questionnaire to the application for permanent residence (sponsorship outside of canada)[1]

21
APPLICATION for PERMANENT RESIDENCE (SPOUSE SPONSORSHIP outside of CANADA: GENERAL ASIA) APPLICATION for PERMANENT RESIDENCE (SPOUSE SPONSORSHIP outside of CANADA: GENERAL ASIA)| Generated & Edited by Cyrus GAO. 1 Overview Before you collect information and start filling this questionnaire, please take a few moments to understand some of the terms that appear frequently in this questionnaire. Sponsor: A Canadian Citizen or Permanent Resident (Landed Immigrant) who wishes to provide care and support to his or her spouse, common-law partner or conjugal partner, and to help his or her spouse, common-law partner or conjugal partner become a permanent resident in Canada. If the Sponsor who is NOT living in Canada, do NOT use this questionnaire. Principal Applicant (AKA Sponsored Person): A spouse, common-law partner or conjugal partner of a Canadian Citizen or Permanent Resident (Landed Immigrant), who wishes to become a permanent resident in Canada by receiving support of an application for immigration to Canada from a Sponsor. If the Principal Applicant is NOT living aboard, or is residing in Canada by the time the application will be submitted, do NOT use this questionnaire. Dependent Child (AKA Dependant): A child of Sponsor or Sponsored Person who is under 22 and not married nor in a common-law relationship.* * Some other conditions may apply Common-Law Relationship: Those who have been living together in a conjugal relationship, either of the opposite sex or same sex, for at least one year in a continuous 12-month period that was not interrupted. Conjugal Partner Relationship: Those who are in exceptional circumstances beyond their control that prevent them from qualifying as common-law partners or spouses, either of the opposite sex or same sex, by living together. A conjugal relationship is more than a physical relationship. It means both parties depend on each other, there is some permanence to the relationship and there is the same level of commitment as a marriage or a common-law relationship. For Sponsor: 1. CIC client ID number (if applicable): ________________________ 2. Full name: Family name: ________________________ Family name (before marriage, if applicable): ________________________ Given name(s): ________________________ 3. Gender: Male Female 4. Date of birth: Day______Month______Year____________ 5. Town/City of birth: ______________________________ 6. Country of birth: ____________________________________ 7. Mailing Address: ________________________________________________________________________ ________________________________________________________________________ 8. Residential address, if different from your mailing address: ________________________________________________________________________ ________________________________________________________________________

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Page 1: Questionnaire to the Application for Permanent Residence (Sponsorship Outside of Canada)[1]

APPLICATION for PERMANENT RESIDENCE (SPOUSE SPONSORSHIP outside of CANADA: GENERAL ASIA)

APPLICATION for PERMANENT RESIDENCE (SPOUSE SPONSORSHIP outside of CANADA: GENERAL ASIA)| Generated & Edited by Cyrus GAO. 1

Overview

Before you collect information and start filling this questionnaire, please take a few moments to understand some of

the terms that appear frequently in this questionnaire.

Sponsor: A Canadian Citizen or Permanent Resident (Landed Immigrant) who wishes to provide care and

support to his or her spouse, common-law partner or conjugal partner, and to help his or her spouse,

common-law partner or conjugal partner become a permanent resident in Canada. If the Sponsor who is

NOT living in Canada, do NOT use this questionnaire.

Principal Applicant (AKA Sponsored Person): A spouse, common-law partner or conjugal partner of a

Canadian Citizen or Permanent Resident (Landed Immigrant), who wishes to become a permanent resident

in Canada by receiving support of an application for immigration to Canada from a Sponsor. If the Principal

Applicant is NOT living aboard, or is residing in Canada by the time the application will be submitted, do NOT

use this questionnaire.

Dependent Child (AKA Dependant): A child of Sponsor or Sponsored Person who is under 22 and not married

nor in a common-law relationship.* * Some other conditions may apply

Common-Law Relationship: Those who have been living together in a conjugal relationship, either of the

opposite sex or same sex, for at least one year in a continuous 12-month period that was not interrupted.

Conjugal Partner Relationship: Those who are in exceptional circumstances beyond their control that

prevent them from qualifying as common-law partners or spouses, either of the opposite sex or same sex, by

living together. A conjugal relationship is more than a physical relationship. It means both parties depend on

each other, there is some permanence to the relationship and there is the same level of commitment as a

marriage or a common-law relationship.

