IMMIGRATION Canada Cette trousse est également disponible en français Citizenship and Immigration Canada Citoyenneté et Immigration Canada This application is made available free by Citizenship and Immigration Canada and is not to be sold to applicants. IMM 3907E (02-2012) Family Class Sponsorship of a spouse, common-law partner, conjugal partner or dependent child living outside Canada Table of Contents Appendix A - Document Checklist - Immigrant Appendix B - Photo Specifications Appendix C - Medical Instructions Part 3: Country Specific Instructions Bangladesh, Democratic People’s Republic of Korea, Maldives, Mongolia, Pakistan, South Korea, Sri Lanka and Taiwan
Transcript
IMMIGRATIONCanada
Cette trousse est égalementdisponible en français
Citizenship andImmigration Canada
Citoyenneté etImmigration Canada
This application is made available free by Citizenship and Immigration Canada and is not to be sold to applicants.
IMM 3907E (02-2012)
Family Class
Sponsorship of a spouse, common-law partner, conjugal partner or dependent child living outside Canada
Table of ContentsAppendix A - Document Checklist - ImmigrantAppendix B - Photo SpecificationsAppendix C - Medical Instructions
Part 3: Country Specific Instructions
Bangladesh, Democratic People’s Republic of Korea, Maldives, Mongolia, Pakistan, South Korea, Sri Lanka and Taiwan
Appendix A Document Checklist - ImmigrantThis document is available in PDF format only. The checklist is one of the forms you will need to mail with your application. Make sure you print this document and attach it when completed to your application.Assemble all your documents as listed. Check ( ) each applicable item on the list and attach the list to your documents (a paper clip will do). Nationals of Pakistan must send originals of all documents. Nationals of other countries must send originals of the immigration forms (items 1 to 11 below) and the police certificates, and send photocopies of all other documents, unless instructed otherwise. If your documents are not in English or French, send a notarized (certified) translation with a copy of the originals.
IMPORTANT NOTICE: Misrepresentation will result in your application being refused
If you or someone acting on your behalf directly or indirectly submits false documentation or misrepresents facts relating to your application for a permanent resident visa:
• your application will be refused;• the circumstances of your refusal will be entered into Canada's global immigration database; and• you and your dependent(s) could become inadmissible to Canada for two years under section 40
(2) of the Immigration and Refugee Protection Act.
IMMIGRATION FORMS
Ensure that all questions have been answered and forms are signed. When completed, send them to your sponsor with all supporting documentation.
Residents of Taiwan must provide their residential address in Chinese characters to ensure effective communication with the visa office.
1 Generic Application Form for Canada (IMM 0008) - This form is completed by you, the principal applicant.
2 Additional Dependants/Declaration (IMM 0008DEP) - This form is completed by you, the principal applicant, if you have more than five (5) family members.
3 Schedule A - Background/Declaration (IMM 5669) - You and each of your family members 18 years of age or older must complete their own copy of this form.
Note: If you are a Pakistani national, this form must also be completed by your male family members 15 years of age or older.
4 Additional Family Information (IMM 5406) - You and each of your family members 18 years of age or older must complete their own copy of this form.
Note: If you are a Pakistani national, this form must also be completed by your male family members 15 years of age or older.
5 Spouse/Partner Questionnaire (IMM 5490)- If your sponsor is your spouse, common-law partner or conjugal partner, he or she must complete the questionnaire.
6 Use of a Representative (IMM 5476) - If you want us to deal with a representative on your behalf, complete and sign this form.
Sponsorship III - Spouses, common-law partners, conjugal partners and dependent children A - 1
7
Supplementary Information Form - Pakistan - This form is to be completed by you and family members who are nationals of Pakistan. All male family members 15 years of age or older and female family members 18 years of age or older must complete and submit this form.
Note: No section should be left without answers. Write "not applicable" in sections that do not apply.
8 Supplementary Information - Sri Lanka (IMM 5223) - To be completed by nationals of Sri Lanka.
9 Education Background/Work Experience Questionnaire - To be completed by nationals of Sri Lanka and of Pakistan who claim children 22 years of age or over to be their family members.
10 Residency questionnaire - Pakistan - If you are a Pakistani national, this form is completed by you, the principal applicant.
