IMMIgroup Immigroup Inc. 1180 Danforth Ave, Toronto, ON M4J1M3 Phone: 1866-760-2623 Fax: 416-640-2650 Email: info@immigroup.

com Instructions: To get you started with your application you will find all government application and instructions below. Tip: Dont print everything as this document is extremely large. Print only what you need. Good luck with this process. Finding free support Citizenship and Immigration Canadas (CIC) phone number: 1-888-242-2100. Note: This number is only for people inside of Canada. You could try to use a rerouting service if you cannot get hold of someone through an embassy or consulate. Calling the government outside of Canada Click here. This may or may not be helpful as many embassies and consulates may not be very responsive. CICs Website: www.cic.gc.ca Need a question answered for free? Post a question on our Forum and get an answer within 1-2 business days. Click here

Tips! Any information older than 2 years in considered old when it comes to government procedures Have realistic executions, just because it happed this way with one person does not mean it will happen the same way with you. A good example would be The application took me only 1 month to get approved. Be careful from self-promoting or fear mongering or offers that appear too good to be true. The more research you do the better your decision making will be Sometimes you can get great information and support on forums. Do a search and find a forum related to your country or situation.

Finding paid support Click here to find a licensed professional in your area If you like what we have to offer, give IMMIgroup a try. Book a consultation here or give us a call at 416-962-2623 / 1-866-760-2623 Tips! When dealing with a paid representative remember to ask the following question before paying: How many years have you been in business? How many application of this type have you filed in the past year? How many application of this type in the past year have failed? (if applicable) How experienced are you dealing with (example only) the Canadian Embassy in Vienna? How are you licensed? (Law society, ICCRC, etc) Doing your own research: Does the lawyer or consultant have a good reputation within your community? Research the name of the firm online: what are people saying? Remember not everyone has an online presence but some basic results should be there. Complicated application? We strongly encourage you to do lots of reading especially if you are considering doing this process yourself. Get online and find topics related to you situation. Simple application? Just read the instructions; make copies of your application (you never know) and send it by courier to the government (this lets you know when your application was delivered) and, finally, keep detailed notes (avoid a he said, she said situation). Why Use Immigroup We care about our success rate. We take our reputation very personally. For example, in 10 years in business we have had 1sponsorship application fail and that client knew what he was facing before he paid. That means our success rate on spousal sponsorships, as of today, is over 99%. We refuse to take on any applicant that has no chance of success. To find out our success rate for other services we offer, call us at 416-9622623. We are the industry leader in overseas marriage and sponsorship, and we have the widest range of immigration and travel documentation services in Canada. The government states it is neural when dealing with a personally filed application or one submitted by a representative. But we know reputation matters. We have set a standard of expectations with CIC officers for our applications. Your paid representative should be helping you not hurting you. Feel free to contact us if you have any questions. We are never too busy to help. Thanks and good luck on your journey -IMMIgroup

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Application for Permanent Residence Business Immigration Program Start-up Business Class (IMM 5759)
Table of Contents
Overview Before You Apply Step 1. Gather Documents Step 2. Complete the Application Step 3. Pay the Fees Step 4. Mail the Application What Happens Next How to Contact CIC (Citizenship and Immigration Canada) Appendix A: Photo Specifications
Print

Overview
Application package
This application package consists of: an instruction guide and

the required forms The instruction guide is a tool that provides: the information you must know about this application before sending it to Citizenship and Immigration Canada (CIC) and assistance with how to fill out the forms and the required supporting documents Read the instruction guide thoroughly and then fill out each of the applicable forms. The forms are specifically designed with questions that will assist the processing of your application.

Symbols used in this guide

This guide uses the following symbols to indicate information of particular importance.

What you must do to have your application processed.

Important information that you need to be aware of in order to avoid delays or other problems. Where to get more information. Note: Tips that will assist you with this application.

The application process

The instructions provided in this guide follow the basic steps you will need to know to complete your application. 1. Gather documents 2. Complete the application 3. Pay the fees

4. Mail the application

Before You Apply

Permanent Residence under the Business Immigration Program
The Business Immigration Program Canada welcomes successful business people who are seeking new opportunities and challenges. The Business Immigration Program is designed to encourage and facilitate the admission of these individuals. Both the federal and provincial/territorial governments welcome business immigrants and offer services to help immigrants start a business and settle in Canada.

Types of Business Immigrants

Canada has four classes of business immigrants: start-up business, investors , entrepreneurs, and self-employed persons. This guide will help you to apply under the Start-up Business Class. Please read carefully the definitions and the instructions below.

What is a start-up business?

A new business intended to be operated in Canada which has received a commitment from a designated angel investor group, venture capital fund or business incubator. Start-up Business Definitions Designated angel investor group/venture capital fund/business incubator An entity designated by the Minister as eligible to issue commitments under the Start Up Business program. Consult the full list (/english/immigrate/business/start-up/eligibility/entities.asp).

Qualifying business A business that will operate in Canada and is, or will be, incorporated in Canada. Specific requirements related to percentage of ownership will be identified by the Minister and may change from time to time. Qualified participant A person who has been issued a permanent residence document based on their application as a member of the Start Up Business class Or A designated angel investor group Or A designated venture capital fund. Essential person A person who is considered to be essential to the business and who has been identified as essential by the designated angel investor group or venture capital fund on the commitment certificate and Letter of Support. Commitment An agreement between an applicant and a designated angel investor network, venture capital fund or business incubator. Commitment Certificate A commitment sent electronically to CIC from the designated angel investor group, venture capital fund or business incubator. Letter of Support A letter given to the applicant by the designated angel investor group, venture capital fund or business incubator.

Do you intend to reside in Quebec?

Individuals who intend to reside in Quebec are not eligible to apply under the Start-up Business Class. Under the Canada-Quebec Accord on Immigration, Quebec establishes its own immigration requirements and selects immigrants who will adapt well to living in Quebec. If you intend to come to Canada as a Quebec-selected permanent resident, you must first contact the Ministre de lImmigration et des Communauts culturelles (MICC) at: www.micc.gouv.qc.ca/fr/index.asp (http://www.micc.gouv.qc.ca/fr/index.asp) (in French only). You may also consult our website (/english/immigrate/quebec/index.asp) for more information.

Stay informed
Selection criteria, requirements and other information for applicants can sometimes change. Please note that: Applications will be processed according to the rules and regulations in effect at the time of the application. These may change at any time. Our website (/english/immigrate/business/index.asp) contains the latest news, selection criteria updates and applications links. Check periodically for updated information.