For Sponsor:

1. CIC client ID number (if applicable): ________________________

2. Full name: Family name: ________________________

Family name (before marriage,

if applicable): ________________________

Given name(s): ________________________

3. Gender: Male Female

4. Date of birth: Day______Month______Year____________

5. Town/City of birth: ______________________________

6. Country of birth: ____________________________________

7. Mailing Address: ________________________________________________________________________

________________________________________________________________________

8. Residential address, if different from your mailing address:

________________________________________________________________________

________________________________________________________________________

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APPLICATION for PERMANENT RESIDENCE (SPOUSE SPONSORSHIP outside of CANADA: GENERAL ASIA)| Generated & Edited by Cyrus GAO. 2

9. Telephone number: Country code Area code Number

At home ( ) ( ) __________________________

At work ( ) ( ) __________________________

Other ( ) ( ) __________________________

Fax number ( ) ( ) __________________________

10. A) Marital status

Never married Married Date of marriage: Day______Month______Year____________

Widowed Legally separated Annulled marriage Divorced

Common-Law Date relationship started: Day______Month______Year____________

B) Do you have a conjugal partner?

No Yes Date relationship started: Day______Month______Year____________

11. Have you previously been married, in a common-law or conjugal relationship?

No Yes Provide details below:

Name of previous spouse or partner: Family name: ________________________

Given name(s): ________________________

Date of birth of previous spouse or partner: Day______Month______Year_____________

Type of relationship: Spouse Common-law partner Conjugal partner

From: Day______Month______Year____________ to: Day______Month______Year____________

Date of divorce/separation/death (if applicable): Day______Month______Year____________

12. Are you a

Canadian Citizen? No Yes became a citizen on: Day______Month______Year____________

is your claim to citizenship by descent? No Yes

Permanent Resident? No Yes became a citizen on: Day______Month______Year____________

13. If you are a permanent resident or a naturalized Canadian citizen, give the name of the country where your

application for permanent residence was processed: ________________________

Full name at the time you became a permanent resident:

Family name: ________________________

Given name(s): ________________________

Record of landing/confirmation of permanent residence number: ________________________

14. Have you submitted a precious sponsorship application in respect of which a final decision has not been made

for any of the person involved in this questionnaire? No Yes

15. Is the Sponsor 18 years of age or older? Yes No

16. Is the Sponsor a Canadian citizen or permanent resident? Yes No

17. Has the Sponsor already submitted another sponsorship application in which decision is still pending?

Yes No

18. Is the Sponsor residing in Canada and in no other country? Yes No

19. Is the Sponsor in receipt of social assistance for a reason other than disability? Yes No

20. Is the Sponsor an undischarged bankrupt? Yes No

21. Does the Sponsor have any persons that previously sponsored or their family members received social

assistance during the validity period of the undertaking? Yes No

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22. Did the Sponsor co-sign an undertaking where the Sponsor Person or his or her family members received social

assistance during the validity period of the undertaking? Yes No

23. Has the Sponsor been ordered to leave Canada? Yes No

24. Is the Sponsor late in making a required payment on an immigration loan, a performance bond or any other

amounts that the Sponsor agreed to pay under Canadian immigration legislation, and has not made

arrangements to defer payments? Yes No

25. Is the Sponsor currently detained in a jail, prison, penitentiary pr reformatory? Yes No

26. In the five years preceding the application, has the Sponsor been convicted of a sexual offence or an offence

against the person in relation to one of your family members? Yes No

27. Is the Sponsor in default of a court order to make support payments to his or her spouse, former spouse,

common-law partner, former common-law partner or child? Yes No

28. Is the Sponsor a subject of an application to revoke his or her citizenship for which a decision has not been

made yet? Yes No

29. Is the Sponsor a subject of a report on inadmissibility? Yes No

30. Has the Sponsor been charged with an offence under an Act of Parliament punishable by a maximum term of

imprisonment of at least 10 years? Yes No

If yes, give the following details:

Charge: __________________________________________________________________________________

Place: __________________________________________________________________________________