11 Authorization to Disclose Information — Pakistan - If you are a Pakistani national, this form is completed by you, the principal applicant.
12 IDENTITY AND CIVIL STATUS DOCUMENTS
Provide the following documents:• birth certificates, • baptismal certificates or, • other official document confirming relationship (including all pages of Household Registries) for
you and each of your family members.
For any family member who is a Canadian citizen or permanent resident of Canada, send a photocopy of either:• Citizenship Certificate,• Permanent Resident Card, • Record of Landing (IMM 1000) or Confirmation of Permanent Residence (IMM 5292 or
IMM 5688),• Immigrant visa.
If you are or have ever been…. Then you must provide…Married Marriage certificate Common-law Documentary evidence of this relationshipDivorced Divorce certificateSeparated Certificate of legal separation for you and
your spouse or common-law partnerWidowed (both men and women) Death certificate
• Further clarification regarding the above-mentioned documents is given below for nationals of Pakistan, Korea and Taiwan.
A - 2 Sponsorship III - Spouses, common-law partners, conjugal partners and dependent children
Nationals of Pakistan: The following documents are required for you, the principle applicant, and for each of your dependent family members, if applicable to your situation:• Original birth certificates for yourself and your family members including your spouse or
common-law partner. A birth certificate is acceptable if the registration of the birth was made shortly after the birth.
• Certified copies of your national identity card (CNIC).• Original marriage certificate for you and your spouse (Nikkah Nama).• Original death certificate(s) if your sponsor's or your former spouse(s), common-law or conjugal
partner(s) is/are deceased.• Original divorce certificate for you or your spouse's previous marriages. If a divorce has been
obtained in Pakistan by a sponsor residing in Canada, you must submit evidence that either party of the divorce resided in Pakistan for at least one year prior to the divorce. Alternatively, you may submit evidence that either party to the divorce had a substantial connection to Pakistan such as frequent visits, property ownership, and/or active businesses in Pakistan.
• Official documentation confirming your relationship to your sponsor and both of your rela-tionships to the other family members on your application. This may include family lists and household registries.
• Original educational documents for you and your family members such as transcripts indicating a list of courses taken, scores achieved as well as certificates obtained.
IMPORTANT NOTE:
• Affidavits to establish marriage, divorce, death and custody are not acceptable. • Identity and civil status documents submitted must bear the name of the applicant, and be
endorsed by the government authority responsible for issuance in the district in which the event took place.
• If you were married in Pakistan either by proxy or in person, you should submit a marriage certificate (Nikkah Nama in Urdu) bearing the Nikkah registry seal as evidence that your marriage is properly registered by your union council or the relevant government authority in your region.
• If you or your sponsor's previous divorces were obtained in Pakistan, divorce certificates submitted should be issued by your union council or the relevant government authority. Failure to submit marriage or divorce certificates in accordance to the Muslim Family Law Ordinance of 1961 may lead to the delay and possible refusal of your application.
• Non-Muslims should provide marriage and divorce certificates from the relevant authority responsible for registration.
For nationals of Korea: • Family Relation Certificate and one certified true translation into French or English of your Family
Relation Certificate. This document should have been recently issued.• Marriage Relation Certificate and one certified true translation into French or English• Old (deleted) Family Census Register and one certified true translation into French or English
For nationals of Taiwan: • Provide a certified true copy of your household register.
Sponsorship III - Spouses, common-law partners, conjugal partners and dependent children A - 3
13 CHILDREN’S INFORMATIONIf your children are adopted, you must include adoption papers and, if the adoption was done according to customary law and not through the courts, evidence of the adoption ceremony such as photographs.
If you are divorced or separated, you must include proof of unconditional custody of your minor children in your name by the relevant local court. This proof should indicate that your minor children can move to Canada on a permanent basis.
If your children are aged 22 or older and you intend to have them accompany you to Canada, you must submit:• proof of full financial support by a parent since reaching 22 years of age,• proof of continuous full-time studies such as letters from their educational institution, school
certificates, diplomas, degrees, transcripts, marks cards, or• medical history if they are unable to provide for themselves due to a medical condition.
For nationals of Pakistan:Educational documents submitted must be originals. Certificates and transcripts must be issued by a post-secondary institution that is accredited by the relevant government authority.
