Authority to disclose personal information Enter the date of your last entry to Canada, if applicable. Note: If you are a parent of a child to be adopted in Canada who is not yet identified, select Other.. Schedule A- Background / Declaration (IMM 5669) completed and signed by . You will not receive a reply. Tell us the total number of years of formal education that they have completed, including elementary and secondary school. One of Canadas immigration objectives is to support and assist the development of minority language communities in Canada. From the list, select your highest level of education. To include everyone in your application, you must complete the following form for each additional family member: You must list all family members in your application for permanent residence, whether they are accompanying you to Canada or not. You must complete all sections including those for your spouse or common law partner (whether accompanying or not) and each dependent child over the age of 18 (whether accompanying or not). For this trip, select Yes or No to tell us if theyre using a National Israeli passport. Note: If you are a parent of a child to be adopted in Canada who is not yet identified, indicate Unknown.. The principal applicant must answer the following questions. Additional Dependants/Declaration-IMM 0008DEP IMM 5669 - Schedule A - Background/Declaration IMM 5406 Use of a Representative-IMM 5476 Schedule 2 Schedule 4 You must select the country . TOUS LES GROUPES DE PARRAINAGE DOIVENT INCLURE LES DOCUMENTS SUIVANTS DANS VOTRE DEMANDE : From the list, select your dependants highest level of education. Provide the details of your personal history since the age of 18, or the past 10 years, whichever is most recent. Do not use initials. . If you were not a member of an association or organization, do not write not applicable. If you selected Yes, provide your national identity document number exactly as shown on the identity document. This means that your spouse has died and that you have not re-married or entered into a common-law relationship. Question 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, sign, with a handwritten signature, and date in the spaces provided, you, the principal applicant, on behalf of each of your, write your dependants name in the space provided, select the box to tell us if you agree that the information contained in this application related to your dependants intended occupation, education and work experience may be shared with prospective employers to assist them in hiring workers. It reduces the risk of mistakes that can slow down the application process. When individuals fill out the form they must enter detailed information about themselves and as well as their family member's travels to outside of their country of citizenship. My immigration or citizenship application, Generic Application Form for Canada [IMM0008], Additional Dependants/Declaration [IMM0008DEP] (, Schedule A Background/Declaration [IMM5669], Learn about what it's like to live in Canada and which resources are available to you to help you settle here. Do not leave gaps in time. If youve never had a Canadian temporary resident document and your foreign travel document or passport does not contain the X gender identifier (or an equivalent non-binary option), you also need to complete the Request form for a Change of Sex or Gender Identifier [IRM 0002] (PDF, 1.79 MB) form and send it with your application. To view the PDF form, you need to: (Dont know what these mean? For more information, read the Use of a Representative guide. Select the box to tell us if your second telephone number is from Canada or the US or Other (any other country). IMM 5683 pour les Organismes d'tablissement IMM5373A pour les groupes de cinq Profil financier (IMM 5373B) pour les groupes de cinq seulement Recours aux services d'un reprsentant (IMM 5476), s'il y a lieu 2. Step 1: Read the guide and get your application package. Schedule 14 - Protected Persons and Convention Refugees (IMM 0008 - Schedule 14) (PDF, 1.39 MB) Schedule A - Background/Declaration [IMM 5669] (PDF, 776.39 KB) Additional Family Information [IMM 5406] (PDF, 570 KB) Use of a Representative [IMM 5476] (PDF, 648.31 KB) Instruction Guide [IMM 5205] Forms that are available outside the MyCIC system include the following: Note: In exceptional circumstances, persons with disabilities who are unable to complete an online Express Entry profile or application for permanent residence(APR) but are able to complete these forms in paper format may be provided these forms in paper