Date: Day______Month______Year____________

31. Sponsor’s current employment

Employer’s (Company) Name: ________________________________________________

Employer’s (Company) Address: ________________________________________________

________________________________________________

Employer’s (Company) phone number: Country code Area code Number

( ) ( ) _______________

Sponsor’s occupation/position: ________________________________________________

Start date: Day______Month______Year____________

Name of Supervisor: ________________________________________________

32. Self-Employed (if applicable)

Name of Sponsor’s business: ________________________________________________

Date business established: Day______Month______Year____________

33. Sponsor’s net personal income for the 12-month period preceding the date of application:

Amount: ________________________

Start date: Day______Month______Year____________

End date: Day______Month______Year____________

34. Please provide detailing information for following questions or tables: ** If more space is needed, please use additional sheets of paper.

a. What language(s) do you, the Sponsor speak? ________________________

b. Provide the following details of the Sponsor’s father and mother.

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Father Mother

Family Name Given Name(s)

Date of Birth Day Month Year Day Month Year

Address

c. What is the highest level of education you, the Sponsor have completed?

Elementary/Primary School Number of years completed __________ Secondary/High School Number of years completed __________ College/University Number of years completed __________ Post-graduate studies Number of years completed __________

d. Are you, the Sponsor, currently employed? Yes No

e. Give details of all employers you have worked for in the past five years, starting with the most recent

employer.

Dates Employer

Give name, complete address and phone number for each employer

Occupation/Position Monthly

salary/income

From To D M Y D M Y

f. Have you, the Sponsor, resided in countries other than Canada? No Yes if yes, complete

the following table:

Country Address(es) and telephone numbers

Period of residence

From To D M Y D M Y

g. Are you, the Sponsor, a naturalized Canadian or permanent resident of Canada?

No Yes On what date did you become a permanent resident? Day______Month______Year____________ Which Canadian visa office issued your immigrant visa or confirmation of permanent residence? ________________________

h. Were you sponsored to come to Canada?

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No Yes When? Day______Month______Year____________ What type of sponsorship was it? Spouse Parent Dependent child Other relative

i. Are you, the Sponsor, currently living in Canada?

Yes Since when? Day______Month______Year____________ Your address in Canada ___________________________________________ ___________________________________________

No When do you plan to return to Canada to resume residency? Day______Month______Year____________ Where do you plan to live upon your return to Canada? ___________________________________________

Provide proof of your intention to re-establish in Canada. You will be asked for one or more of, the no limit to, the following documents:

Job offer in Canada Employment contract in Canada Letter of acceptance by an educational institution in Canada Properly rental agreement Properly deed Mortgage on property

Other, give details of your plans to re-establish yourself in Canada ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________

j. Are you, the Sponsor, living with someone?

No Yes if yes, complete the following table

Family name Given names Relationship to you

k. Do your friends and family know about your relationship with your spouse/partner, the person being

sponsor?

Yes No Explain below: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________

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l. Has your spouse/partner, the person being sponsored, met any of your close friends or family?

Yes if yes, complete the following table

Family name Given names Day Month Year Relationship to you

No Explain below:

_____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________

m. Do you, the Sponsor have any children?

No Proceed to next question. Yes if yes, complete the following table (include those from all your precious

relationships, if applicable)

Family name Given names Date of Birth

Day Month Year Relationship to you

If any of your children listed above do not live with you, the Sponsor, give details of your formal/informal visitation rights. Indicate how often your visit your children and if you provide any financial support for them.

_____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________

Has your spouse/common-law partner/conjugal partner met your children? Yes No Explain why: _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________

n. Have you, the Sponsor, ever submitted a sponsorship application for another person before?

No Yes Give details below. If you have submitted more than one sponsorship application, provide for each application the information listed below on a separate sheet of paper.

Family name: ________________________ Given names: ________________________ Date of birth: Day______Month______Year____________ Relationship to you: ________________________

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o. Have you, the Sponsor, ever been married or in a common-law or conjugal partner relationship

before?

No Yes Give details of your previous spouse or partner below. If you have more than one spouse, common-law partner or conjugal partner, provide for each application the information listed below on a separate sheet of paper.

