FAMILY SPONSORSHIP APPLICATION PRINCIPAL APPLICANT FAMILY SPONSORSHIP APPLICATION PRINCIPAL APPLICANT NOTE: Please complete the questionnaire in one session. DO NOT refresh the page or close the window without first clicking "Save Draft", or your information may be lost. If you do not have time to complete the form in one session, PLEASE click "Save Draft", so all information will be saved and you can continue filling out the form later. PRINCIPAL APPLICANT Full name - exactly as shown on your passport or travel document * Full name - exactly as shown on your passport or travel document Full name - exactly as shown on your passport or travel document Full name - exactly as shown on your passport or travel document How many family members, including you, are in this application ? * Enter number Where do you intend to live in Canada? Language preference for correspondence * EnglishFrench Language preference for interview Interpreter requested * YesNo Have you received Certificat de Selection du Quebec (CSQ)? Yes No If yes, indicate the number If no, when did you apply for your CSQ, if applicable PERSONAL DETAILS Your full name written in your native language or script * Have you ever used any other name (e.g. Nickname, maiden name, alias, etc.)? * Yes No If Yes, please provide the name (e.g. Nickname, maiden name, alias, etc.) If Yes, please provide the name (e.g. Nickname, maiden name, alias, etc.) Family name(s) Family name(s) Given name(s) Given name(s) plus1 Add minus1 Remove UCI You can find it on the top right side of your status document if you applied before to Canada. Sex * FemaleMaleUnknownAnother gender Height * Indicate cm or ft/in. Eye color * BlackBlueBrownGreenGreyHazelOtherPinkSea Green Date of birth * City/Town of birth * Country of birth * Citizenship 1 * Citizenship 2 Current country of residence Country * Status * CitizenPermanent ResidentVisitorWorkerStudentOtherProtected PersonRefugee ClaimantForeign National Other From To Date of your last entry to Canada * Place of your last entry to Canada * ↓ Previous countries of residence: During the past five years have you lived in any country other than your country of citizenship or your current country of residence (indicated above) for more than six months? * Yes No Enter previous countries of residence Country * Status * CitizenPermanent ResidentVisitorWorkerStudentOtherProtected PersonRefugee ClaimantForeign National Other From To plus1 Add minus1 Remove Marital status Your current marital status * Annulled MarriageCommon-LawDivorcedMarriedSeparatedSingleUnknownWidowed Date of marriage or start of common-law relationship * Provide the name of your current spouse/common-law partner Provide the name of your current spouse/common-law partner Family name(s) Family name(s) Given name(s) Given name(s) ↓ Have you previously been married or in a common-law relationship? * Yes No Provide the following details for your previous spouse/common-law partner: Please provide information for all previous marriages or common-law relationships. Full Name * Full Name Family name(s) Family name(s) Given name(s) Given name(s) Type of relationship * Common-LawMarried From * To * Date of birth * plus1 Add minus1 Remove CONTACT INFORMATION Current mailing address 1. All correspondence will go to this address unless you indicate your e-mail address below. 2. Indicating an e-mail address will authorize all correspondence, including file and personal information, to be sent to the e-mail address you specify. 3. If you wish to authorize the release of information from your application to a representative, indicate their email and mailing address(es) in this section and on the IMM5476 form Mailing Address * Mailing Address Mailing Address Mailing Address Mailing Address Mailing Address Mailing Address Mailing Address Select Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe ↓ Is your mailing address the same as your residential address? * Yes No Residential Address * Residential Address Residential Address Residential Address Residential Address Residential Address Residential Address Residential Address Select Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Telephone type ResidenceMobileBusiness Telephone type Telephone number * Enter country code and extension (if applicable) Alternate telephone number Email * ID DOCUMENTS ↓ Do you have a valid passport/travel document? * Yes No Passport Passport/Travel document # * Country of issue * Issue date * Expiry date * For this trip, will you use a passport issued by the Ministry of Foreign Affairs in Taiwan that includes your personal identification number? * Yes No For this trip, will you use a National Israeli passport? * Yes No ↓ Do you have a national identity document? * Yes No National Identity Document Document number * Country of issue * Issue date Expiry date If no expiration date, choose 12/31/2099 ↓ Are you a lawful permanent resident of the United States? * Yes No US PR Card U.S. Citizenship and Immigration Services (USCIS) number * Expiry date * EDUCATION / OCCUPATION DETAIL Highest level of education * NoneSecondary or lessTrade/Apprenticeship Certificate/DiplomaNon-University Certificate/DiplomaPost-Secondary - No DegreeBachelor's DegreePost Graduate - No DegreeMaster's DegreeDoctorate - Ph D Number of years of education in total * Current occupation * Intended occupation * LANGUAGE DETAIL Native language/Mother Tongue * Able to communicate in English or French? * EnglishFrenchBothNeither In which language are you most at ease? EnglishFrench ↓ Have you taken a test from a designated testing agency to assess your proficiency in English or French? * Yes No If you are human, leave this field blank. Questionnaire - Principal ApplicantBackground informationFamily Information Upload Documents Next - Background information