If you are a guardian for minor children, you must include proof of unconditional guardianship or custody by the relevant local court as proof that the child(ren) can move to Canada on a permanent basis. If applicable to your situation, please provide photographs of the guardianship ceremony and related celebrations
14 TRAVEL DOCUMENTS AND PASSPORTS
Passports or travel documents for you, your spouse or common-law partner and dependent children. Include only copies of pages showing:• passport number, • date of issue and expiration, • given name, surnames (family name) and• date and place of birth.
If you live in a country different from your nationality, include a copy of your visa for the country in which you currently live.
You must hold a valid regular passport. Diplomatic, official or public affairs passports are not valid for an application for permanent residence in Canada.
For nationals of Pakistan:Provide certified copies of the photo and information page of your valid passport and of any old expired passports for you and your family members.
A - 4 Sponsorship III - Spouses, common-law partners, conjugal partners and dependent children
15 PROOF OF RELATIONSHIP TO SPONSOR
If you are being sponsored by your parent, you must provide proof of the relationship such as:• birth certificates, • baptismal certificates, or • other official document naming your parents.
If you are being sponsored by your spouse, common-law partner or conjugal partner, you must send evidence of the relationship between you and your sponsor such as:• wedding photos or proof that you are partners, • card/letters with envelopes addressed from you or your sponsor that indicate the dates
correspondence was sent, • original telephone bills that clearly indicate phone numbers dialled and date of calls received,• copies of emails,• proof of your sponsor's visits such as airline ticket coupons, boarding passes, copies of pages of
your sponsor's passport showing entry/exit stamps,• documentary evidence if your sponsor is now supporting you financially.
If you are a common-law or conjugal partner, provide evidence that your relationship is genuine and continuing and has existed for at least 12 months prior to your application.
Documentary evidence may include:• joint bank accounts, • joint lease or mortgage or home ownership deed, • proof of financial dependency on one another, • notarized affidavits attesting to the fact and providing reasons for why you and your sponsor are/
were living together without being married or unable to live together altogether, • details of the history of your relationship,• at least two statutory declarations from individuals with personal knowledge of your relationship
supporting your claim that the relationship is genuine and continuing.
Note: Photos must be loose; do not send them in binders, albums, frames or other such containers. Do not send video discs or video cassettes. Do not send musical greeeting cards or other similar documents containing electronic or mechanical devices. Telephone calling cards are not acceptable proof and should not be submitted. For such calling cards, you must provide a record issued by the telephone company of calls made with the cards.
For nationals of Pakistan:• Approximately 15 to 20 printed photographs of you and your sponsor with relatives and friends.
Photos submitted should be comprised by the wedding ceremony (signing of the contract or Nikkah) and customary celebrations held afterwards (the wedding reception or the Rukhsati in Urdu). Photos should also include pictures taken of you and your sponsor together on other occasions, for example, either before and/or after the wedding.
Note: Ensure that all photographs are clearly labelled in English or French with the names of the persons appearing in the pictures, the date the photo was taken, and the occasion or event displayed in the photo.
16 POLICE CERTIFICATES AND CLEARANCES
Original police certificates or clearances from each country in which you and every one in your family aged 18 years or over have resided six months or more since reaching 18 years of age in the last 10 years. Consult our website for specific and up-to-date information on how to obtain police certificates from any country.
Sponsorship III - Spouses, common-law partners, conjugal partners and dependent children A - 5
Place all of your documents in an envelope and send them to your sponsor.
17 PROOF OF MEDICAL EXAMINATION
Include for yourself and each of your family members Copy 2 of the Medical Report-Section A that the DMP will sign and give to you when you undergo the medical examination. See Appendix C for additional information.
18 PHOTOS
Supply nine (9) recent photos taken in the last six months for you and each family member. Follow the instructions in your guide (see Photos in section on completing the Application for Permanent Residence in Canada) and in Appendix B: Photo Specifications.