Family name: ________________________ Given names: ________________________ Date of birth: Day______Month______Year____________ Address: _________________________________________________

_________________________________________________ Length of relationship: From: Day______Month______Year____________

To: Day______Month______Year____________ Date of divorce/death: Day______Month______Year____________

For Sponsored Person

1. CIC client ID number (if applicable): ________________________

2. Full name: Family name: ________________________

Given name(s): ________________________

3. Gender: Male Female

4. Date of birth: Day______Month______Year____________

5. Town/City of birth: ________________________

6. Country of birth: ________________________

7. Country of citizenship: ________________________

8. Country of residence: ________________________

9. Native language: ________________________

10. Height: _______cm or _______ft_______in

11. Colour of eyes: ________________________

12. Knowledge of English: Yes No

13. Knowledge of French: Yes No

14. Marital status

Never married Married Widowed Legally separated

Annulled marriage Divorced Common-Law

If you are married or in a common-law relationship, on which date you were married or enteredinto

the common-law relationship: Day______Month______Year____________

15. Have you, the Sponsored Person, previously been married or in a common-law relationship?

No Yes Give details below. If you have submitted more than one sponsorship application, provide for each application the information listed below on a separate sheet of paper.

Family name: ________________________ Given names: ________________________ Date of birth: Day______Month______Year____________

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Relationship to you: Marriage Common-law union Length of relationship: From: Day______Month______Year____________

To: Day______Month______Year____________ 16. Education: How many years of formal education do you have? ________

What is your highest level of completed education?

No secondary Secondary Trade/Apprenticeship

Non-university certificate/diploma Bachelor’s degree

Master’s degree Ph.D.

Give the number of years of school you successfully completed for each of the following

levels of education

_____Elementary/primary school

_____Secondary school

_____University/college

_____Trade school or other post secondary school

Give full details of all the secondary and post secondary education (including university,

college and apprenticeship training) you have had.

From To Name of institution City Country Type of certificate or diploma issued

Y M Y M

17. If you are currently attending school

What subjects are your studying? _________________________________________________

How many hours a week you study at this school? _________Hours

What is the date of expected course completion? Day______Month______Year____________

18. Your current occupation: ________________________________________________

19. Relationship to Sponsor:

Spouse Common-Law Partner Conjugal partner

Other (Specify) ________________________

20. Resident Address of Sponsored Person: ________________________________________________________

________________________________________________________

21. Mailing Address of Sponsored Person: ________________________________________________________

(If different from resident address) ________________________________________________________

22. Your email address: ________________________________________________

23. Passport number: ________________________

24. Passport country of issue: ________________________

25. Passport expiry day: Day______Month______Year____________

26. Your identity card number, if applicable: _______________________

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27. Telephone number: Country code Area code Number

At home ( ) ( ) __________________________

Other ( ) ( ) __________________________

28. If the Sponsored Person is not in the country of nationality of his or hers, has he or she been lawfully admitted

for a period of at least one year in the country where he or she is living?

No

Yes Continue on next question below.

Where do the Sponsor and Sponsored Person wish to submit the application?

The country where the Sponsored Person is permitted to be living longer than one year, or

The country where the Sponsored Person is a national.

29. Provide information of your father and mother:

Father Mother

Family Name Given Name(s)

Date of Birth Day Month Year Day Month Year

Address

Town/city of birth

Country of birth

Marital Status

Date of death, if deceased

30. Provide information of your siblings: (including half- and step-brothers and sisters)

Family Name

Given Name(s)

Date of Birth Day Month Year Day Month Year

Address

Town/city of birth

Country of birth

Marital Status

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31. Give details of all employers you have worked for, starting with the most recent employer.