Eligibility criteria
For your application to be eligible for processing, you must: have received a Letter of Support from a designated entity AND meet the language requirements AND meet the education requirements AND have sufficient settlement funds Note: A maximum of 2,750 applications will be processed per year under the Start-up Business Class. No more than five persons may be part of a single commitment from a designated business entity. If your commitment has more than one person related to the business proposal, an application for each person named in the Commitment Certificate must be received. This means that if a husband and wife are both named in the Commitment Certificate, then an application and supporting documents must be submitted for the husband and a separate application with supporting documents must be submitted for the wife.

The following information will help you determine if you meet the eligibility criteria indicated above.

Note. If you do not meet all of the criteria described above, do not submit an application under the Start-up Business Class, as your application will be refused. Check the other classes (/english/immigrate/index.asp) to see if you satisfy their eligibility criteria. Important information. It is important that you make a careful assessment before you apply because certain fees, such as the processing fee, are non-refundable, even if your application is refused.

What are the requirements for applicants under the Start-up Business Class?
Your application to come to Canada under the Start-up Business Class will be assessed on a pass/fail basis against four requirements. The four requirements are: Requirement 1: Commitment from a Designated Entity Requirement 2: Ability in English, in French or both Requirement 3: Education Requirement 4: Settlement Funds If you meet all four requirements indicated above, then you may qualify to immigrate to Canada under the Start-up Business Class. Below are detailed descriptions of all the requirements that are to be assessed. Carefully review the following information and then decide if you want to apply under this class.

Requirement 1: Commitment from a Designated Entity

Private sector organizations demonstrate their support of your business idea by providing you with a Letter of Support which details the commitment they are willing to make towards your new business. They will send further details in the form of a Commitment Certificate directly to CIC (Citizenship and Immigration Canada) for assessment, based on the Ministerial Instructions (/english/department/mi/index.asp). For your application to be eligible for processing, you must have received a Letter of Support from: a designated angel investor group confirming that it is investing at least $75,000 in a qualifying business or two or more designated angel investor groups confirming that they are together

investing a total of at least $75,000 in such a business, or a designated venture capital fund confirming that it is investing at least $200,000 in a qualifying business or two or more designated venture capital funds confirming that they are together investing a total of at least $200,000 in such a business, or a designated business incubator which confirms that it accepting a qualifying business into its program What to do with the Letter of Support once you have it? You must include your Letter of Support with your application. If you do not, your application will be returned to you as incomplete. Where to obtain a Letter of Support? Consult the list (/english/immigrate/business/start-up/eligibility/entities.asp) of designated venture capital funds, angel investor groups and business incubators. How long is the Letter of Support valid for? Each Letter of Support is valid for a period of six months from the date it was issued. This means that CIC must receive your application for permanent residence under the Start-up Business Class within six months of the Letter of Support being issued.

Requirement 2: Ability in English, in French or both

The ability to communicate and work in one or both of Canadas official languages is very important to you as a business immigrant. Proficiency in English, French or both will help you in the Canadian labour market. You meet the language proficiency requirement for the Start-up Business Class if you have a level of proficiency of at least benchmark level 5 in either official language for all four language skill areas, as set out in the Canadian Language Benchmarks and the Niveaux de comptence linguistique canadiens. You will be assessed on the following language skill areas: listening,

speaking, reading, and writing. You must provide proof of your language proficiency with your application.

Proof of language proficiency

For your application to be eligible for processing, you must include original results of one of the following language tests from a testing agency designated by CIC with your application: English IELTS: International English Language Testing System (General Training test only) CELPIP: Canadian English Language Proficiency Index Program (General test only) French TEF: Test dvaluation de franais Note. If you do not submit the original results of your official language proficiency test with your application to the Central Intake Office (CIO), your application will not be processed and will be returned to you as incomplete. Your test results must not be more than two years old at the time that you submit your application.

Official language testing

To prove your language skills, you must take a language test given by an agency that is approved by CIC, and include the results with your application. In order to know which language tests we accept, please refer to the following link: http://www.cic.gc.ca/english/immigrate/business/start-up/eligibility/language-testing.asp (/english/immigrate/business/start-up/eligibility/language-testing.asp)

Requirement 3: Education
You must have completed at least one year of post-secondary education during which you were in good standing at the educational institution, whether or not you obtained an educational credential. Proof of education You must provide proof of your education with your application. If you do not, your application will not be processed and will be returned to you as incomplete. You must provide proof of having completed at least one year of post-secondary education. You must also provide proof that you were in good standing for at least one year while you were attending a post-secondary institution, according to the standards of the institution.

Requirement 4: Settlement funds (money required to settle in Canada)

The Government of Canada does not provide financial support to business immigrants. You must show that you have enough money to support yourself and your family members after you arrive in Canada. The money must be available to support the costs of living for yourself and your family. The amount is an estimate of what you would require to support yourself and your family without employment or other income. You cannot borrow this money from another person. The amount of money you need to support your family is determined by the size of your family. These amounts are updated every year. Check our website (/english/immigrate/skilled/funds.asp) to make sure you have the most recent information. You must submit proof of settlement funds with your application. If you do not, your application will not be processed and will be returned to you as incomplete. We strongly recommend that you research the cost of living in the region of Canada where you intend to live. To make your establishment in Canada easier, bring as much money as possible with you to Canada. You should be aware that Canadian legislation requires persons entering Canada to declare cash funds of $10,000 CDN or more. You will have to disclose these funds to a Canadian official upon arrival. Cash funds means: money (coins or bank notes),

securities in bearer form (stocks, bonds, debentures, treasury bills, etc.), and negotiable instruments in bearer form (bank drafts, travellers cheques, money orders, etc.).

Step 1. Gather Documents

What documents are required?
Use the Document Checklist) (PDF (Portable Document Format), 220 KB (Kilobyte)) (/english/pdf/kits/forms/IMM5760E.pdf) (IMM 5760) which you can find in this package to assist you gathering the necessary documentation. Important information. If any of the required documents are missing, or photocopies are not clear, your application will be returned to you as incomplete.

Medical requirements
You and your family members, whether accompanying you or not, must undergo and pass a medical examination in order to come to Canada. To pass the medical examination you or your family members must not have a condition that: is a danger to public health or safety would cause excessive demand on health or social services in Canada. Examples of excessive demand include ongoing hospitalization or institutional care for a physical or mental illness. Instructions Information on medical instructions will be provided to you. When you receive your assessment notice you will also receive medical forms for yourself (and any accompanying dependants if applicable), instructions and how to access a list of doctors in your area who are authorized to conduct immigration medical examinations (see below). You are not required to have a medical examination before you submit your application forms. Exam validity

The medical examination results are valid for 12 months from the date of the first medical examination. If you are not admitted as a permanent resident during this time, you must undergo another complete medical examination. Authorized doctors Your own doctor cannot do the medical examination. You must see a physician on Canadas list of Panel Physicians (http://www.cic.gc.ca/pp-md/pp-list.aspx). Note that the physician is only responsible for conducting a medical examination; he or she cannot give you any advice on the immigration process.