A - 6 Sponsorship III - Spouses, common-law partners, conjugal partners and dependent children
Authorization to Disclose Information — Pakistan
I, _________________________, hereby authorize the Canadian High Commission in Islamabad, Pakistan to contact all governmental authorities, including all police, judicial, state and educational authorities, in all countries in which I and my family members may have resided, to verify information provided in my application for immigration to Canada. I further authorize the Canadian High Commission, Islamabad, to contact all private businesses, including educational institutions, banks and past and present employers with which I or my family members may have had dealings, to verify documents and information submitted in support of my application.I authorize all such governmental and private institutions to release to the Canadian High Commission, Islamabad, all records and information that they may possess on behalf of myself and those family members included in my application. I understand that the information obtained by the Canadian High Commission will be used to assist in evaluating my suitability for admission to Canada under the Canadian Immigration and Refugee Protection Act and Regulations.
Signature of Applicant: ______________________________
Date: _____________________________
Education Background/Work Experience QuestionnaireTo be completed by applicants who claim children to be dependants over 22 years of age:
Please write answers to these questions on this sheet (attach additional sheets if necessary) and return it along with your supporting documents. Please note that questionnaires without supporting documentation will not be accepted.
Are you attending school at present? If yes, please provide answers to questions 1, 2, and 3 below. If you are not attending school, please answer questions 2 and 3.Evidence of education since leaving school in date order. If enrolled in any course of studies then letter from the institute should indicate date of commencement, duration, completion, and hours of classroom per week.
1. Current School AttendancePlease provide the following details and attach supporting documentation (i.e. certificates of attendance, exam results):
(a) name and location of the school
(b) how long you have been studying at this school
(c) how many hours a week you study at this school
(d) subjects you are studying
(e) expected course completion date
The Canadian High Commission 6 Gregory’s Road, Cinnamon Gardens P.O. Box 1006 Colombo 7, Sri Lanka
File No.: _____________________
Page 1 of 2
2. Past School AttendancePlease provide the following details and attach supporting documentation (i.e. pupil’s record sheet, examination result sheet, etc.)
(a) date you left school
(b) name and location of the school
(c) last grade completed or examination passed
3. Work ExperiencePlease provide the following details and attach supporting documentation.
(a) name of employer
(b) your job title
(c) when you began work; was work full or part-time?
Please provide examination results and school and employment certificates to support your answers to the above questions. We will not accept responses without supporting documentation.
I certify that the information contained in this document is complete, accurate and factual. I also realize that once this document has been completed and signed, it will form part of my immigration record.
FOR OFFICIAL USE ONLY - RÉSERVÉ À L'ADMINISTRATION
The information you provide on this form is collected under the authority of the Immigration andRefugee Protection Act and will be used for the purpose of conducting a security examination todetermine your admissibility as an immigrant/visitor to Canada according to the requirements of theAct. It will be retained in Personal Information Banks CIC PPU 042, 055, 051 and/or 054. It may beshared with other organizations in accordance with the consistent use of information under thePrivacy Act. Under the Privacy Act and the Access to Information Act individuals have the right toprotection of and access to their personal information. Details on these matters are available atinfosource.gc.ca and through the Citizenship and Immigration Call Centre. Infosource is alsoavailable in Canadian public libraries.
From - De
MOTHER - MÈRE
Sex - Sexe
Signature of applicant - Signature du requérant
Date of birth Date de naissance
PROTECTED WHEN COMPLETEDPROTÉGÉ UNE FOIS REMPLI - A
Les renseignements fournis dans ce formulaire sont recueillis en vertu de la Loi sur l'immigration etla protection des réfugiés et seront utilisés pour effectuer un examen sécuritaire en vue d'établirvotre admissibilité comme immigrant/visiteur au Canada conformément aux critères prévus dans laLoi. Ils seront conservés dans les banques de renseignements personnels CIC PPU 042, 055, 051et/ou 054. Ils pourront être communiqués à d'autres organisations conformément au principed'usage compatible de l'information en vertu de la Loi sur la protection des renseignementspersonnels. Par ailleurs, en vertu de la Loi sur la protection des renseignements personnels et de laLoi sur l'accès à l'information, les personnes ont le droit de s'attendre à ce que leursrenseignements personnels soient protégés et d'y avoir accès. Il est possible d'obtenir plusd'information à ce sujet en visitant le site infosource.gc.ca ou en communiquant avec le Télécentrede Citoyenneté et de l'immigration. On peut aussi accéder à Infosource à partir desbibliothèques publiques du Canada.
