC will conduct business with an uncompensated representative if an applicant appoints them on their behalf.

Compensated representatives:

Compensated representatives charge a fee or receive some other form of consideration in exchange for the representation that they provide.

It is important to know that anyone who represents or advises you for payment – or offers to do so – in connection with IRCC proceedings or applications is breaking the law unless they are an authorized representative or they have a specific agreement or arrangement with the Government of Canada that allows them to represent or advise you. This applies to advice or consultation which happens before or after a citizenship or an immigration application is made or a proceeding begins.

IRCC will only conduct business with compensated representatives who are in good standing with their designated regulatory body. For more information see – Find out if your representative is authorized.

Note: If a representative is being paid or compensated by someone other than you, the representative is still considered to be a compensated representative.

Authorized representatives are:

• consultants who are members in good standing of the Immigration Consultants of Canada Regulatory Council (ICCRC);
• lawyers and paralegals who are members in good standing of a Canadian provincial or territorial law society and students-at-law under their supervision;
• notaries who are members in good standing of the Chambre des notaires du Québec and students-at-law under their supervision.

If you appoint a compensated representative who is not a member in good standing of one of these designated bodies, your application will be returned. Learn about using a representative.

General Application Information

Appoint a representative

• Check box to indicate if you are appointing a representative to represent you with your application process. Complete sections A, B and D.

Cancel a representative

• Check box to indicate if you are canceling a representative. Complete sections A, C and D; and
• Check both boxes and complete all sections if you are cancelling a representative and appointing a new one at the same time.

Section A – Applicant Information

Question 1

Write your last name (surname or family name) and given name(s).

Question 2

Write your date of birth.

Question 3

If you have already submitted your application, write:

• the name of the office where the application was submitted; and
• the type of application you have submitted.

Question 4

Write your IRCC’s Identification (ID) or Unique Client Identifier (UCI) number (if known). If you have not dealt with IRCC since 1973, you will not have a UCI or a Client ID.

Section B – Appointment of Representative

Question 5

Write your representative’s full name.

If your representative is a member of the Immigration Consultants of Canada Regulatory Council (ICCRC), a law society or the Chambre des notaires du Québec, print their name as it appears on the organization’s membership list.

Question 6

Check one box to indicate if your representative is uncompensated or compensated.

If your representative is compensated, write the membership ID number of:

• the Immigration Consultants of Canada Regulatory Council (ICCRC); or
• a Canadian provincial or territorial law society; or
• the Chambre des notaires du Québec.

Question 7

Write your representative’s contact information.

If you are appointing a student-at-law to represent you, include their supervising lawyer’s information including their membership ID.

Question 8

To accept responsibility for conducting business on your behalf, your representative must:

• sign the declaration; and
• date the declaration.

Section C – Cancel the Appointment of a Representative

Question 9

Fill in this section if you wish to cancel the appointment of a representative. Write the representative’s full name.

Complete all sections of the form if you wish to both cancel a representative and appoint a new one.

Section D – Your Declaration

Question 10

By signing, you authorize IRCC to complete your request for yourself and your dependent children under 18 years of age.

For sponsorship application, your spouse or common-law partner does not have to complete a separate request. If your spouse or common-law partner is included in this request, they must sign in the box provided.

Release of information to other individuals

To authorize IRCC to release information from your case file to someone other than a representative, you will need to complete the form Authority to Release Personal Information to a Designated Individual [IMM 5475] (PDF, 1.52 MB).

The person you designate under that form (IMM 5475) will be able to obtain information on your case file, such as the status of your application. However, they will not be able to conduct business on your behalf with IRCC.

Where to submit the form

Immigration and citizenship applicants

If you have not yet submitted your immigration or citizenship application:

Send this form along with your application to the office listed in the guide of your application.

If you have already submitted your immigration or citizenship application:

You may use this Web form to upload the IMM 5476.

or;

If you know which IRCC office is processing your immigration or citizenship application, send the completed form to the office mailing address. Consult IRCC office mailing addresses.

Notify IRCC about any changes

You must let IRCC know if any information changes regarding the person you authorized to represent you on your application.

Biometrics fees$CANBiometrics (per person)85Biometrics (per family) (2 or more people)

Maximum fee for a family of 2 or more people applying at the same time and place

170

Regular mail:

Or by courier:

Submit the application form

When submitting your application, to ensure your encoded data is captured, you must include the last page or pages which contain your unique barcodes. See the image below:

Note: This page is only available when you complete your application electronically (on a computer).

• Make sure that you provide the correct number of photos specified in the Checklist.
• You must provide identical and unaltered photos.
• Photos may be in colour or in black and white.
• Photos must be original and not altered in any way or taken from an existing photo.
• Photos must reflect your current appearance (taken within the past six (6) months).

Notes to the photographer

The photos must be:

• taken by a commercial photographer;
• 50 mm x 70 mm (2 inches wide x 2 3/4 inches long) and sized so the height of the face measures between 31 mm and 36 mm (1 1/4 inches and 1 7/16 inches) from chin to crown of head (natural top of head);
• clear, sharp and in focus;
• taken with a neutral facial expression (eyes open and clearly visible, mouth closed, no smiling);
• taken with uniform lighting and not show shadows, glare or flash reflections;
• taken straight on, with face and shoulders centred and squared to the camera (i.e. the photos must show the full front view of the person’s head and shoulders, showing the full face centered in the middle of the photo);
• taken in front of a plain white background with a clear difference between the person’s face and the background. Photos must reflect and represent natural skin tones.

The back of one (1) photo must:

• bear the name and date of birth of the subject, as well as the name and complete address of the photography studio;
• bear the date the photo was taken;
• The photographer may use a stamp or handwrite this information. Stick-on labels are not accepted.

Canadian Permanent Residency , Canadian PR Process