Dates Employer

Give name, complete address and phone number for each employer

Occupation/Position Monthly

salary/income

From To D M Y D M Y

32. Personal history: (provide details of your personal history since the age of 18, do NOT leave any gaps in time.)

From To Activity City Country Name of company,

employer, school, facility, as applicable

Y M Y M

33. Membership or association with organizations: (include any political, social, youth or student organization,

trade unions and professional associations. Do NOT use abbreviations )

From To Name of

organization Type of

organization Activities and/or positions held within organization

City and Country

Y M Y M

34. Government positions: (list any governmental position you have held. Do Not use abbreviations)

From To Country Level of jurisdiction (e.g.,

national, regional, municipal) Department/branch

Activities and/or positions held

Y M Y M

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35. Military service:

From To Country Branch of service, unit numbers and names of your commanding officers

Rank(s) Dates and places of any active combat

Y M Y M

36. Address: (List all addresses where you have lived since your 18th birthday. Do NOT use P.O. box address.)

From To Street and number City and town Province, State or

District Country

Y M Y M

37. Have you, or, if you are the principal applicant, any of your family members listed in your application for

permanent residence in Canada, ever:

a. Been convicted of, or are you currently charged with, on trial for, or party to a crime proceedings in

any country? Yes No

b. Preciously sought refugee status in Canada or applied for a Canadian immigrant or permanent

resident visa or visitor or temporary resident visa? Yes No

c. Been refused refugee status in, or an immigrant or permanent resident visa or visitor or temporary

resident visa to, Canada or any other country, or have been refused a Certicat de selection du Quebec

(CSQ) to Quebec? Yes No

d. Been refused admission to, or ordered to leave, Canada or any other country? Yes No

e. Been involved in an act of genocide, a war crime or in the commission of a crime against humanity?

Yes No

f. Used, planned or advocated the use of armed struggle or violence to reach political, religious or

social objectives? Yes No

g. Been member of an organization that is or was engaged in an activity that is part of a pattern of

criminal activity? Yes No

h. Been detained or put in jail? Yes No

i. Had any serious disease or physical or mental disorder? Yes No

38. Please provide detailing information for following questions or tables: *** If more space is needed, please use additional sheets of paper.

a. Did you, the Principal Applicant, have any contact with your sponsor before you met in person?

No Yes when did you first contact your sponsor? Day______Month______Year____________

how did you first contact your sponsor? ____________________________________

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First Meeting:

b. When and where did you, the Principal Applicant, first meet your sponsor in person?

Date: Day______Month______Year____________

Place: ____________________________________

c. Did anyone (individual or organization) introduce you to your sponsor?

No Yes Name of individual or organization ________________________________________

Date of introduction Day______Month______Year____________ Relationship to you ____________________________________ Relationship to your sponsor ____________________________________

d. Did you give your sponsor any gifts?

No Yes Specify ____________________________________________________________

e. Did your sponsor give you any gifts?

No Yes Specify ____________________________________________________________

f. Give additional details describing the circumstance of your first meeting with your sponsor.

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

_________________________________________________________________________________

Family Members

g. Prior to your spousal/common-law/conjugal partner relationship, was sponsor or any of your

sponsor’s family members related to you or any member of your family?

No Yes Give their names and relationship to you or your sponsor, as applicable.

Name Relationship to you or your sponsor

h. Do you have family members or other relatives (i.e., aunt, uncle, cousin, etc.) living in Canada?

No Yes Provide their full name(s), address(es) and relationship to you.

Name Address Relationship to you

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Development of Your Relationship

i. Describe how your relationship developed after your first contact/meeting with your sponsor and if

you and your sponsor dated or went on any outings or trips together. Provide photos and

documentary evidence of events or activities in which you both participated.

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

j. Was your relationship known to your close friends and family?

No Yes Explain why.

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

k. Did your sponsor meet any of your close friends or family?

Yes Give their names below, their relationship to you and the date your sponsor met them.

Name Relationship to you Date sponsor met

D M Y

No Explain why.

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

l. Did your sponsor meet any of your close friends or family?

No Go immediately to question T.

Yes Complete question M to S.

Information about Your Marriage

m. Who proposed? ____________________________________

n. When and where did the proposal take place?

Date Day______Month______Year____________

Place ____________________________________

o. Was there a formal ceremony to recognize/celebrate the engagement?

Yes Provide details on number of attendees.

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No Explain why.

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

p. Did your sponsor have to travel to your country for the marriage?

No

Yes Did someone travel with him/her?

No

Yes Name ____________________________________

What is the relationship of this person to you or your sponsor?

____________________________________

q. Was your marriage arranged?

No

Yes Who arranged the marriage? ____________________________________

When was the marriage arranged? ____________________________________

Where was the marriage arranged?

____________________________________

r. Was there a reception?