SRI LANKA
List - Liste
Number - Numéro
Date
FemaleFemme
D - J M Y - A
D - J M Y - A
D - J M Y - A
THIS FORM MUST BE COMPLETED IN EITHER ENGLISH OR FRENCHCE FORMULAIRE DOIT ÊTRE REMPLI EN FRANÇAIS OU EN ANGLAIS
NOTE TO APPLICANT - AVIS AU REQUÉRANT
To - ÀM M
NOTE: Do include on another sheet of paper, all the occupations of your brothers and sisters listed on form IMM 5406 Section C.NOTA : Veuillez ajouter sur une feuille distincte, les occupations de vos frères et soeurs mentionnés sur le formulaire IMM 5406 Section C.
Citizenship andImmigration Canada
Citoyenneté etImmigration Canada
D - J M Y - A
1
3 4 5
2
6 7 8
Name - Nom
Address - Adresse
Name - Nom
Address - Adresse
Date of birthDate de naissance
Place of birth - Lieu de naissance
Date of birthDate de naissance
Place of birth - Lieu de naissance
Previous addresses in Sri Lanka (for the past 10 years) - Adresses antérieures au Sri Lanka (au cours des 10 dernières années)
Given name(s) - Prénom(s)
Place of birth - Lieu de naissance
Y - A Y - A
City or townVille ou village
Street and numberRue et numéro
This form is made available by Citizenship and Immigration Canada and is not to be sold to applicants.Ce formulaire est produit par Citoyenneté et Immigration Canada et ne doit pas être vendu aux requérants.
Civil status - État civil Nationality - Nationalité Sri Lanka national identity card numberNuméro de carte d'identité nationale du Sri Lanka
RESIDENCY QUESTIONNAIRE CANADIAN HIGH COMMISSION
ISLAMABAD, PAKISTAN
This form must be completed by the principle applicant. If the principle applicant is a minor child, the sponsor may complete this form. Every question must be answered. If a question does not apply to your situation, please write “not applicable” in the space provided. Where indicated, you must submit documentary evidence to support your statements.
1) Is your sponsor currently a Canadian citizen or a Permanent Resident? Canadian citizen Permanent Resident
2) Is your sponsor currently in Canada? Yes – if yes, you must answer questions A and B below.
A) My sponsor has most recently been physically residing in Canada
from _____/______ to _____/______.
mm yyyy mm yyyy
B) B) I last saw my sponsor in _______________ from ____/______ to ____/______. Place mm yyyy mm yyyy No – if no, you must answer question A below. A) My sponsor has been living outside Canada since ____/______. mm yyyy
3) If your sponsor is not living in Canada, please explain why and when he/she intends to return to
reside in Canada if your permanent resident visa is issued. Please provide as many details as possible.
NOTE: You should attach documentary evidence such as copies of recent phone bills showing recent activity, a current lease agreement or proof of home ownership, copies of bank statements or credit card bills showing recent transactions in Canada, evidence of current or future employment in Canada, notices of assessment, and proof of intention to resign from employment outside of Canada.
5) If you have school aged children or are a principle applicant of school-going age, have you or
your sponsor made enquiries with a Canadian school board to arrange for their or your admission? Please submit evidence of preparations and communication with schools.
YES – if yes, which school? _____________________________________ NO – if no, why not? __________________________________________ If you do not have school aged children or not of school going age, please proceed to question 7. 6) Has the school where your child(ren) (or you if you are school-going age) is/are currently
attending issued documentation, such as a transfer certificate, to assist with their transfer to a Canadian school?
YES – Please attach a copy NO Not applicable
7) Will you and your sponsor be both moving to Canada and reside together permanently? YES NO
8) Does your sponsor own any assets in Canada? Please tick one or more:
Bank Account House Apartment Business Other Assets. Please specify ____________________________
9) Has your sponsor submitted the most recent annual tax filing with the Canada Revenue Agency as a factual resident of Canada?
YES – If yes, when? ______/_______. mm yyyy NO – If no, please explain why not? _______________________________
10) Did your sponsor attend an educational institution in Canada?
YES – If yes, which educational institution(s)? __________________________________f From _____/__________to _____/_________ mm yyyy mm yyyy NO
11) Is your sponsor currently employed in Canada?