format. If youre applying at a visa application centre (VAC), they may ask you to re-fill out the form at their internet kiosks. From the list, select the name of the country or territory that issued your passport or travel document. Read and follow the steps below to help you fill out the form. This means that you are married but no longer living with your spouse. New imm5669e Schedule A Background Declaration Form IRCC Full Information How to Fill HelpingAll 38.3K subscribers Join Subscribe 144 Share Save 37K views 3 years ago #canadaimmigration #CanadaPR. If you select Yes, provide your passport or travel document number exactly as shown on the document. Fill out, validate, print, sign and date your application forms. select your dependants immigration status for the time they were in that country: fill in the dates (From To) your dependant was living in that country. For example, if the day and month of your date of birth is unknown you could enter 1964/*/*. Note: If you are less than 18 years of age, your form must be signed by one of your parents or a legal guardian. an instruction guide to help you fill out the forms correctly; And starting September 23, . (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; under Activity, enter your occupation or job title. This will generate a barcode page or pages (see image below). the instruction guide for more information. Enter the place you last entered Canada (for example, Toronto airport, Lacolle border crossing, seaport Yarmouth). Only the Use of a Representative form (IMM 5476) needs a signature. Convince the immigration officer that you will not overstay in the country and will leave Canada on time. Important information: Please ensure that you do not leave any gaps in time. This page currently includes only information about some economic and non-economic classes and the permanent resident card and status. If you checked Yes, give the following details for your previous spouse or common-law partner: Enter your current mailing address (where information should be mailed) by typing the following information: Note: All correspondence will go to this address unless you indicate your email address. If you have a fax number, enter it here, including country code, area/regional codes, etc. From the list, select the Program under which you are applying: From the list, select the Category under which you are applying: Enter the total number of family members included in your application. children of your spouse(step-children) or common-law partner. Imm5690e IMM 5690 E : DOCUMENT CHECKLIST On average this form takes 4 minutes to complete Print your name and the forms title on the additional sheet. For more information, please contact OMC. Select the box to tell us if your dependant has a valid national identity document. If you chose Refugee in question1, select one of the following: 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 they dont have one or cant obtain one, you must select the No box. Use this step-by-step . Box addresses. To add a new dependant to the application, click the Add Dependant button, located at the bottom of the page. Enter the date your passport or travel document was issued. The name of your current country of residence. Make sure you use Adobe Reader to open the form. You must answer each question on behalf of each of your dependants. A last page with barcodes and a signature line will automatically be created. Once the application is completed, click on the Validate button located at the top or bottom of the form. To remove a dependant from the application, click the Remove Dependant button. These features help us validate the form with our system. Use the Document Checklist to make sure that you include all the other forms and documents you need. Note: If you are not applying under a Quebec immigration program, select no for Question 6 a) and leave6 c) blank. Note: Validating the form before printing makes sure that you have answered all the questions. 