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Family Information
(IMM 5645)
Who needs to complete this
form?
This form must be completed by
each person, 18 years of age or older, applying
for
a Temporary Resident Visa, a study
or work permit outside Canada.
Section
A
Write the personal details about:
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yourself,
your spouse or
common-law partner, if applicable,
your
mother,
your father.
Include: full name, relationship, date
of birth, marital status (married, single,
widowed, common-law, divorced,
separated, annulled marriage), present address
and occupation (job), and whether they
will come with you to Canada by checking
??Yes‘‘ or ??No‘‘.
If a person is deceased, indicate this
under ??Present address‘‘, and write the city and
the date they died.
If not
currently employed, please indicate whether that
person is retired,
studying,etc.
You must answer all questions. If a
section does not apply to you, write ??Not
applicable‘‘ or ??N/A‘‘.
Note:
If you do not have a
spouse or a common-
law partner, read
??Note 1‘‘, then
sign and date the
declaration at the end of Section A.
Section B
Write the personal
details about your children. It is very important
that you list all of
your children even
if they are already permanent residents or
citizens of Canada.
This includes:
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married children,
adopted
children,
children of your spouse
(step-children) or common-law partner,
any of your children who have been
adopted by others,
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any of your
children who are in the custody of an ex-spouse,
former
common-law partner or other
guardian.
Write full name,
relationship, date of birth, marital status
(married, single, widowed,
common-law,
divorced, separated, annulled marriage), present
address and
occupation (job), and
whether they will come with you to Canada by
checking ??Yes‘‘
or ??No‘‘.
If a person is deceased, indicate this
un
der ??Present address‘‘, and write
the city and
the date they died.
If not currently employed, please
indicate whether that person is retired,
studying,etc.
You must
answer all questions. If a section does not apply
to you, write ??Not
applicable‘‘ or
??N/A‘‘.
Note:
If you do not have children, read
??Note 2‘‘, then sign and date the declaration
at the end of Section B.
Section C
Write the personal
details about your:
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brother(s),
sister(s),
half-brother(s)
and half-sister(s),
step-brother(s) and
step-sister(s).
Write full name,
relationship, date of birth, marital status
(married, single, widowed,
common-law,
divorced, separated, annulled marriage), present
address and
occupation (job), and
whether they will come with you to Canada by
checking ??Yes‘‘
or ??No‘‘.
If a person is deceased, indicate this
under ―Present address‖, and write the city and
the date they died.
If not
currently employed, please indicate whether that
person is retired,
studying,etc.
You must answer all questions. If a
section does not ap
ply to you, write
??Not
applicable‘‘ or
??N/A‘‘.
Section D
Signature
Sign
and date in the boxes provided at the bottom of
the page.
Note:
By signing,
you certify that you fully understand the
questions asked, and
that the
information you have provided is complete,
accurate and factual. If you do
not
sign or date the form, your application will be
returned to you.
Schedule 1
–
Application for a
Temporary Resident Visa Made
Outside of
Canada
(IMM5257
–
Schedule 1)
Who must fill out this
application form?
This form must be
completed by:
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you, the principal applicant;
your spouse or common-law partner
(whether accompanying you to Canada
or
not),
and
your
dependent children aged 18 or over (whether
accompanying you to
Canada or not).
Check the box to indicate whether you
are the principal applicant or the spouse,
common-law partner or dependent child
aged 18 years or older of the principal
applicant.
Question 1
Indicate your full
last name
(surname/family name)
as it appears on
your passport, travel or identity
document.
Indicate all of your
given name(s)
(first, second
or more) as they appear
on your
passport, travel or identity document. Do not use
initials.
Question 2
Indicate your date of birth.
Question 3
Check the box to
indicate whether you served in any military,
militia, or civil
defence unit or
service in a security organization or police force
(including
non obligatory national
service, reserve or volunteer units).
If yes, provide details about your
military service (if applicable). Provide the
details of military service for each of
the countries whose armed forces you
served in including:
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dates (From
–
To),
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locations,
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province and
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country.
If you were not in
any military service, write N/A.
Check
the box to indicate whether you have ever
witnessed or participated in
the ill
treatment of prisoners or civilians, looting or
desecration of religious
buildings.
If yes, provide details of the
circumstances including:
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dates (From
–
To),
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location,
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province and
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country.
In the space provided, write any
additional details of the circumstances
described above.
Question 5
Check the box to indicate whether you
have had membership or association
with
any political parties, groups or organizations
which have engaged in or
advocated
violence as a means to achieving a political or
religious objective,
or which has been
associated with criminal activity at any time.
Include details such as:
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dates (From
–
To),
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name of
organization
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activities or positions held
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province and
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country.
