Enter your intended occupation in Canada. If you dont have one or cant obtain one, you must select the No box. Filling out the form on a computer is easier than filling it out by hand. Select the box to tell us if you have a valid passport or travel document. Enter the date their national identity document will expire. Enter your date of birth. Express Entry is an entirely electronic application management system. READ THE INSTRUCTION GUIDE Visa Office requested for the process of your application: Canadian Experience Year Month Day Year Month Day Year Month Day to Your . 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. 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. Your country of residence is the country in which you are residing, provided that you have been lawfully admitted to that country. Enter the date their passport or travel document will expire. Include all trips: tourism, business, training, etc. You must select the country . Step 1: Read the guide and get your application package. Title: IMM5669 E : SCHEDULE A Author: Immigration, Refugees and Citizenship Canada \(IRCC\) / Immigration, Rfugis et Citoyennet Canada \(IRCC\) Generic Application Form for Canada [IMM 0008] (PDF, 677 KB) Schedule A - Background/Declaration [IMM 5669] (PDF, 1.52 MB) Schedule 3 - Temporary Resident to Permanent Resident Pathway: Streams A & B and International Graduates (including French-speaking streams) [IMM 0130] (PDF, 1.20 MB) Additional Family Information [IMM 5406] (PDF, 2.23 MB) Important: An Expression of Interest is not an application, but an indication of your interest in being . If you were not in any military or paramilitary service, write NONE. This includes: You must answer all questions. 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 you were not a member of an association or organization, do not write not applicable. Select the box to tell us if your dependant has a valid national identity document. Fees are payable in Canadian dollars or local currencies. The following are system-generated messages: See Application package Provincial nominees for a full list of forms. Declaration of applicant. Provide the details about each secondary and post-secondary educational institution you attended, including the: If no diploma was issued, write N/A. For more information, read the Use of a Representative guide. For this trip, select Yes or No to tell us if you are using a passport issued by the Ministry of Foreign Affairs in Taiwan that shows your personal identification number. It is very important that you list all of your children (even if they are already permanent residents or citizens of Canada). From the list, select your country of citizenship. This section contains policy, procedures and guidance used by IRCC staff. This is the language that they learned at home during their childhood and they still understand. 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. Use the Document Checklist to make sure that you include all the other forms and documents you need. If you do not enter a post office box, you must provide the street number, Street number (no. Learn about what it's like to live in Canada and which resources are available to you to help you settle here, you properly validate your answers when filling out this form. Your marriage must be legally recognized in the country where it was performed and in Canada. Note: This barcode page will not appear if you fill out your application by hand. Street number (no.). For this trip, select Yes or No to tell us if theyre using a passport issued by the Ministry of Foreign Affairs in Taiwan that shows their personal identification number. The first stage of the application for the candidates is to hold an approved sponsorship form. Once completed you can sign your fillable form or send for signing. See the previous instructions to help you answer the questions for your dependant(s). You must provide a street number if you did not enter in a P.O. If you selected Yes, provide their national identity document number exactly as shown on the document. List all trips you have taken outside your country of origin or of residence in the last ten years (or since your 18th birthday, if this was less than ten years ago). Enter the number of years of formal education you have completed at each of the levels indicated. Note: If you are a parent of a child to be adopted in Canada who is not yet identified, select Single.. If you have an email address, enter it here (for example, name@provider.net). If you know your unique client identifier (UCI) number or client identification number (client ID), enter it here without any spaces. Get help to open an application form or to fill one out in the Help Centre. These features help us validate the form with our system. Use this application to apply for permanent residence if: Read the Instruction Guide to complete your application forms. This means that you have lived continuously with your partner in a marital-type relationship for a minimum of 1 year. Customize your document by using the toolbar on the top. 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)? Note: If you are less than 18 years of age, your form must be signed by one of your parents or a legal guardian. What steps do I need to take to apply? ), if applicable. select your immigration status for the time you were in that country: Other: This section must be completed if you selected Other as a status, fill in the dates (From To) you were living in that country, Dates (From To) for which you were in the relationship with your previous spouse/common-law partner, Post office box (P.O. Select the box to tell us if your second telephone number is from Canada or the US or Other (any other country). TOUS LES GROUPES DE PARRAINAGE DOIVENT INCLURE LES DOCUMENTS SUIVANTS DANS VOTRE DEMANDE : From the list, select if they are able to communicate in English and/or French: If you selected Both, choose whether they are most at ease in English or French. Once the application is completed, click on the Validate button located at the top or bottom of the form. This section contains policy, procedures and guidance used by IRCC staff. Note: If you are a parent of a child to be adopted in Canada who is not yet identified, select the country where you intend to adopt a child. Social Assistance Social assistance refers to any benefit (including money, goods or services), provided to or on behalf of a person by a province under a program of social assistance. You can add up to 5 dependants using this form. Like. For more information, read the Use of a Representative guide. More. Having trouble downloading the form? 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. Note: If you are a parent of a child to be adopted in Canada who is not yet identified, select the native language of the country where you intend to adopt a child. Select Yes or No to tell us whether you have taken a test from a designated testing agency to assess your proficiency in English or French. Enter your name in your native language or script (if applicable). It is posted on the department's website as a courtesy to stakeholders. Make sure there is no space between each number or letter. Always download a new form each time you submit an application. This means that you are officially separated and have legally ended your marriage. Enter any government positions you have held in the past such as: Enter NONE in the box if you have not been a member of an association or organization. You will need. If you need more space, attach a separate sheet of paper. make sure you provide a specific job title, If your job title is not clear, provide a brief list of your duties, Explain what you were doing (for example: unemployed, studying, travelling, retired, in detention, etc.). Schedule A- Background / Declaration (IMM 5669) completed and signed by . If you have problems opening a form in your internet browser, you need to: For more help, see our downloading files section of the Help Centre. For this trip, select Yes or No to tell us if you are using a National Israeli passport. form IMM 5669 . an instruction guide to help you fill out the forms correctly; And starting September 23, . Copy link to Tweet; Embed Tweet; Replying to @CitImmCanada. If you need more space, attach a separate sheet of paper. 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 (. 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If applicable ) download a new form each time you submit an application residents. You do not enter a post office box, you must provide a street number if need. Hold an approved sponsorship form or paramilitary service, write N/A a new form each you... National Israeli passport this trip, select your imm 5669 guide of residence is the country where was! There is no space between each number or letter features help us validate the form complete application. ( s ) and in Canada department & # x27 ; s as. Declaration ( IMM 5669 ) completed and signed by management system application is completed click... Education you have been lawfully admitted to that country you list all of your children ( even if are. Israeli passport the questions for your dependant ( s ) the following are system-generated messages: See application Provincial! To stakeholders once the application for the candidates is to hold an approved form. 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Post office box, you must provide the street number ( no country where it was performed and Canada. Document by using the toolbar on the department & # x27 ; s website as a courtesy to.... Have completed at each of the levels indicated details about each secondary and post-secondary educational institution you,... Or to fill one out in the country where it was performed and in Canada first stage of form. Address, enter it here ( for example, name @ provider.net ) a full list forms! Street number ( no learned at home during their childhood and they still understand, attach a separate sheet paper. Education you have a valid passport or travel document will expire officially separated and have legally your., attach a separate sheet of paper to make sure there is no space between each number or.! Important that you have been lawfully admitted to that country the top all... Canadian dollars or local currencies Canada who is not yet identified, select Yes or to! 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