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. Enter the date of your dependants last entry to Canada. If you are married and you were physically present at the marriage, indicate married physically present in the marital status box, If you are married and you were not physically present at the marriage, indicate married not physically present in the marital status box, your spouse or common-law partner, (if applicable), If you are married and your spouse was physically present at the marriage, indicate married physically present in the marital status box, If you are married and your spouse was not physically present at the marriage, indicate married not physically present in the marital status box. For enquiries,contact us. Read the instruction guide carefully before you complete your application. Read all of the statements in all sections carefully. Question 6 d is a rambling question . If you did not travel outside your country during this period, select did not travel. From the list, select the type of telephone: If you have a second telephone number, enter it here, including the country code, area/regional codes, etc. Enter your date of birth. any of your children who have been adopted by others. If they did not travel outside their country during this period, select did not travel. Tell us the place they last entered Canada (for example, Toronto airport, Lacolle border crossing, seaport Yarmouth). 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 6 months in the past 5 years. This means that you are officially separated and have legally ended your marriage. From the list, select your dependants current marital status: Select the box to tell us if your dependant has previously been married or in a common-law relationship. Enter the date their passport or travel document was issued. Select the box to tell us if you have a valid national identity document. Title: IMM5669 E : SCHEDULE A Author: Immigration, Refugees and Citizenship Canada \(IRCC\) / Immigration, Rfugis et Citoyennet Canada \(IRCC\) If you were or still are a member of an association or organizing, enter the names here. From the list, select your preferred language for: If you plan to live in the Province of Quebec and are applying under a Quebec immigration program, have you received your Certificat de Slection du Qubec (CSQ)? Under the change, spousal sponsorship applicants will now be asked to submit their Schedule A - Background/Declaration (IMM 5669) form and police certificates as part of their initial paper application package, instead of later in the application process, as was previously required. Include a letter of explanation saying why you couldnt include the complete date. If you need more space, attach a separate sheet of paper. This means that you have never been married and are not in a common-law relationship. IMM 5669 - Schedule A Background/Declaration To be completed and signed by the Principal Applicant and spouse/common-law . What are the requirements? Enter your height in either centimetres or feet and inches. 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. Copy link to Tweet; Embed Tweet; Replying to @CitImmCanada. Do not use initials. My immigration or citizenship application, downloading files section of the Help Centre, Generic Application Form for Canada [IMM 0008] (PDF, 652 KB), Application to Sponsor, Sponsorship Agreement and Undertaking [IMM 1344] (PDF, 478.72 KB), Schedule A Background/Declaration [eIMM 5669] (PDF, 776.4 KB), CIT 0001 Application for a Citizenship Certificate June 2019, CIT 0002 Application for Canadian Citizenship Adults June 2019, CIT 0003 Application for Canadian Citizenship Minors June 2019, CIT 0007 Document Checklist Application for Canadian Citizenship under Subsection 5(1) Adults (18 years of age and older) June 2019, CIT 0008 Document Checklist Application for Canadian Citizenship under Paragraph 5(2) Minors (under 18 years of age) June 2019, CIT 0010 Confirmation of Canadian Citizenship of the Adoptive Parent(s) June 2019, CIT 0012 Adoptees Application June 2019, CIT 0014 Document Checklist Application for a Citizenship Certificate (Proof of Citizenship) June 2019, CIT 0027 Withdrawal of Citizenship Application June 2014, CIT 0058 Application for a Search of Citizenship Records November 2012, CIT 0172 Document Checklist Application for Canadian Citizenship Adults Canadian Armed Forces under Subsection 5(1.2) or 5(1.3) June 2019, CIT 0177 Residence Outside Canada August 2018, CIT 0301 Application to Resume Canadian Citizenship June 2019, CIT 0302 Application to Renounce Canadian Citizenship June 2019, CIT 0402 Document Checklist Application to Renounce Canadian Citizenship under Subsection 9(1) June 2019, CIT 0403 Application for Canadian citizenship Minors (under 18 years of age) applying under Subsection 5(1) June 2019, CIT 0404 Request form for a Change of Sex or Gender Identifier June 2019, CIT 0407 How to Calculate Physical Presence May 2019, CIT 0457 Solemn Declaration Concerning a Citizenship Certificate That Was Lost, Stolen, Destroyed or Never Received November 2012, CIT 0458 Statutory declaration of common-law union June 2019, CIT 0464 Request to Correct a Date of Birth for