If you were not a member of an
association or org
anization, do not
write ―not
applicable‖. Rather,
write:
“I have never been a
member of an
organization or
association”
.
Note:
Do not use abbreviations.
Question 6
Check the box to
indicate whether you have held any government
positions
in the past such as:
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Civil servant
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Judge
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Police officer
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Mayor
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Member of parliament, or
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Hospital
administrator.
Include:
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dates (From
–
To),
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the name of the
country and the level of jurisdiction (examples:
national, regional or municipal),
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the name of the
department or the branch you worked for, and
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activities
and/or positions that you held.
Note:
Do not use abbreviations.
Authority to disclose personal
information
Read this
section carefully.
Declaration of
applicant
Note
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.
Note:
The bottom section of Schedule 1 should
not be completed at this time.
Use of a Representative (IMM 5476)
Who may use this form?
Complete this form
only
if you:
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used the
services of a representative to help you prepare
or submit your
application; or
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are appointing
a 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.
What is a
representative?
A
representative
is someone
who has provided advice, consultation, or guidance
to you at any stage of the immigration
application process, or in an immigration
proceeding. If someone represented or
advised you to help you submit your
application, then that person is your
representative. A representative is also
someone who has your permission to
conduct business on your behalf with
Citizenship and Immigration Canada
(CIC) and the Canada Border Services Agency
(CBSA).
When you appoint a
representative:
When you appoint a
representative:
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you also authorize CIC and CBSA to
share information from your case file
with this person;
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 immigration
matters related to the
application you submit with this form;
you can appoint only
one
representative for each application you
submit;
you are not obliged to hire a
representative. We treat everyone equally,
whether they use the service of a
representative or not.
Important
information. You must notify us if your
representative‘s contact
information
changes or if you cancel the appointment of a
representative.
Types of
representatives
Family, friends, and
non-profit groups often help applicants who feel
the need for
support and advice on
immigration matters. You can appoint a
representative
who
does not
charge fees or receive any other
compensation for providing
immigration
advice or services to represent you before CIC or
the CBSA.
There are two types of
representatives.
Uncompensated representatives
include:
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friends and family members who do not,
and will not, charge a fee or receive
any other consideration for their
advice and services;
organizations that
do not, and will not, charge a fee or receive any
other
consideration for providing
immigration advice or assistance (such as a
non-governmental or religious
organization);
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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.
Compensated representatives:
Compensated representatives charge a
fee or receive some other form of
consideration in exchange for the
advice and representation that they provide. If
you want us to conduct business with a
compensated representative then they must
be authorized by CIC.
It is
important to know that anyone who represents or
advises you for payment
—
or offers to do so
—
in connection with
immigration 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 an immigration
application is made or a proceeding begins.
Authorized representatives
are:
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immigration
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;
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notaries who are members in good
standing of the
Chambre des notaires du
Qué
bec
and
students-at-law under their supervision.
If you appoint a compensated
representative who is not a member of one of these
designated bodies, your application
will be returned.
For more
information
on
using a
representative, visit our
website
.
General
Application Information
Check one box
to indicate if you are appointing or cancelling
the appointment of a
representative.
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:
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the name of
office where the application was submitted;
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location of
office;
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type of
application you are sending.
Question 4
Write your Citizenship and Immigration
Canada Identification (ID) or Unique
Client Identifier (UCI) number (if
known).
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
Qué
bec
, print his or her
name as it appears on the organization‘s
membership list.
Question 6
Check one box to indicate if your
representative is unpaid or paid.
If
your representative is paid, write the membership
ID number of:
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the Immigration Consultants of Canada
Regulatory Council (ICCRC); or
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a Canadian
provincial or territorial law society; or
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the
Chambre des notaires du
Qué
bec
.
Question
7
Write your representative‘s contact
inform
ation.
Note:
By indicating your representative‘s
e
-mail address, you are hereby
authorizing CIC to transmit your file
and personal information to this specific
e-mail address.
Question 8
Your representative must sign and date
the declaration in order to accept
responsibility for conducting business
on your behalf.
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.
Section D
–
Your
Declaration
Question 10
By
signing, you authorize CIC to complete your
request for yourself and your
dependent
children under 18 years of age.
If your
spouse or common-law partner is included in this
request, he or she
must sign in the box
provided.
Release of information to
other
individuals
To
authorize CIC 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) which is available:
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on our
website
;
or
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from Canadian embassies, high
commissions
and consulates abroad.
The person you designate 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
CIC.
Step 3. Pay the fees
Fees
Use the table below to
calculate the total amount of fees to be paid (all
fees are in
Canadian dollars). The fees
must be included with your application.
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