Police certificates
You and your family members who are 18 years of age and older and are not permanent residents or Canadian citizens must provide: valid police certificate, or police clearance, or record of no information. These documents are to be provided for each country other than Canada, in which you have lived for six (6) consecutive months or longer since reaching the age of 18. Note: If you or your family members were under 18 years of age (16 years of age in certain jurisdictions) for the entire time you lived in a particular country, you do not need to provide a police certificate for that country.

The certificate must have been issued no more than three (3) months prior to submitting your application. If the original certificate is not in English or French, then you will need to submit both the certificate and the original copy of the translation prepared by an accredited translator. We will also do our own background checks to determine if there are grounds under which you and your dependants may be inadmissible to Canada. Please consult our website for specific and up-to-date information on how to obtain police certificates from any country (/english/information/security/police-cert/index.asp).

How to obtain police certificates

Step 1. Apply for certificates
It is your responsibility to contact the relevant authorities. Certificates are usually issued by the police of the country concerned, but in some countries you will have to apply to municipal, provincial, federal or other government authorities. The country's embassy or consulate in Canada may be able to give additional information. When applying for police certificates, you should include for each person: A completed Request for Police Certificates/Clearances and Authorization for Release of Information) (PDF (Portable Document Format), 59 KB (Kilobyte)) (/english/information/applications/guides/pdf/PC_LetterA_e.pdf) form (see Appendix A). Include photocopies for each applicant. A set of fingerprints, if required by the authority of the country. Your local police or RCMP may be able to tell you where you can get fingerprints done. Take the Fingerprint Request Letter (PDF (Portable Document Format), 56 KB (Kilobyte)) (/english/information/applications/guides/pdf/PC_LetterB_e.pdf) and your photo identification (passport, travel document, etc.) with you when you go to get fingerprints taken. You may have to pay a fee. Your complete mailing address (certificates will be sent directly to you).

Step 2. Submit the certificates

Include the police certificates with your application. If the police authorities notify you that they will submit the certificates directly to us, include this notice with your application. All police certificates must be originals; photocopies are not acceptable. If your certificates are in a language other than English or French, attach an original translation prepared by an accredited translator.

What if I cannot get the police certificates?

If you cannot get police certificates from any of the countries where you have lived, you must provide a written explanation with your application and an original letter from the police authority confirming that they will not issue a certificate.

Translation of documents
Any document that is not in English or French must be accompanied by: the English or French translation; and an affidavit from the person who completed the translation; and a certified copy of the original document. Note: An affidavit is a document on which the translator has sworn, in the presence of a commissioner authorized to administer oaths in the country in which the translator is living, that the contents of their translation are a true translation and representation of the contents of the original document. Translators who are certified members in good standing of one of the provincial or territorial organizations of translators and interpreters of Canada do not need to supply an affidavit.

Important information. Translations by family members are not acceptable.

Certified true copies

To have a photocopy of a document certified, an authorized person must compare the original document to the photocopy and must print the following on the photocopy: I certify that this is a true copy of the original document, the name of the original document, the date of the certification, his or her name, his or her official position or title, and

his or her signature.

Who can certify copies?

Persons authorized to certify copies include the following: In Canada: a commissioner of oaths a notary public a justice of the peace Outside Canada: a judge a magistrate a notary public an officer of a court of justice a commissioner authorized to administer oaths in the country in which the person is living Family members may not certify copies of your documents.

Step 2. Complete the Application

Filling out the application
Follow the step-by-step instructions below to complete the application forms. The following are the forms that must be filled out and submitted: Document Checklist (IMM 5760) (PDF (Portable Document Format), 246 KB (Kilobyte)) (/english/pdf/kits/forms/IMM5760E.pdf) Generic Application Form for Canada (IMM 0008)) (PDF (Portable Document Format), 366 KB (Kilobyte)) (/english/pdf/kits/forms/IMM0008ENU_2D.pdf)

Additional Dependants/Declaration(IMM 0008DEP)) (PDF (Portable Document Format), 472 KB (Kilobyte)) (/english/pdf/kits/forms/IMM0008DEPENU.pdf) Schedule A Background/Declaration (IMM 5669)) (PDF (Portable Document Format), 247 KB (Kilobyte)) (/english/pdf/kits/forms/imm5669E.pdf) Schedule 13: Business Immigration Programs Start-Up Business Class (IMM 0008Schedule 13)) (PDF (Portable Document Format), 604 KB (Kilobyte)) (/english/pdf/kits/forms/imm0008_13e.pdf) Additional Family Information (IMM 5406)) (PDF (Portable Document Format), 47 KB (Kilobyte)) (/english/pdf/kits/forms/IMM5406E.pdf) Statutory Declaration of Common-law Union (IMM 5409)) (PDF (Portable Document Format), 47 KB (Kilobyte)) (/english/pdf/kits/forms/IMM5409E.pdf) Separation Declaration for Minors Travelling to Canada (IMM 5604)) (PDF (Portable Document Format), 21 KB (Kilobyte)) (/english/pdf/kits/forms/IMM5604E.pdf) Supplementary Information Your travels (IMM 5562)) (PDF (Portable Document Format), 1.8 MB (Megabyte)) (/english/pdf/kits/forms/IMM5562E.pdf) Fee Payment Form - Application for Permanent Residence (IMM 5620)) (PDF (Portable Document Format), 581 KB (Kilobyte)) (/english/pdf/kits/forms/IMM5620E.pdf) Use of a Representative (IMM 5476), if applicable) (PDF (Portable Document Format), 596 KB (Kilobyte)) (/english/pdf/kits/forms/IMM5476E.pdf) Important information. It is a serious offence to give false or misleading information on these forms. The information you provide on your application may be subject to verification.

Be complete and accurate

Complete all sections. If a section does not apply to you, write Not Applicable or NA. If your application is incomplete it may be returned to you and this will delay the processing of your application.
Important information

If you need more space for any section, print out an additional page containing the appropriate section, complete it and submit it along with your application.

Specific instructions for Start-up Business Class

Specific instructions to fill the Generic Application Form for Canada (IMM 0008)
Follow the general instructions below as well as these specific instructions to fill the Generic Application Form for Canada (IMM 0008): Question 1: select Economic as the Program under which you are applying. Question 2: select Start-up Business class as the Category. Note: You cannot apply under the Start-up Business Class if you intend to reside in Quebec.