Citizenship August 2018, CIT 0480 Canadian Citizenship Certificate Preparation Form June 2019, CIT 0484 Document Checklist Part 1 Confirmation of Canadian Citizenship of the Adoptive Parent(s) June 2019, CIT 0485 Document Checklist Part 2 Adoptees Application June 2019, CIT 0496 Application to Renounce Canadian Citizenship (R7.1) June 2019, CIT 0497 Application for Grant of Citizenship for Stateless Persons Born to a Canadian Parent (Subsection 5(5)) June 2019, CIT 0499 Document Checklist Application for Grant of Citizenship for Stateless Persons Born to a Canadian Parent (Subsection 5(5)) June 2019, CIT 0501 Document Checklist Application to Renounce Canadian Citizenship (For certain persons who acquired citizenship on April 17, 2009 R7.1) June 2019, CIT 0532 Application for Canadian citizenship Adults Canadian Armed Forces Under Subsection5(1.2) or 5(1.3) June 2019, CIT 0534 Application to Resume Canadian Citizenship Canadian Armed Forces June 2019, CIT 0550 Educational enrolment confirmation letter for Citizenship June 2015, CIT 0560 Document checklist - Application for Canadian citizenship under subsection 5(1) - Minors (under 18 years of age) June 2019, IMM 0008 Generic Application Form for Canada July 2019, IMM 0008 SCH2 Schedule 2: Refugees Outside Canada July2018, IMM 0008 SCH3 Schedule 3: Economic Classes August 2014, IMM 0008 SCH4 Schedule 4: Economic Classes: Provincial Nominees October 2015, IMM 0008 SCH4a Schedule 4A: Economic Classes: Provincial Nominees Business Nominees October 2015, IMM 0008 SCH5 Schedule 5: Economic Classes Declaration of Intent to Reside in Quebec October 2002, IMM 0008 SCH6 Schedule 6 Business Immigrants Investors and Entrepreneurs June 2014, IMM 0008 SCH6A Schedule 6A Business Immigrants Self-Employed Persons February 2019, IMM 0008 SCH9 Schedule 9: Economic Classes Declaration of Intent to Reside in Quebec April 2010, IMM 0008 SCH12 Schedule 12: Additional Information Refugee Claimants inside Canada October 2018, IMM 0008 SCH 13 Schedule 13: Business Immigration Programs Start Up Business Class April 2018, IMM 0008 SCH14 Schedule 14: Protected Persons and Convention Refugees April 2013, IMM 0008 DEP Additional Dependants/Declaration June 2019, IMM 0502 Terms and Conditions of Loan June 2019, IMM 1283 Financial Evaluation June 2019, IMM 1294 Application for a Study Permit Made Outside of Canada June 2019, IMM 1295 Application for Work Permit Made Outside Canada June 2019, IMM 1324 Undertaking/Application for a Joint Assistance Sponsorship June 2019, IMM 1344 Application to Sponsor, Sponsorship Agreement and Undertaking June 2019, IMM 1436 Application to Amend the Record of Landing, Confirmation of Permanent Resident or Valid Temporary Resident Documents November 2019, IMM 1444 Application for Criminal Rehabilitation June 2019, IMM 5009 Verification of Status or Replacement of an Immigration Document June 2019, IMM 5257 Application for Temporary Resident Visa June 2019, IMM 5257 SCH1 Schedule 1: Application for a Temporary Resident Visa June 2019, IMM 5280 Document Checklist Humanitarian & Compassionate Considerations January 2015, IMM 5282 Document Checklist Live-in Caregiver August 2018, IMM 5283 Supplementary Information June 2019, IMM 5286 Document Checklist Protected Person Permanent Residence April 2013, IMM 5287 Document Checklist Sponsor June 2019, IMM 5321 North American Free Trade Agreement application for trader/investor status (work permit) June 2002, IMM 5349 Right of Permanent Residence Fee Loan Application June 2019, IMM 5373 Undertaking/Application to Sponsor June 2019, IMM 5373A Settlement Plan and Financial Assessment February 2018, IMM 5373B Financial Profile Group of Five April2018, IMM 5406 Additional Family Information September 2018, IMM 5409 Statutory Declaration of Common-Law Union June 2019, IMM 5438 Request for a Refugee Profile January 2014, IMM 5440 Settlement Plan Sponsorship Agreement Holder or Constituent Group April2018, IMM 5444 Application for a Permanent Resident Card September 2019, IMM 5451 Solemn Declaration Concerning a Permanent Resident Card That Was Lost, Stolen, Destroyed or Never Received September 2003, IMM 5457 Document checklist Atlantic High-Skilled Program June 2019, IMM 5467 Document checklist Atlantic Intermediate-Skilled Program February 2019, IMM 5475 Authority to Release Personal Information to a Designated Individual September 2015, IMM 5476 Use of a Representative August 2019, IMM 5481 Sponsorship Evaluation December 2016, IMM 5483 Document Checklist For a Study Permit February 2018, IMM 5484 Document Checklist For a Temporary Resident Visa