If you dont have one or cant obtain one, you must select the No box. Select the box to tell us if your residential address (where you live) is the same as your mailing address. Make sure there is no space between each number or letter. Customize your document by using the toolbar on the top. Anexa A - Context/Declaraie (IMM 5669) Economic Classes - Atlantic Immigration Program (IMM 5501) Informaii suplimentare despre familie (IMM 5406) . form IMM 5669 . One of Canadas immigration objectives is to support and assist the development of minority language communities in Canada. Amgad @Amgad18466478 15h 15 hours ago. 3. This form is not available in PDF. If not, download, Use your computer (Mac or PC). TOUS LES GROUPES DE PARRAINAGE DOIVENT INCLURE LES DOCUMENTS SUIVANTS DANS VOTRE DEMANDE : Provide the details of your military or paramilitary service for each of the countries whose armed forces you served in. box, From the list, select the Country of your current mailing address. Sometimes if you try to open the form directly, it will use your Internet browser to try to open it. From the list, select the name of your dependants current country of residence. For more information, read the Use of a Representative guide. If a question doesnt apply to you, write N/A in the question. Read all of the statements in all sections carefully and then. If you answered Yes to one or more of these questions, you must explain what happened in the space provided. Dates (From To) your dependant was in the relationship with their previous spouse or common-law partner, From the list, select your dependants first (native) language. Note: Validating the form before printing makes sure that you have answered all the questions. This means that you have never been married and are not in a common-law relationship. 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 For refugee claimants in Canada only: select Canada whether your dependant has been lawfully admitted or not. You must answer each question on behalf of each of your dependants. Enter your intended occupation in Canada. Only the Use of a Representative form (IMM 5476) needs a signature. Were testing a new online immigration application. Quick guide on how to complete imm 5669 guide. This means that you and your spouse have had a ceremony that legally binds you to each other. The principal applicant must answer the following questions. If you select Yes, provide your passport or travel document number exactly as shown on the document. Note: Completing the form electronically is easier and reduces the risk of errors that can slow down the application process. 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. 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 (. You will not receive a reply. If you were or still are a member of an association or organizing, enter the names here. From the list, select your first (native) language. This could be your birth name, maiden name, married name, nickname, etc. Note: If you are a parent of a child to be adopted in Canada who is not yet identified, indicate your family name(s). If you applied for temporary or permanent residence in the past, this is an 8 or 10 digit number you can find on previous documents sent by us. 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. Provide your fathers personal details including their: Provide your mothers personal details including their: Answer each question by checking the appropriate box. This means that your spouse has died and that you have not re-married or entered into a common-law relationship. Note: By indicating your email address, you are hereby authorizing IRCC to transmit your file and personal information to this specific email. Read all of the statements in all sections carefully. Print your name and the forms title on the additional sheet. Failure to account for all time periods will result in a delay in the processing of your application. IMM5562 describes all your trips abroad you have takes outside your country of origin during the last 10 years. This page currently includes only information about some economic and non-economic classes and the permanent resident card and status. Use this step-by-step . for Other, type in Out of status, requires restoration, select the name of the country you lived in. Your residential address, if different from your mailing address 12. If they dont have one or cant obtain one, you must select the No box. For more information, read the Use of a Representative guide. Your spouse or common-law partner (whether accompanying you to Canada or not), and. You will not receive a reply. This section contains policy, procedures and guidance used by IRCC staff. Use the Generic Application Form for Canada [IMM0008]. You must answer all questions on this application form unless otherwise indicated. We won't refund your application fee, so make sure you're eligible for a study permit before you apply. Immigrate, visit, work or study Verification of Status (VOS) or replacement of an immigration document Correct an error on your temporary resident document Correct an error on your Record of Landing or your Confirmation of Permanent Residence Visit or transit through Canada Electronic Travel Authorization (eTA) Note: If you are a parent of a child to be adopted in Canada who is not yet identified, indicate Unknown.. From the list, select the name of the country or