YES – If yes, you must complete the details below: My sponsor is currently employed as a _______________________ since _____/_________ Job Title mm yyyy
My sponsor works: Permanent Full-time Permanent Part-time Temporary Full-time Temporary Part-time Provide details of your sponsor’s employment below: Company Name: _________________________________________________ Location of employment (Complete address): __________________________ _______________________________________________________________ _______________________________________________________________ Telephone Number: ________________ Fax Number: ___________________
NO, my sponsor is currently not employed
12) List your sponsor’s complete history of employment in-Canada and outside Canada Please attach additional sheets if necessary. Employment details (in – Canada)
Employment details (outside Canada)
Employer Job Title Fromm DD/MM/YYYY
To DD/MM/YYYY
Employer Job Title From DD/MM/YYYY
To DD/MM/YYYY
13) Please give the name of the countries where your sponsor has resided, your sponsor’s complete address(es), and telephone number(s) in these countries, as well as period of residence at each address since the time your sponsorship application was submitted:
Country Complete address(es) and telephone numbers
From DD/MM/YYYY
TO DD/MM/YYYY
14) Will any of your family members in Canada provide financial support to you and your sponsor
upon arrival in Canada? If so, please provide a written declaration from this family member including the details of his or her financial support as well as proof of this family member’s annual income.
What is the annual income of the family member providing support? ___________ CAD How many dependents (spouses, children and parents) does this family member currently
financially support? _____________________ How much financial support per month has this family member agreed to provide?___________ CAD
For how many months and/or years has this family member agreed to provide financial support? ______________
Name of family member: ______________ Address:_____________________________ Telephone Number: ________________ Fax Number: ___________________
I solemnly declare that the information I have given in the foregoing application is truthful, complete and correct, and I make the solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath.
__________________________ SIGNATURE dd/mm/yyyy
If this questionnaire was completed on behalf of a principle applicant who is a minor child, please indicate your relationship to the child and signature below Relationship to principle applicant __ _____________________________ Signature ___________________________________________________ dd/mm/yyyy
SUPPLEMENTARY INFORMATION FORM FOR PAKISTANI NATIONALS The information you provide on this form is collected under the authority of the Immigration and Refugee Protection Act (IRPA). Under the provisions of the Privacy Act and the Access to Information Act, individuals have the right to protection and access of their personal information.
Failure to provide complete and accurate responses to all questions will cause delays, and may result in the refusal of your application.
TRAVEL HISTORY 1. What is the total number of passports issued to you including your current valid passport? ______ 2. Provide details of your travel outside Pakistan. Please list all the countries that you have visited
and lived in during your lifetime.
Dates (dd/mm/yyyy) Purpose of trip City, Country From To
3. Education Provide details of your entire educational background as follows:
From Month Year
To Month Year
Name of Institution
City and country
Major subjects studied
Type of certificate or diplomas issued
NOTE: Please attach extra sheet(s) if you find provided space insufficient to answer any question completely. Page 1 of 4
NOTE: COMPLETION OF THIS QUESTIONNAIRE IS MANDATORY FOR ALL MALES AGED 15 YEARS OR OLDER AND FOR ALL FEMALES AGED 18 YEARS OR OLDER.
Name: ________________ File # _________________________ Date:___________________ 4. Personal History: Give details of what you have been doing during the past 10 years or since age 15 for males and 18 for females whichever period is longer starting with the most recent information. Include jobs held, periods of unemployment, periods of study and any other use of time, such as time spent travelling in search of a country of refuge, stays in hospitals, prisons or other places of confinement, and periods spent at home as a homemaker. You must not leave gaps and are required to list your detailed activities during periods of your employment. If there are gaps, the questionnaire may be returned which will cause delays in processing of your application.
From Month Year
To Month Year
Activity City or town and country
Name of company, employer, school, facility, as applicable.
5. Were you ever a member of any political party, other group, or organization? Please specify
the organization, dates and positions held.
Dates (dd/mm/yyyy) From To
Position Organization
6. Have you ever held a position in any government or state enterprise? (E.g. mayor, Member
of Parliament, counsellor, judge, managing director, etc). When and where?