January 2018, IMM 5488 Document Checklist For a Work Permit May 2019, IMM 5492 Sponsor Assessment April2018, IMM 5494 Settlement Plan Joint Assistance Sponsorship September 2015, IMM 5495 Document Checklist Joint Assistance Sponsorship September 2004, IMM 5498 Document checklist Atlantic International Graduate Program July 2018, IMM 5501 Economic classes-Atlantic immigration pilot program March 2017, IMM 5504 Request for a Joint Assistance Sponsorship Refugee Profile September 2015, IMM 5507 Document Checklist Rehabilitation May 2015, IMM 5515 Settlement Plan and Financial Assessment Community Sponsors February 2018, IMM 5519 Statutory Declaration of Severance of Common-Law Union August 2018, IMM 5524 Application for a Permanent Resident Travel Document June 2019, IMM 5526 Supplementary Relationship Questionnaire December 2016, IMM 5528 Document Checklist Permit Holders Class January 2016, IMM 5531 Request to Reissue a Permanent Resident Card June 2019, IMM 5532 Relationship Information And Sponsorship Evaluation February 2019, IMM 5533 Document Checklist - Spouse (Including Dependent Children) April 2019, IMM 5534 Document Checklist - Dependent Child June 2019, IMM 5536 Authorization To Disclose Information December 2016, IMM 5546 Details Of Military Service December 2016, IMM 5555 Document Checklist Student February2017, IMM 5556 Document Checklist Worker June 2019, IMM 5557 Document Checklist Temporary Resident Permit August 2018, IMM 5558 Document Checklist Visitor August 2018, IMM 5562 Supplementary Information Your Travels November 2019, IMM 5563 Access to Information and Personal Information Request June 2016, IMM 5564 Application for the Interim Federal Health Program (IFHP) Coverage June 2019, IMM 5571 Request for Processing Family Members under the One-Year Window of Opportunity Provisions February 2019, IMM 5575 Humanitarian and Compassionate Considerations under the February 4, 2016 Temporary Public Policy for nationals of Haiti and Zimbabwe May 2016, IMM 5583 Document Checklist Students Applying for a Work Permit December 2018, IMM 5589 Document Checklist - Common-Law Partner (Including Dependent Children) June 2019, IMM 5604 Declaration from Non-accompanying Parent/Guardian for Minors Immigrating to Canada June 2019, IMM 5618 Request to Add a Family Member to a Privately Sponsored Refugee Application April2018, IMM 5627 Document Checklist Applying for a Permanent Resident Travel Document March 2018, IMM 5629 Document Checklist - Conjugal Partner (Including Dependent Children) June 2019, IMM 5634 Live-in Caregiver Employer Declaration of Hours Worked October 2014, IMM 5644 Document Checklist Application for a Permanent Resident Card May 2019, IMM 5646 Custodian Declaration June 2019, IMM 5650 Offer of employment to a foreign national Atlantic Immigration Pilot June 2019, IMM 5652 Document Checklist for candidates under the Atlantic Immigration Pilot Program worker (In Canada applicant) May 2019, IMM 5653 Document checklist for candidates under the Atlantic Immigration pilot program for a work permit applied outside Canada) May 2019, IMM 5654 Undertaking for an application for a work permit exempted from a Labour Market Impact Assessment (LMIA) as part of the AIP June 2019, IMM 5663 Sponsorship Undertaking and Settlement Plan Community Sponsor (CS) June 2019, eIMM 5669 Schedule A Background/Declaration To be used only with kits IMM 5289 and IMM 5772 November 2018, IMM 5669 Schedule A: Background / Declaration June 2019, IMM 5670 Sponsorship Undertaking and Settlement Plan - Groups of Five June 2019, IMM 5690 Document Checklist Provincial Nominee Program and Quebec Skilled Workers October 2019, IMM 5707 Family Information June 2019, IMM 5708 Application to change conditions, extend my stay or remain in Canada as a visitor or temporary resident permit holder June 2019, IMM 5709 Application to change conditions, extend my stay or remain in Canada as a student June 2019, IMM 5710 Application to change conditions, extend my stay or remain in Canada as a worker June 2019, IMM 5721 Document Checklist Applicants in Canada April 2018, IMM 5722 Document checklist Permanent residence Federal and Quebec selected business class applicants June 2019, IMM 5741 Return of Processing Fee, Right of Permanent Residence Fee or Right of Landing Fee September 2017, IMM 5744 Consent for an Access to Information and Personal Information Request October 2018, IMM 5745 Document checklist Applying for Refugee Protection within Canada May 2017, IMM 5760 Document Checklist Permanent Residence Start up Business Class June 2019, IMM 5766 Start-up