territory that issued your passport or travel document. Do not use initials. What steps do I need to take to apply? What language should my supporting documentation be in? You will not receive a reply. Street number (no.). Get help to open an application form or to fill one out in the Help Centre. This section contains policy, procedures and guidance used by IRCC staff. This is the language that you learned at home during your childhood and that you still understand. When we update our application forms, if you dont clear your cache, your browser may still open the old forms. Click the "Validate" button at the top or bottom of the form. You also have the option of saving your form and completing it later. Tell us their intended occupation in Canada. This will generate a barcode page or pages (see image below). This application form uses special features and you cant view it using your Internet browser. Enter the total number of years of formal education that you have completed, including elementary and secondary school. 6. box) number, if applicable. Note: If you are a parent of a child to be adopted in Canada who is not yet identified, select Single.. Schedule A - Background/Declaration [IMM 5669] (PDF, 776.4 KB) If you're submitting one of these forms, you need to use version 11.0.09 of Acrobat Reader to fill it out. 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. You must select the country . See the previous instructions to help you answer the questions for your dependant(s). You can find additional information on the EOI points grid in Appendix A. 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. For refugee claimants in Canada only: Enter the total number of family members included in your application for refugee protection who are with you in Canada. For enquiries,contact us. Demonstrate that you have enough funds or financial assets to support yourself. Enter the date (year, month and day) your dependant was married or entered into their current common-law relationship. You can use it to apply(opens in a new tab). 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. If you have more than one package, place a separate barcode page on each one. Tell us the family name(s) and given name(s) of your dependants current spouse or common-law partner. your spouse or common-law partner (whether accompanying you to Canada or not). 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 and Citizen as the immigration status in that country. All communication with Express Entry candidates and applicants is conducted through their MyCIC account. Were experiencing issues with some of our forms with 2D barcodes: If youre submitting one of these forms, you need to use version 11.0.09 of Acrobat Reader to fill it out. This includes yourself and any family members, regardless of whether they intend to accompany you to Canada or not. Immigration, Refugees and Citizenship Canada, Application package Provincial nominees, Authority to release personal information to a designated individual, Statutory declaration of common-law union, Declaration from non-accompanying parent/guardian for minors immigrating to Canada, Express Entry profile received next steps Job Bank, Express Entry profile received next steps PT Job Bank, Application to change conditions, extend my stay or remain in Canada, Application for permanent residence from within Canada Humanitarian and compassionate considerations, Supplementary information Humanitarian and compassionate considerations, Document checklist Humanitarian and compassionate considerations, Instruction guide Applying for permanent residence from within Canada Humanitarian and compassionate considerations, Application for Protected Person Status Document, Applying for Permanent Residence from Within Canada, Humanitarian and Compassionate Cases, Applying for Permanent Residence from Within Canada, Protected Persons and Convention Refugees, In-Canada Application for Permanent Resident Status, Medical Report Section A Client identification and summary, Request for Consideration of Ministers Intervention, Principal applicant and, if applicable, spouse or common-law partner, and each dependent child 18 years of age or over, Principal applicant if they have over five dependants (whether accompanying or not), Schedule 19a: Home Child Care Provider or Home Support Worker Education and Language Assessment, Schedule 19b: Home Child Care Provider or Home Support Worker Work Experience, Employer and Principal applicant in the Gaining experience category (Category A), Document Checklist Home Child Care Provider or Home Support Worker, Principal applicant if they have a paid or unpaid representative, Statutory Declaration of Common-law Union, Principal applicant if they have a common-law partner, Statutory Declaration from Non-Accompanying Parent/Guardian for Minors Immigrating to Canada, Non-accompanying parent or guardian of a child, Principal applicant and, if applicable, spouse or common-law partner, and each dependent child 18 years of age or older, Offer of Employment to a Foreign National under the Atlantic Immigration Program, Economic Classes Atlantic Immigration Program, Guide 0154 - Atlantic Immigration Program, Document Checklist - Atlantic Immigration Program, Declaration for Minors Travelling to Canada, Statutory Declaration of Common-Law Union. 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