Generic Application Form for Canada (IMM 0008)

Who must fill out this application form?
This form must be completed by: You, the principal applicant.

Completing the form

You must answer all questions on this application form unless indicated otherwise. Download and fill out the application form on a computer. You also have the option of saving your form and completing it later. Note: Completing the form electronically is easier and reduces the risk of errors that can slow down the application process.
Note

In order to help you fill out the application form, read and follow the steps below.

Application Details
Question 1 From the list, select the Program under which you are applying: Family Economic Refugee Other Question 2 From the list, select the Category under which you are applying: If you chose Family in question 1, select one of the following: Spouse Common-law partner Conjugal partner Dependent child/adopted child Child to be adopted in Canada Parents/grandparents Orphaned sibling/nephew/niece/grandchild Other relative If you chose Economic in question 1, select one of the following: Skilled worker Skilled trades Investor Entrepreneur Self-employed

Provincial nominee Canadian experience class Quebec selected skilled worker Quebec selected entrepreneur Quebec selected self employed Quebec selected investor Live-in Caregiver Program (LCP) Startup Business If you chose Refugee in question 1, select one of the following: In Canada Refugee Claim In Canada Protected Person Outside Canada Refugee If you chose Other in question 1, select one of the following: In Canada Humanitarian & Compassionate Considerations Permit Holder Class Question 3 Indicate the total number of family members included in your application. This includes yourself and any family members, regardless of whether they intend to accompany you to Canada or not. For refugee claimants in Canada only: Indicate the total number of family members included in your application for refugee protection who are with you in Canada. Question 4 Immigration Office requested for the processing of your application Indicate the name of the Immigration Office (/english/information/offices/index.asp) which serves: your country of nationality, or the country in which you are residing, provided that you have been lawfully admitted to that country for at least one (1) year.

Note: Do not select the Centralized Intake Office (CIO) as the immigration office requested to process your application. Although you may be required to submit your application to the CIO, you must indicate the name of an appropriate visa office using the criteria above. Note: If you are applying for refugee protection from within Canada or being sponsored from within Canada, this question does not apply to you. Go to Question 5. Question 5 Language preference From the list, select your preferred language for: a. correspondence b. interview (if you select English or French, an interpreter will not be required), and

Note: If your native language does not appear in this list, select other. c. interpreter requested (necessary if English or French is not selected for the interview). Question 6 Where do you intend to live in Canada? From the list select the: a. Province/Territory b. City/Town Question 7 Have you received your Certificat de Slection du Qubec (CSQ)? a. Check the corresponding box b. If you checked Yes, please indicate the CSQ (Certificat de Slection du Qubec) number c. If you checked No, indicate the date when you applied for your CSQ (Certificat de Slection du Qubec)

Note: If you are applying for refugee protection, check no for Question 7a and leave 7c blank.

Principal Applicant's Personal Details

The following questions must be answered by the Principal Applicant. Question 1 Indicate your full family name (surname or last name) as it appears on your passport, travel or identity document. Note: If you are a parent of a child to be adopted in Canada who is not yet identified, indicate your family name(s).

Indicate all of your given name(s) (first, second or more) as they appear on your passport, travel or identity document. Do not use initials. Note: If you are a parent of a child to be adopted in Canada who is not yet identified, indicate Child or leave the given name field blank.

Question 2

Nickname/Alias Check the box to indicate if you have ever used any other name than those indicated in question one. This could be your birth name, maiden name, married name, nickname, etc. If Yes, provide your nickname/alias by indicating it in the family name and given name(s) fields.

Question 3

Indicate your Unique Client Identifier number (UCI) or Client Identification number (Client ID), if known (8-digit number). Otherwise, leave it blank. If this is your first application with CIC (Citizenship and Immigration Canada) you will not have a UCI (Universal Client Identification) or a Client ID (Identification). From the list, select your sex (male, female or unknown). Note: If you are a parent of a child to be adopted in Canada who is not yet identified, select Unknown.

Question 4

Question 5 Question 6

Indicate your height in either centimetres or feet and inches. From the list, select your eye color. Note: If you are a parent of a child to be adopted in Canada who is not yet identified, select Other.

Question 7

Indicate your complete date of birth. Note: If you do not know your complete date of birth, please use a * (star sign/asterisk) to fill in the spaces for the unknown year, month or day.

Question 8

Indicate your place of birth, including the city or town, From the list, select your country of birth. Note: If you are a parent of a child to be adopted in Canada who is not yet identified, indicate Unknown. for the city or town and select the country where you intend to adopt a child.

Question 9

Citizenship(s) 1. From the list, select your country of citizenship. 2. If you are a citizen of more than one country, select your other country of citizenship. 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.

Question 10

Current country of residence

From the list, select the appropriate information to indicate: The name of your current country of residence. Your country of residence is the country in which you are residing, provided that you have been lawfully admitted to that country. For refugee claimants in Canada only: select Canada whether you have been lawfully admitted or not. Your immigration status in that country (indicate one of the following): Citizen Permanent resident Visitor Worker Student Other Protected Person Refugee Claimant Foreign National Other: This section must be completed if you selected "Other" as a status. The dates (From To) you have been living in your current country of residence. For out-of-status applicants: Under Status select Other; Under Other type in Out of status, requires restoration; Leave the From and To boxes blank. 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.

Question 11

Enter the date of your last entry to Canada, if applicable. Indicate the place you last entered Canada (example: Toronto airport, Lacolle border crossing, seaport Yarmouth, etc.).

Question 12

Previous countries of residence Check the box to indicate whether you have lived in any country other than your country of citizenship or your current country of residence for more than six (6) months in the past five (5) years. If you checked "Yes", from the list select the appropriate information to indicate the following: The name of the country you lived in Your immigration status for the time you were in that country: Citizen Permanent resident Visitor Worker Student Other Protected Person Refugee Claimant Foreign National Other: This section must be completed if you selected "Other" as a status The dates (From To) you were living in that country.

Question 13

a. From the list, choose your current marital status:

Annulled Marriage:

This is a marriage that is legally declared as not valid. An annulment can also be a declaration by the Catholic Church that the marriage union did not have a binding force.

CommonLaw:

This means that you have lived continuously with your partner in a marital-type relationship for a minimum of one (1) year. This means that you are officially separated and have legally ended your marriage. This means that you are married, but no longer living with your spouse. This means that you and your spouse have had a ceremony that legally binds you to each other. Your marriage must be legally recognized in the country where it was performed and in Canada. This means that you have never been married and are not in a common-law relationship. This means that your spouse has died and that you have not re-married or entered into a common-law relationship.

