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    Imm5645e PDF

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    hawdang nuree
    This document is an application for a visitor, worker or student visa to Canada. It requests information about the applicant's family members, including their names, dates of birth, addresses, occupations and whether they will accompany the applicant to Canada. The applicant must provide details on their spouse/partner, children, parents, siblings, brothers and sisters. The applicant certifies that the information provided is complete and accurate and that it will form their immigration record.

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    Imm5645e PDF

    Uploaded by

    hawdang nuree
    167 views2 pages
    This document is an application for a visitor, worker or student visa to Canada. It requests information about the applicant's family members, including their names, dates of birth, addresses, occupations and whether they will accompany the applicant to Canada. The applicant must provide details on their spouse/partner, children, parents, siblings, brothers and sisters. The applicant certifies that the information provided is complete and accurate and that it will form their immigration record.

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    IMM5645E.pdf

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    This document is an application for a visitor, worker or student visa to Canada. It requests information about the applicant's family members, including their names, dates of birth, addresses, occupations and whether they will accompany the applicant to Canada. The applicant must provide details on their spouse/partner, children, parents, siblings, brothers and sisters. The applicant certifies that the information provided is complete and accurate and that it will form their immigration record.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    167 views2 pages

    Imm5645e PDF

    Uploaded by

    hawdang nuree
    This document is an application for a visitor, worker or student visa to Canada. It requests information about the applicant's family members, including their names, dates of birth, addresses, occupations and whether they will accompany the applicant to Canada. The applicant must provide details on their spouse/partner, children, parents, siblings, brothers and sisters. The applicant certifies that the information provided is complete and accurate and that it will form their immigration record.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Citizenship and Citoyennet et PROTECTED WHEN COMPLETED - B

    Immigration Canada Immigration Canada


    PAGE 1 OF 2

    FAMILY INFORMATION
    Type of application: Visitor Worker Student Other

    Complete ALL names in English and in your native language (for example, Arabic, Cyrillic, Chinese, Chinese commercial/telegraphic code, Korean, or Japanese
    characters). Include ALL family members even if they are not accompanying you. If you need more space for any section, print out an additional page containing
    the appropriate section, complete and submit it with your application.
    BEFORE YOU START, READ THE INSTRUCTION GUIDE, TYPE OR PRINT IN BLACK INK.
    SECTION A
    Date of birth Present address Will
    Relationship Y M D (If deceased give city and date) accompany
    Full name Marital status
    SEE NOTE 1 Country you to Canada?
    Present occupation
    of birth YES NO

    APPLICANT

    SPOUSE OR
    COMMON-LAW
    PARTNER

    MOTHER

    FATHER

    NOTE 1: If no spouse or common-law partner is listed in Section A, read and sign below.
    Year Month Day

    I certify that I do not have a spouse or a common-law partner. Signature: Date:

    SECTION B CHILDREN (Include ALL sons and daughters, including ALL adopted and step-children, regardless of age or place of residence)
    Date of birth Present address Will
    Relationship Y M D (If deceased give city and date) accompany
    Full name Marital status
    SEE NOTE 2 Country you to Canada?
    Present occupation
    of birth YES NO

    NOTE 2: If no children are listed in Section B, read and sign below.


    Year Month Day

    I certify that I do not have any children, either natural or adopted. Signature: Date:

    IMM 5645 (09-2010) E (DISPONIBLE EN FRANAIS - IMM 5645 F)


    PAGE 2 OF 2
    SECTION C BROTHERS AND SISTERS (Include ALL brothers and sisters, ALL half-brother and sister and stepbrother and sister.)
    Date of birth Present address Will
    Y M D (If deceased give city and date) accompany
    Full name Relationship Marital status
    Country you to Canada?
    Present occupation
    of birth YES NO

    SECTION D CERTIFICATION
    I certify that the information contained on this document is complete, accurate and factual. I also realize that once this document has been completed and
    signed that it will form part of my Immigration Record and will be used to verify my family details on future applications.

    Year Month Day

    Signature: Date:

    The information you provide on this form is collected under the authority of the Immigration and Refugee Protection Act to determine if you may be admitted to Canada as a temporary
    resident. It will be stored in Personal Information Bank CIC PPU 055, Visitor Case File. It is protected and accessible under the Privacy Act and the Access to Information Act.

    IMM 5645 (09-2010) E

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