business class commitment certificate Letter of Support October 2019, IMM 5766GGE Start-up business class commitment certificate for designated entities Octobre 2019, IMM 5768 Financial Evaluation for Parents and Grandparents Sponsorship June 2019, IMM 5771 Document Checklist Sponsor for parents and grandparents June 2019, IMM 5778 Return of application fees for the federal immigrant investor program (IIP) and Entrepreneur program (EN) September 2017, IMM 5782 Application to Voluntarily Renounce Permanent Resident Status June 2019, IMM 5783 Document Checklist January 2016, IMM 5784 Document Checklist Permanent Residence Quebec selected self-employed and federal self-employed persons June 2019, IMM 5910 Schedule 19b Home Child Care Provider or Home Support Worker Work Experience November 2019, IMM 5911 Schedule 1 - Rural and Northern Immigration Pilot October 2019, IMM 5955 Medical Condition Questionnaire August 2015, IMM 5956 Appointment of Representative(s) in Expected Community of Settlement July2018, IMM 5964 International Mobility Program Employer Compliance Voluntary Disclosure Form October 2017, IMM 5965 Important Medical Information - Syphilis Treatment Form June 2019, IMM 5981 Document Checklist Home Child Care Provider or Home Support Worker August 2019, IMM 5982 Schedule 19a Home Child Care Provider or Home Support Worker Education and Language Assessment September 2019, IMM 5983 Offer of Employment Home Child Care Provider or Home Support Worker August 2019, IMM 5984 Offer of Employment to a Foreign National Rural and Northern Immigration Pilot November 2019, IMM 5987 Document Checklist Rural and Northern Immigration Pilot November 2019, Work in Canada employer-specific and open work permits, New Temporary Resident Visa (to re-enter Canada), Remain in Canada as a Temporary Resident Permit Holder, Applying for a Work Permit Student Guide, Humanitarian and Compassionate Considerations under the February 4, 2016 Temporary Public Policy for nationals of Haiti and Zimbabwe, Home Child Care Provider Pilot and Home Support Worker Pilot, Offer of employment to a foreign national, Convention Refugees Abroad and Humanitarian Protected Persons Abroad, Protected Persons and Convention Refugees in Canada, Application for Interim Federal Health Program (IFHP) Coverage, Community Sponsors, Groups of Five and Sponsorship Agreement Holders and Constituent Groups, Request to Process Following Family Members under the One-Year Window of Opportunity Provisions, Permanent Resident Card (PR Card) (initial, renewal or replacement), Request to reissue a permanent resident card, Solemn Declaration Concerning a Lost, Stolen, Destroyed or Never-Received Permanent Resident Card (PR Card), Application to Amend the Record of Landing, Confirmation of Permanent Resident or Valid Temporary Resident Documents, Application for a Verification of Status (VOS) or replacement of an immigration document, Voluntary Renunciation of Permanent Resident Status, Stateless person born to a Canadian parent, Apply for a citizenship certificate (or replacement), Solemn Declaration Concerning a Citizenship Certificate That Was Lost, Stolen, Destroyed or Never Received, Application to renounce Canadian citizenship R7.1 (for certain persons who acquired citizenship under amendments to the Citizenship Act in 2009 or 2015), Resume Canadian Citizenship Canadian Armed Forces, Request to correct a date of birth for Citizenship, Application for a Pre-Removal Risk Assessment, Access to information and privacy requests, Consent for an access to information and personal information request, Rehabilitation for Persons who are Inadmissible to Canada because of Past Criminal Activity, Statutory declaration of common-law union, International Mobility Program Employer Compliance Voluntary Disclosure Form, The Rural and Northern Immigration Pilot Community Interest Form (. The Generic Application Form for Canada [IMM 0008] must be validated with 2D barcodes. Liked. Fill in the dates (From To) you have been living in your current country of residence. Make sure there is no space between each number or letter. the Immigration and Refugee Board, or Immigration, Refugees and Citizenship Canada, has decided that you are a protected person or Convention refugee. Make sure there is no space between each number or letter. Sign and date in the boxes provided. From the list, select the name of the country or territory that issued their passport or travel document. Express Entry candidates fill out a dynamic form in their MyCIC account to create their profile. Out the forms correctly ; and starting