No Explain. If you plan to have a reception later, give date and place.

Yes Provide details on date, location, number of attendees. Indicate if your Sponsor, your

Sponsor’s family members/relatives and your family members/relatives attended and if not,

why not.

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

s. Was there a honeymoon (a holiday or trip taken by you and your sponsor after the marriage)?

No

Yes Provide details.

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

GO TO QUESTION X.

Information on your Common-law/conjugal Partner relationship

t. Are you in a common-law relationship? (Please see definition at the beginning of this questionnaire)

No

Yes Provide written and documentary evidence of your relationship:

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insurance policies wills anything naming your partner as beneficiary

documents showing travel together identity documents showing same address

documents showing joint ownership of possessions

joint mortgage/loan/rental agreement/bank accounts others

____________________________________________________________________________

____________________________________________________________________________

u. Are you in a conjugal partner relationship? (Please see definition at the beginning of this

questionnaire)

No

Yes Provide written and documentary evidence of your relationship:

insurance policies wills anything naming your partner as beneficiary

documents showing travel together identity documents showing same address

long distance calls emails

documents showing recognition of each other ‘s significant events others

____________________________________________________________________________

____________________________________________________________________________

Explain why you were not able to live together continuously for one year. If possible, provide

evidence – visa denials, for example – that you tried to live together but were unable to do

so.

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

v. Was there a formal ceremony to recognize/celebrate the relationship, e.g., commitment or

partnership ceremony?

No Explain why.

Yes Provide details on dates, location, number of attendees. Indicate your Sponsor, your

Sponsor’s family members/relatives and your family members/relatives attended and if not,

why not.

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

w. Was there a reception?

No Explain. If you plan to have a reception later, give date and place.

Yes Provide details on date, location, number of attendees. Indicate if your Sponsor, your

Sponsor’s family members/relatives and your family members/relatives attended and if not,

why not.

____________________________________________________________________________

____________________________________________________________________________

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Maintaining Contact

x. Has the Sponsor visited the Principal Applicant during the period of relationship?

No Explain why.

Yes Indicate number, dates and length of visits, and if you stayed together at the same

location during the visit. Provide documentary evidence, for example, visas, tickets, etc.

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

y. Has the Principal Applicant visited the Sponsor during the period of relationship?

No Explain why.

Yes Indicate number, dates and length of visits, and if you stayed together at the same

location during the visit. Provide documentary evidence, for example, visas, tickets, etc.

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

z. i) How does the Principal Applicant and the Sponsor communicate when they are not together?

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

iI) How often and in what language?

____________________________________________________________________________

____________________________________________________________________________

Living Arrangements and Financial Support

aa. Have you, the Principal Applicant, and your Sponsor lived together?

No Explain why.

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Yes Give dates of periods of cohabitation.

From To

D M Y D M Y

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bb. Have you, the Principal Applicant, and your Sponsor lived together?

Yes

No When did your Sponsor return to Canada? Day______Month______Year__________

cc. Are you, the Principal Applicant, living with someone other than the Sponsor?

No

Yes Give name and relationship to you of the person(s) you live with.

Name Relationship to you or your sponsor

dd. Do you, the Principal Applicant, receive financial support from your Sponsor?

No

Yes How much? ________________________ How often? _______________________

For Dependent Children of Sponsor or Principal Applicant **** Please provide ALL Dependants’ information regardless they are accompanying the Sponsored Person to Canada or not.

1. Full name: Family name: ________________________

Given name(s): ________________________

2. Gender: Male Female

3. Date of birth: Day______Month______Year____________

4. Town/City of birth: ______________________________

5. Country of birth: ____________________________________

6. Country of citizenship: ______________________________

7. Current country of resident: _______________________

8. Other countries with resident status: ____________________

9. Marital status

Never married Married Widowed Legally separated

Annulled marriage Divorced Common-Law

10. Relationship to Sponsor:

Dependent Child Other (Specify) ________________________

11. Is this an accompany dependant whom you would like to include in this package? No Yes

12. Passport number: ________________________

13. Passport country of issue: ________________________

14. Passport expiry day: Day______Month______Year____________

15. Your identity card number, if applicable: _______________________

16. Native language: ________________________

17. Knowledge of English: Yes No

18. Knowledge of French: Yes No

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19. Education: How many years of formal education do you have? ________

What is your highest level of completed education?