Dates (dd/mm/yyyy) From To
Position Organization
Page 2 of 4
Name: ________________ File # _________________________ Date:___________________ 7. Have you ever been employed by a government or political party in a position of
Note: All immigration applicants must submit official military service completion or exemption certificates. If the questions below do not apply to you, please write “not applicable”. 8. Did you serve in any militia, army, defence, or police unit (including obligatory national
service, reserve or volunteer units)? Yes No If no, please explain___________________________________________________ 9. What were your duties most of the time? (Eg. Infantryman, artillery, military policeman,
radio operator, driver, other.) Please describe in detail. 10. What training did you receive? 11. Under what circumstances did your service end? (Eg. completed service, deserted,
medical problems, etc.) 12. Did you ever participate in any form of combat? Yes No 13. If yes, describe details and include specific dates and locations. Use a separate sheet, if
required. 14. Have you ever witnessed or participated in ill treatment of prisoners or civilians, looting
or desecration of religious buildings? If yes, describe the circumstances. 15. Where were you stationed? (Please provide dates, ranks, units and locations in the table
on the next page.
Page 3 of 4
(Note: You are required to read and sign the declaration at the bottom of the next page)
Details of Military Service (Attach additional sheets as required)
Medals/Awards (Indicate name of medal/award, date, reason):
Specialized Training (Indicate type, location, date):
You must now read and sign the following declaration. I (please print your name full name)____________________________________ DECLARE THAT ALL OF THE ABOVE STATEMENTS ARE TRUE, COMPLETE AND CORRECT, AND I MAKE THIS STATEMENT KNOWING THAT IT HAS THE SAME EFFECT AS APPEARING IN A COURT OF LAW. ______________________ __________________ Signature Date
Page 4 of 4
Start
Dates
End
Dates
Mandatory or
Career Service
Your Ranks
(Indicate dates
of promotions)
Your Duties (You must
provide detailed descriptions
including involvement in
arrests, combat, detention,
interrogation, & support
functions, etc.)
Commanding
Officers
(Must provide full
names and ranks)
Type of Units
(artillery, infantry,
special-ops, etc)
Name/Number of Units
Indicate the following:
1. Unit/Detachment
2. Company/Battery
3. Battalion/Regiment/Brigade
4. Division
5. Army/Corps
6. Other
Your Locations
(Base, City and
Province/
Territory)
# of People
you
Supervised
1.
2.
3.
4.
5.
6.
1.
2.
3. 4.
5.
6.
1. 2.
3.
4. 5.
6.
The Canadian High Commission File No.: _____________________ Visa Section P. O. Box 1042 Islamabad, Pakistan
• Immigration photos are not the same as passport photos.• Make sure that you provide the correct number of photos specified in this guide.
Notes to the photographer
The photos must:• show a full front view of the person’s head and shoulders showing full face centered in the
middle of the photograph;• have a plain white background;• be identical (black and white or colour) produced from the same untouched negative, or
exposed simultaneously by a split-image or multi-lens camera.
The photos must:• measure between 25 mm and 30 mm (1” and 1 1/5”) from chin to crown;• have a 35 mm x 45 mm (1 3/8” x 1 3/4”) finished size.
1
Sponsorship III - Spouses, common-law partners, conjugal partners and dependent children C - 1
Appendix C
Fill out this form and take it with you to your medical appointment.You and all your family members who are not already Canadian citizens or permanent residents must fill out Appendix C and undergo and pass a medical examination, whether they will be joining you in Canada or not. Make enough photocopies of this page for your needs before you start filling the boxes.For complete instructions about your medical examination and how to find a Panel Physician, read the Medical Instructions section in IMM 3999, Part 2: The Immigrant's Guide.
1. Person to be examinedSurname / Family name
Forename / Given name(s)
Date of birth
Country of birth
Sex Male Female
Relationship to sponsor Spouse Conjugal partner
Common-law partner Dependent child
Address *
Telephone number
Day Month Year
/ /
2. Principal applicant, if different from person in 1Surname / Family name
Forename / Given name(s)
Date of birth
Address *
3. Visa office** that will be processing the file
* If you live in China, provide your address in English and in Pinyin.
** If you are not sure which of our visa offices will be processing your application for permanent residence, consult our website or contact your spon-sor. If you do not enter this information, your appli-cation may be delayed.