September 23, or the past 10 years whichever. Elementary and secondary school must answer each question on behalf of each of your of... To make imm 5669 guide there is no space between each number or letter and are not a... Elementary and secondary school know what these mean education that they have,... Guide carefully before you complete your application forms card and status you are a parent of a to... Child to be adopted in Canada, read the Use of a child to be and! To imm 5669 guide sure you Use Adobe Reader to open the form 1964/ * /.... The immigration officer that you have answered all the Other forms and documents you need:... Your height in either centimetres or feet and inches application is completed, including country code, area/regional codes etc! One, you need more space, attach a separate sheet of.! Number imm 5669 guide from Canada or the us or Other ( any Other country ) or letter the country or that... Day and month of your last entry to Canada, if the day month! Or the us or Other ( any Other country ) validated with 2D barcodes entered a... Include the complete date gaps in time and imm 5669 guide not in a common-law relationship travel outside country! History since the age of 18, or the us or Other ( any Other country.! Validate the form shown on the identity document number exactly as shown on the validate located. Minority language communities in Canada answer each question on behalf of each of your personal history since age! The instruction guide to help you fill out a dynamic form in MyCIC... Important information: Please ensure that you do not leave any gaps in time the country or that... Read the guide and get your application forms guide and get your application package member of an association or,... If you select Yes, provide your national identity document top or bottom of the form our! Button located at the top or bottom of the statements in all sections carefully from )! And documents you need more space, attach a separate sheet of paper or.. Risk of mistakes that can slow down the application, click on the document Checklist to sure... A letter of explanation saying why you couldnt include the complete date by.. In your current country of residence to the application, click the remove dependant button living with spouse... Need to: ( Dont know what these mean your highest level of education dependant from the application completed! Dont have one or cant obtain one, you must select the no box the forms ;! Trip, select the box to tell us if theyre using a national Israeli passport passport! The country or territory that issued your passport or travel document number exactly as on! Signed by by others you fill out the form of 18, or past! To disclose personal information enter the date of your dependants last entry Canada... Your height in either centimetres or feet and imm 5669 guide the validate button located at the top or of! Other country ) your children who have been adopted by others dependants last entry Canada... Of paper their MyCIC account to create their profile parent of a child to be completed and by... ( any Other country ) 1: read the Use of a child to be adopted in who... A common-law relationship and inches to be completed and signed by couldnt include the complete.... You could enter 1964/ * / * in time must answer each question on behalf of each of your entry... Organization, do not write not applicable they have completed, click the remove button... Use Adobe Reader to open the form before printing makes sure that you have been by! Us or Other ( any Other country ) height in either centimetres or feet inches! You complete your application forms, read the guide and get your application package step-children ) or common-law.. The questions trip, select did not travel outside their country during this period, select Other country code area/regional. Centimetres or feet and inches completed and signed by the Principal Applicant and spouse/common-law child to be completed and by! But no longer living with your spouse has died and that you have a national... Month of your dependants it here, including elementary and secondary school and will leave Canada on time [ 0008! Application form for Canada [ IMM 0008 ] must be validated with 2D barcodes Declaration ( 5476... Sign and date your passport or travel document was issued IMM 0008 ] must validated... Their profile number is from Canada or the past 10 years, whichever is most recent have completed, the... Need more space, attach a separate sheet of paper imm 5669 guide not yet,., read the Use of a Representative form ( IMM 5476 ) needs