No secondary Secondary Trade/Apprenticeship

Non-university certificate/diploma Bachelor’s degree

Master’s degree Ph.D.

20. Height: _______cm or _______ft_______in

21. Colour of eyes: ________________________

22. Your current occupation: ________________________________________________

*****Complete the following questions and tables ONLY for dependent children aged 18 years or older whom you wish to include in this application as

accompanying dependants.

23. Provide information of your father and mother:

Father Mother

Family Name Given Name(s)

Date of Birth Day Month Year Day Month Year

Address

Town/city of birth

Country of birth

Date of death, if deceased

24. Give full details of all the secondary and post secondary education (including university, college and

apprenticeship training) you have had.

From To Name of institution City Country Type of certificate or diploma issued

Y M Y M

25. If you are currently attending school

What subjects are your studying? _________________________________________________

How many hours a week you study at this school? _________Hours

What is the date of expected course completion? Day______Month______Year____________

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26. Give details of all employers you have worked for, starting with the most recent employer.

Dates Employer

Give name, complete address and phone number for each employer

Occupation/Position Monthly

salary/income

From To D M Y D M Y

27. Personal history: (provide details of your personal history since the age of 18, do NOT leave any gaps in time.)

From To Activity City Country Name of company,

employer, school, facility, as applicable

Y M Y M

28. Membership or association with organizations: (include any political, social, youth or student organization,

trade unions and professional associations. Do NOT use abbreviations )

From To Name of

organization Type of

organization Activities and/or positions held within organization

City and Country

Y M Y M

29. Government positions: (list any governmental position you have held. Do Not use abbreviations)

From To Country Level of jurisdiction (e.g.,

national, regional, municipal) Department/branch

Activities and/or positions held

Y M Y M

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30. Military service:

From To Country Branch of service, unit numbers and names of your commanding officers

Rank(s) Dates and places of any active combat

Y M Y M

31. Address: (List all addresses where you have lived since your 18th birthday. Do NOT use P.O. box address.)

From To Street and number City and town Province, State or

District Country

Y M Y M

32. Have you, or, if you are the principal applicant, any of your family members listed in your application for

permanent residence in Canada, ever:

a. Been convicted of, or are you currently charged with, on trial for, or party to a crime proceedings in

any country? Yes No

b. Preciously sought refugee status in Canada or applied for a Canadian immigrant or permanent

resident visa or visitor or temporary resident visa? Yes No

c. Been refused refugee status in, or an immigrant or permanent resident visa or visitor or temporary

resident visa to, Canada or any other country, or have been refused a Certicat de selection du Quebec

(CSQ) to Quebec? Yes No

d. Been refused admission to, or ordered to leave, Canada or any other country? Yes No

e. Been involved in an act of genocide, a war crime or in the commission of a crime against humanity?

Yes No

f. Used, planned or advocated the use of armed struggle or violence to reach political, religious or

social objectives? Yes No

g. Been member of an organization that is or was engaged in an activity that is part of a pattern of

criminal activity? Yes No

h. Been detained or put in jail? Yes No

i. Had any serious disease or physical or mental disorder? Yes No

******Attach separate sheets of paper and provide all information listed in the section of Dependent Children above, if Sponsor and/or Principal Applicant have

more than 1 Dependant.

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For both Sponsor and Principal Application ***** **This section is only for both parties who are in a common-law relationship

1. For how many year(s) have you had a constantly conjugal relationship with your Common-Law Partner?

_________Year(s)

Start date: Day______Month______Year____________

End date: Day______Month______Year____________

2. Do both parties:

a. Have jointly signed a residential lease, mortgage or purchase agreement relating to a residence in

which you both live? No Yes

b. Jointly own property other than your residence? No Yes

c. Have joint bank, trust, credit union or charge card account? No Yes

3. Do you, the Sponsor, have life insurance on yourself which names your common-law partner as beneficiary?

No Yes

4. Do your common-law partner, the Principal Application, have life insurance on him/herself which names you

as beneficiary? No Yes

5. If none of the above sections applies, what other documentary evidence do you have that would indicate your

relationship as common-law partners.

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________