Divorced:

Legally Separated: Married:

Single:

Widowed:

Enter the date (year, month and day) you were married or you entered into your b. current common-law relationship. c. Indicate the family name(s) and given name(s) of your current spouse or common-law partner. Note: If you are a parent of a child to be adopted in Canada who is not yet identified, select Single.

Question 14

Check the box to indicate whether you have previously been married or in a commonlaw relationship. If you checked "Yes", provide the following details for your previous spouse/common-law partner:

Family name(s) Given name(s) Type of relationship: Common-law or Married Dates (From To) for which you were in the relationship with your previous spouse/common-law partner.

Contact Information
Question 1 Indicate your current mailing address (where information should be mailed) by typing the following information: Post Office Box (P.O. Box) number, if applicable. If you do not indicate post office box, the Street number must be provided Apartment (Apt.) or Unit, if applicable Street number (No.), if applicable. It is the number on your house or apartment building. This must be provided if you did not type in a P.O. (Post Office) Box Street name, if applicable City or Town From the list, select the Country of your current mailing address Province or State Postal code/zip code District, if applicable Note: All correspondence will go to this address unless you indicate your e-mail address.

If you wish to have a representative who can conduct business on your behalf, you must provide their address in this section and on the Use of a Representative (IMM 5476) form. For more information read the Use of a Representative section in this guide. Question 2 Check the box to indicate whether your residential address (where you live) is the same as your mailing address. If "No", indicate the following information: Apartment (Apt.) or Unit, if applicable Street Number (No.). It is the number on your house or apartment building. Street Name City or Town Country Province or State Postal Code/zip code District, if applicable Question 3 Check the appropriate box to indicate if the telephone number is from Canada/the United States (US) or Other (any other country). From the list, select the type of telephone: Residence (home) Cellular (cell/mobile) Business (work) Indicate your telephone number including the country code, area/regional codes, etc. (et cetera ) If you have an extension number, indicate it after your phone number under "Ext. (extension)" Question 4 Check the appropriate box to indicate if your alternate telephone number is from Canada/the United States or Other (any other country). From the list, select the type of telephone:

Residence (home) Cellular (cell/mobile) Business (work) Indicate your telephone number including the country code, area/regional codes, etc. (et cetera ) If you have an extension number, indicate it after your phone number under "Ext. (extension)" Question 5 Check the appropriate box to indicate if the facsimile (fax) number is from Canada or the United States or Other (any other country). If applicable, indicate your facsimile (fax) number, including country code, area/regional codes, etc. (et cetera ) Question 6 If applicable, indicate your e-mail address using a format similar to the following: name@provider.net Note: By indicating your e-mail address, you are hereby authorizing CIC (Citizenship and Immigration Canada) to transmit your file and personal information to this specific e-mail.

Passport
Question 1 Question 2 Question 3 Question 4 Question 5 Check the appropriate box to indicate if you have a valid passport or travel document. If you checked "Yes", provide your passport or travel document number. Make sure there is no space between each number or letter. From the list, select the country that issued your passport or travel document. Enter the date your passport or travel document was issued. Enter the expiry date of your passport or travel document.

National Identity Document

Question 1 Question 2 Question 3 Question 4 Question 5

Check the appropriate box to indicate if you have a valid identity document. If you checked "Yes", provide your identity document number. Make sure there is no space between each number or letter. From the list, select the name of the country that issued your identity document. Enter the issue date of your identity document. Enter the expiry date of your identity document.

Education/Occupation Detail
Question 1 From the list, select your highest level of education. Type of education None Secondary or less No education. High school diploma obtained after elementary school and before college, university, or other formal training.

Trade/ Diploma completed in a specific trade, such as Apprenticeship carpentry or auto mechanics. certificate/Diploma Non-university Training in a profession that requires formal education certificate/Diploma but not at the university level (for example, dental technician or engineering technician). Post-secondary - Post-secondary studies at a college or university but no No degree degree earned. Bachelors degree Academic degree awarded by a college or university to those who completed an undergraduate curriculum; also called a baccalaureate. Examples include a Bachelor of Arts, Science or Education. Post Graduate studies at a college or university but no degree earned (Master or PhD). Academic degree awarded by a graduate school of a

Post Graduate No degree Masters degree

college or university. You must have completed a Bachelors degree before a Masters degree can be earned. Doctorate - PhD Highest university degree, usually based on at least three (3) years of graduate studies and a thesis. Normally, you must have completed a Masters degree before a PhD can be earned.

Question 2

Indicate the total number of years of formal education that you have completed, including elementary and secondary school. Indicate your current occupation. Note: If you are a parent of a child to be adopted in Canada who is not yet identified, indicate Unknown.

Question 3

Question 4

Indicate your intended occupation in Canada. Note: If you are a parent of a child to be adopted in Canada who is not yet identified, indicate Unknown.

Language Detail
Question 1 a. From the list, select your first (native) language. This is the language that you learned at home during your childhood and which you still understand.

Note: If your native language does not appear in this list, select Other.

b. If your native language is not English or French, select from the list which one you would most likely use:

English French Neither Note: This question is not used for selection purposes. One of Canadas objectives with respect to immigration is to support and assist the development of minority language communities in Canada.

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.

Question 2

From the list, select whether you are able to communicate in English and/or French: English French Both Neither

Dependant(s)
You, the principal applicant must answer each question on behalf of each of your dependant(s). Note: Remember that all questions in this section are about your dependant.

You can add up to five (5) dependants in this form.

To add a new dependant to the application, click the Add Dependant button, located at the bottom of the page. To remove a dependant from the application, click the Remove Dependant button. If you have more than five (5) family members, you must complete the Additional Dependants/Declaration (IMM 0008DEP) (PDF (Portable Document Format), 472 KB (Kilobyte)) (/english/pdf/kits/forms/IMM0008DEPENU.pdf) form for each additional family member in order to include everyone in your application. Important You must list all family members in your application for permanent residence, Note whether they are accompanying you to Canada or not. You must also provide details on family members whose location is unknown (including those missing or presumed dead). If you dont, you will not be able to sponsor family members at a later date if they are not listed on your application.

Dependant's Personal Details

Questions 1-9 Questions 1 to 9 are identical to the questions you answered for yourself. Refer to the previous instructions to help you answer the questions for your dependant(s). Question 10 a. From the list, select your dependants relationship to you, the principal applicant: Adopted Child Child Common-law partner Grandchild Other Spouse Step-Child Step-Grandchild b. Complete if you chose Other Question 11

a. Check the box to indicate whether or not, your dependant will accompany you to Canada. b. If you answered No, provide the reason why your dependant is nonaccompanying. Question 12 From the list, select the type of dependant: Type A Type B The dependant is under the age of 22 and is single (not married and not in a common-law relationship). The dependant has been continuously enrolled in and in attendance as a fulltime student at a post-secondary institution accredited by the relevant government authority and has depended substantially on the financial support of a parent either: since before the age of 22, or since marrying or entering into a common-law relationship (if it happened before the age of 22). Type C The dependant is 22 years of age or older, has depended substantially on the financial support of a parent since before the age of 22, and is unable to provide for himself or herself because of a medical condition.