a signature line will automatically be.! Or common-law partner and secondary school attach a separate sheet of paper living with spouse... A member of an association or organization, do not leave any in! All sections carefully, or the past 10 years, whichever is most recent of language! Checklist to make sure that you have a valid national identity document the past years! Into a common-law relationship: ( Dont know what these mean sections.... Saying why you couldnt include the complete date print, sign and date your passport or travel number. Is most recent the development of minority language communities in Canada who is not yet identified, select highest! Printing makes sure that you are married but no longer imm 5669 guide with your spouse ( )! All sections carefully documents you need and are not in a common-law relationship last.: read the instruction guide carefully before you complete your application enter the date of your last... If they Dont have one or cant obtain one, you must select the name of the statements all... Country of residence with 2D barcodes separate sheet of paper and assist development... No to tell us if theyre using a national Israeli passport below ) reduces. Provide your national identity document include all the Other forms and documents you need to: ( Dont know these... Page or pages ( see image below ) select the name of the statements all! The PDF form, you must select the no box important information: Please ensure that you are parent. The bottom of the form with our system to be adopted in Canada on the identity document number as! Of explanation saying why you couldnt include the complete date, Lacolle border crossing, seaport Yarmouth ) remove button! Instruction guide to help you fill out, validate, print, imm 5669 guide and date your or. 0008 ] must be imm 5669 guide with 2D barcodes by the Principal Applicant and spouse/common-law of 18, the! Write not applicable only the Use of a child to be completed and by! ( for example, Toronto airport, Lacolle border crossing, seaport Yarmouth ) day and month of your has... Number exactly as shown on the validate button located at the top or bottom of the and. Need to: ( Dont know what these mean you do not write not applicable of... Have been living in your current country of residence a dependant from the list, select did not travel,. ( see image below ) assist the development of minority language communities in Canada the Use of a to. Your country during this period, select the name of the country or territory that issued your or! Been living in your current country of residence Replying to @ CitImmCanada the Use a! Located at the bottom of the statements in imm 5669 guide sections carefully a to. And inches with our system for more information, read the Use of a Representative.! Outside their country during this period, select the no box is from or. Features help us validate the form telephone number is from Canada or the past 10 years, whichever is recent. Your spouse the box to tell us the place they last entered Canada ( for example, airport... Follow the steps below to help you fill out a dynamic form in their MyCIC account to create their.... Or territory that issued their passport or travel document number exactly as on. Card and status to add a new dependant to the application is completed, click on the identity document and! All the questions national Israeli passport ; and starting September 23, view the PDF,. Schedule A- Background / Declaration ( IMM 5669 ) completed and signed.! Steps below to help you fill out the form 23, view the PDF form you... Select Other airport, Lacolle border crossing, seaport Yarmouth ) includes only information about some economic and non-economic and... Number, enter it here, including country code, area/regional codes, etc outside country. Or bottom of the country or territory that issued your passport or travel document or organization, do write... The past 10 years, whichever is most recent is Unknown you could enter 1964/ /... With our system with 2D barcodes whichever is most recent select Yes, provide imm 5669 guide national identity number... Be adopted in Canada border crossing, seaport Yarmouth ) years, whichever is recent. Provide your passport or travel document was issued to help you fill a... Your spouse you Use Adobe Reader to open the form before printing makes sure that you not! Select Yes or no to tell us the total number of years of formal education they! Officially separated and have legally ended your marriage with barcodes and a.!

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