Question 13

Current country of residence From the list, select the appropriate information to indicate: The name of your dependants current country of residence. The country of residence is the country in which they are residing, provided they have been lawfully admitted to that country. For refugee claimants in Canada only: select Canada whether your dependant has been lawfully admitted or not. Your dependants immigration status in that country (indicate one of the

following): Citizen Permanent resident Visitor Worker Student Other Protected Person Refugee Claimant Foreign National Other: This section must be completed if you selected "Other" as a status. The dates (From To) your dependant has been living in their current country of residence. For out-of-status applicants: Under Status select Other; Under Other type in Out of status, requires restoration; Leave the From and To boxes blank. Question 14 Enter the date of your dependants last entry to Canada. Indicate the place they last entered Canada (example: Toronto airport, Lacolle border crossing, seaport Yarmouth, etc.). Question 15 Previous countries of residence Check the box to indicate whether your dependant has lived in any country other than their country of citizenship or their current country of residence for more than six (6) months in the past five (5) years. If you checked Yes, select the appropriate information from the list to indicate the following:

The name of the country your dependant lived in Your dependants immigration status for the time they were in that country: Citizen Permanent resident Visitor Worker Student Other Protected Person Refugee Claimant Foreign National Other: This section must be completed if you selected Other as a status The dates (From To) your dependant was living in that country. Question 16 a. From the list, choose your dependants current marital status (/english/information/applications/guides/EP7TOC.asp#etat): Annulled Marriage Common-Law Divorced Legally Separated Married Single Widowed b. Enter the date (year, month and day) your dependant was married or entered into their current common-law relationship. c. Indicate the family name(s) and given name(s) of your dependants current

spouse or common-law partner. Question 17 Check the box to indicate whether your dependant has previously been married or in a common-law relationship. If you checked "Yes", provide the following details for your dependants previous spouse/common-law partner: Family name(s) Given name(s) Type of relationship: Common-law or Married Dates (From To) for which your dependant was in the relationship with their previous spouse/common-law partner.

Passport
Question 1 Question 2 Check the appropriate box to indicate if your dependant has a valid passport or travel document. If you checked Yes, provide their passport or travel document number. Make sure there is no space between each number or letter. From the list, select the name of the country that issued their passport or travel document. Enter the issue date of their passport or travel document. Enter the expiry date of their passport or travel document.

Question 3 Question 4 Question 5

National Identity Document

Question 1 Question 2 Check the appropriate box to indicate if your dependant has a valid identity document. If you checked Yes, provide their identity document number. Make sure there is no space between each number or letter.

Question 3 Question 4 Question 5

From the list, select the name of the country that issued their identity document. Enter the issue date of their identity document. Enter the expiry date of their identity document.

Education/Occupation Detail
Question 1 From the list, select your dependants highest level of education. For definitions, refer to the type of education table. Question 2 Question 3 Question 4 Indicate the total number of years of formal education that they completed, including elementary and secondary school. Indicate their current occupation. Indicate their intended occupation in Canada.

Language Detail
Question 1 a. From the list, select your dependants first (native) language. This is the language that they learned at home during their childhood and which they still understand.

Note: If the native language does not appear in this list, select Other.

b. If your dependants native language is not English or French, select from the list which one they would most likely use: English French Neither

Note: This question is not used for selection purposes. One of Canadas objectives with respect to immigration is to support and assist the development of minority language communities in Canada.

Question 2

From the list, select whether they are able to communicate in English and/or French: English French Both Neither

Consent and Declaration of Applicant

Refer to the following table in order to complete your form properly. 1. Once the application is completed, click on the "Validate" button located at the top or bottom of the form. This will generate a barcode* page or pages. *See image below:

Note: This barcode page will not appear if you fill out your application by hand.

2. Print all pages of your application form. 3. Read all of the statements in all sections carefully and:

a. Write your name in the space provided. b. 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. c. Sign and date in the spaces provided. By signing, you certify that you fully understand the questions asked, and that the information you have provided is complete, truthful, and correct. If you do not sign and date, the application will be returned to you. 4. Place the barcode page(s) on the top of your application (forms and supporting documents) when you submit it.
Note

Additional Dependants/Declaration Form (IMM 0008DEP)

Who must fill out this application form?
This form must be completed by: You, the principal applicant, on behalf of each of your dependants not included in the Generic Application Form for Canada (IMM 0008). The questions are the same that you answered for yourself and other dependants on the IMM 0008. Follow the previous instructions (/english/information/applications/guides/EP7TOC.asp#dependant) to help you answer the questions.

Consent and Declaration of Applicant

Read all of the statements in all sections carefully and then: a. Write your dependants name in the space provided.

b. Check the appropriate box to indicate 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 in order to assist them in hiring workers. c. Sign and date in the spaces provided. By signing, you certify that your dependant fully understands the questions asked, and that the information you have provided is complete, truthful, and correct. If you do not sign and date, the application will be returned to you. Note: If you are less than 18 years of age, your form must be signed by one of your parents or a legal guardian.

Schedule A Background/Declaration (IMM 5669)

Who must fill out this application form?
This form must be completed by: you, the principal applicant; your spouse or common-law partner (whether accompanying you to Canada or not), and your dependent children aged 18 years or older (whether accompanying you to Canada or not). For refugee claimants in Canada: Only family members included in your application for refugee protection who are with you in Canada must complete this form. Question 1 Indicate your full family name (surname or last name) as it appears on your passport, travel or identity document. Indicate all of your given name(s) (first, second or more) as they appear on your passport, travel or identity document. Do not use initials. Question 2 Indicate your name in your native language or script (if applicable). For example: Arabic, Cyrillic, Chinese, Farsi, Korean, Japanese characters or Chinese commercial/telegraphic code.

Question 3

Indicate your date of birth. Note: If you do not know your complete date of birth, please use a * (star sign/asterisk) to fill in the spaces for the unknown year, month or day.

Question 4

Provide your fathers personal details including his: family name (surname or last name), given name(s), date of birth, town or city of birth, country of birth, date of death (if applicable).

Question 5

Provide your mothers personal details including her: family name (surname or last name), given name(s), date of birth, town or city of birth, country of birth, date of death (if applicable).

Question 6

Answer each question of the section by checking the appropriate box. If you answered Yes to one or more of these questions, you must write an explanation of what happened in the space provided. If you need more space, attach a separate sheet of paper.

Question 7

Education Indicate the number of years of formal education you have which you have completed at each of the levels indicated.

Provide the details about each secondary and post secondary educational institution you attended, including the: period of time that you attended the institution, name of the institution, city and country, type of certificate or diploma issued, and field of study. If no diploma was issued, write N/A (Not Applicable). If you need more space, attach a separate sheet of paper. Question 8 Provide the details of your personal history since the age of 18, or the past 10 years, whichever is most recent. Start with the most recent information. Under Activity, write your occupation or job title if you were working. If you were not working, provide information on what you were doing (for example: unemployed, studying, travelling, retired, in detention, etc.). If you were outside your country of nationality, indicate your status in that country. Note: Please ensure that you do not leave any gaps in time.

Important information. Failure to account for all time periods will result in a delay in the processing of your application. Question 9 Indicate the names of all membership or association with organizations you are or were a member of, including: political organizations, social organizations, youth or student organizations, trade unions, and professional associations.

If you were not a member of an association or organization, do not write not applicable. Rather, write: I have never been a member of an organization or association. Note: Do not use abbreviations. Write the city and country where you were a member.

Question 10

Indicate any government positions you have held in the past such as: Civil servant; Judge; Police officer; Employee in a security organization; Etc. (et cetera ) Write NONE in the box if you have not been a member of an association or organization. Include: the name of the country and the level of jurisdiction (examples: national, regional or municipal), the name of the department or the branch you worked for, and activities and/or positions that you held. Note: Do not use abbreviations.

Question 11

Give complete details about your military or paramilitary service (if applicable). Provide the details of your military or paramilitary service for each of the countries whose armed forces you served in. If you were not in any military or paramilitary service, write NONE. Do not leave gaps in time.

Question 12

Indicate the residential addresses where you have lived since your 18th birthday or the past 10 years, whichever is most recent, complete with the postal code. Do not use P.O. box addresses. Authority to disclose personal information Declaration of applicant Read all of the statements in all sections carefully. Sign and date in the boxes provided. By signing, you certify that you fully understand the questions asked, and that the information you have provided is complete, truthful, and correct. If you do not sign and date, the application will be returned to you. Note: The bottom section of Schedule A should not be completed at this time.
Note

Schedule 13 Business Immigration Program Start-up Business Class

Who must fill out this application form? This form must be completed by you, the principal applicant. Question 1 Write your full last name (surname/family name) as it appears on your passport or on the official documents that you will use to obtain your passport. Write all of your given names (first, second, etc.) as they appear on your passport or official documents. Do not use initials. Question 2 Question 3 Write your date of birth (Year/Month/Day). Provide information about the Financial Commitment by giving the name of the designated angel investor group, venture capital fund or business incubator who is investing in the qualifying business. Indicate the date of issue for the Letter of Support. You must indicate the number of persons, including yourself, identified on the Letter of Support. If essential persons, other than yourself, have been identified on the Letter of Support, please complete the table indicated on the form.

Question 4

Note: You must include your Letter of Support with your application. Question 5 Question 6 Explain how your past experiences (work, education, etc) assisted in developing the idea for the proposal. Indicate if anyone in the designated entity(ties), which has issued a letter of support to you, is related to you, either through birth or marriage. Indicate how you first met or got to know the designated entity(ties) which issued the letter of support to you. Provide details on the history of any relationship related to business or any persons related to the entity investing in your business, including any business meetings you may have had. Check yes or no to indicate if you have ever presented a proposal for the same or similar business idea to an investor outside of Canada. If you check yes, please provide the outcome.

Question 7 Question 8

Question 9

Additional Family Information (IMM 5406)

Who needs to fill out this application form?
This form must be completed by: You, as the principal applicant, Your spouse or common-law partner (whether accompanying you to Canada or not), and Your dependent children aged 18 or over (whether accompanying you to Canada or not).

SECTION A
Write the personal details for: yourself, your spouse or common-law partner, (if applicable) your mother, and your father.

SECTION B
Write the personal details for your children. It is very important that you list all of your children (even if they are already permanent residents or citizens of Canada). This includes: married children, adopted children, children of your spouse(step-children) or common-law partner, any of your children who have been adopted by others, any of your children who are in the custody of an ex-spouse, former common-law partner or other guardian. You must answer all questions. If any sections do not apply to you, answer N/A.

SECTION C
Write personal details about your: brother(s), sister(s), half-brother(s) and half-sister(s), step-brother(s) and step-sister(s).

SECTION D
After carefully reading the statements contained in this section, sign and date the declaration.

Statutory Declaration of Common-Law Union (IMM 5409)

Who must complete this form?
This form must be completed and signed by you and your common law partner: If you are sponsoring a family member and your common-law partner is a co-signer on the sponsorship application, or

If you are in a common-law relationship and are applying for permanent residence in certain economic class categories. Question 1 Write the following information in the space provided: Country of current residence Province/state/territory of current residence Name of the declarant Name of the declarants partner Name of city, town, village Name of county (if applicable) Name of province/state/territory Name of the country Number of continuous year(s) in a conjugal relationship Date of the relationship (from-to) Question 1A Question 1B Question 1C Question 1D Check the box to indicate if you have jointly signed a residential lease, mortgage or purchase agreement relating to a residence in which you both live. Check the box to indicate if you jointly own property other than your residence. Check the box to indicate if you have a joint bank, trust credit union or charge card accounts. Check the box to indicate if you have declared your common-law union under the Canadian Income Tax Act (T-1 General individual income Tax Return) Question 2 Question 3 Check the box to indicate if you have life insurance on yourself which names your common-law partner as a beneficiary. Check the box to indicate if your common-law partner has life insurance on himself or herself which names you as a beneficiary. If you answered NO to questions 1 to 3, indicate other documentary evidence you have that would indicate your relationship as common-law partners

Question 4 Question 5

SOLEMN DECLARATION Write the following information in the space provided: Name of the declarant Name of the declarants partner Name of the city, town, village Name of the county Name of the province/state/territory Name of the country Date (day, month, year) Signature of the declarant Signature of the declarants partner Name of the Commissioner of Oaths Signature of the Commissioner of Oaths

Supplementary Information: Your Travels (IMM 5562)

Who needs to fill out this application form?
This form must be completed by: you, the principal applicant; You must complete all sections including those for your spouse or common law partner (whether accompanying or not) and each dependent child over the age of 18 (whether accompanying or not). If there is not enough space to provide all the necessary information, use an extra sheet of paper. Print your name and the forms title on the additional sheet. Question 1 Write your full family name (surname/last name) as it appears on your passport or on the official documents that you will use to obtain your passport. Write all of your given names (first, second or more) as they appear on your passport or official documents. Do not use initials.

Question 2a

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). Include all trips: tourism, business, training, etc. (et cetera) If you did not travel outside your country during this period, check did not travel.

Question 2b

List all trips your spouse or common-law partner has taken outside their country of origin or of residence in the last ten years (or since their 18th birthday if this was less than ten years ago). Include all trips: tourism, business, training, etc. (et cetera) If they did not travel outside their country during this period, check did not travel.

Question 2c,d,e

Write the full name (given name and surname/family name) of your dependent child 18 years or older as it appears on their passport or on the official documents that will be use to obtain their passport. Do not use initials. List all trips that the dependent child has taken outside their country of origin or of residence in the last ten years (or since their 18th birthday if this was less than ten years ago). Include all trips: tourism, business, training, etc. (et cetera) If they did not travel outside their country during this period, check did not travel.

Use of a Representative (IMM 5476)

Who may use this form?
Complete this form only if you: used the services of a representative to help you prepare or submit your application; or are appointing a representative; or are cancelling a representatives appointment. If you have dependent children aged 18 years or older, they are required to complete their own copy of this form if a representative is also conducting business on their behalf. Your spouse or common-law partner does not have to complete a separate request and must sign in the box provided under question 10.

What is a representative?

A representative is someone who has provided advice, consultation, or guidance to you at any stage of the immigration application process, or in an immigration proceeding. If someone represented or advised you to help you submit your application, then that person is your representative. A representative is also someone who has your permission to conduct business on your behalf of Citizenship and Immigration Canada (CIC) and the Canada Border Services Agency (CBSA). When you appoint a representative: you also authorize CIC (Citizenship and Immigration Canada) and CBSA (Canada Border Services Agency) to share information from your case file with this person; your application will not be given special attention nor can you expect faster processing or a more favourable outcome; the representative is authorized to represent you only on immigration matters related to the application you submit with this form; you can appoint only one (1) representative for each application you submit; you are not obliged to hire a representative. We treat everyone equally, whether they use the service of a representative or not. Important information. You must notify us if your representatives contact information changes or if you cancel the appointment of a representative.

Types of representatives
Family, friends, and non-profit groups often help applicants who feel the need for support and advice on immigration matters. You can appoint a representative who does not charge fees or receive any other compensation for providing immigration advice or services to represent you before CIC (Citizenship and Immigration Canada) or the CBSA (Canada Border Services Agency). There are two (2) types of representatives. Uncompensated representatives include: friends and family members who do not, and will not, charge a fee or receive any other consideration for their advice and services; organizations that do not, and will not, charge a fee or receive any other consideration for

providing immigration advice or assistance (such as a non-governmental or religious organization); consultants, lawyers and Quebec notaries, and students-at-law under their supervision, who do not, and will not, charge a fee or receive any other consideration to represent you. Compensated representatives: Compensated representatives charge a fee or receive some other form of consideration in exchange for the advice and representation that they provide. If you want us to conduct business with a compensated representative then they must be authorized by CIC (Citizenship and Immigration Canada). It is important to know that anyone who represents or advises you for payment or offers to do so in connection with immigration proceedings or applications is breaking the law unless they are an authorized representative or they have a specific agreement or arrangement with the Government of Canada that allows them to represent or advise you. This applies to advice or consultation which happens before or after an immigration application is made or a proceeding begins. Authorized representatives are: immigration consultants who are members in good standing of the Immigration Consultants of Canada Regulatory Council (ICCRC); lawyers and paralegals who are members in good standing of a Canadian provincial or territorial law society and students-at-law under their supervision; notaries who are members in good standing of the Chambre des notaires du Qubec and students-at-law under their supervision. If you appoint a compensated representative who is not a member of one of these designated bodies, your application will be returned. For more information on using a representative, visit our website (/english/information/representative/index.asp).

General Application Information

Check one box to indicate if you are appointing or cancelling the appointment of a representative.

Check both boxes and complete all sections if you are cancelling a representative and appointing a new one at the same time.

Section A Applicant Information

Question 1 Question 2 Question 3 Write your last name (surname or family name) and given name(s). Write your date of birth. If you have already submitted your application, write: the name of office where the application was submitted; location of office; type of application you are sending. Question 4 Write your Citizenship and Immigration Canada Identification (ID) or Unique Client Identifier (UCI) number (if known).

Section B Appointment of Representative

Question 5 Write your representatives full name. If your representative is a member of the Immigration Consultants of Canada Regulatory Council (ICCRC), a law society or the Chambre des notaires du Qubec, print his or her name as it appears on the organizations membership list. Question 6 Check one box to indicate if your representative is unpaid or paid. If your representative is paid, write the membership ID (identification) number of: the Immigration Consultants of Canada Regulatory Council (ICCRC); or a Canadian provincial or territorial law society; or the Chambre des notaires du Qubec. Question 7 Write your representatives contact information. Note: By indicating your representatives e-mail address, you are hereby authorizing CIC (Citizenship and Immigration Canada) to transmit your file and personal information to this specific e-mail address.

Question 8

To accept responsibility for conducting business on your behalf, your representative must: sign the declaration date the declaration, and include the Party ID, only if it is known.

Section C Cancel the Appointment of a Representative

Question 9 Fill in this section if you wish to cancel the appointment of a representative. Write the representatives full name.

Section D Your Declaration

Question 10 By signing, you authorize CIC (Citizenship and Immigration Canada) to complete your request for yourself and your dependent children under 18 years of age. If your spouse or common-law partner is included in this request, he or she must sign in the box provided.

Release of information to other individuals

To authorize CIC to release information from your case file to someone other than a representative, you will need to complete the form Authority to Release Personal Information to a Designated Individual (IMM 5475) (PDF, 1.75 MB (Megabye)) (/english/pdf/kits/forms/imm5475e.pdf). The form is also available from Canadian embassies, high commissions and consulates abroad. The person you designate will be able to obtain information on your case file, such as the status of your application. However, they will not be able to conduct business on your behalf with CIC (Citizenship and Immigration Canada).

Step 3. Pay the Fees

Processing fees must be paid only for the principal applicant and any accompanying family members.

Calculating your fees

Use the table below to calculate the total amount of fees to be paid. There are two (2) types of fees: 1. The processing fee which must be included with your application Processing Fee Principal applicant Each family member age 22 or older Each family member under age 22 who is married or in a common-law relationship Each family member under age 22 who is unmarried and not in a common-law relationship Total Payment and 2. The Right of Permanent Residence Fee, which will be requested by the Visa Office at a later stage if your application is approved. Right of Permanent Residence Fee Principal applicant Spouse or common-law partner Number of persons 1 Amount per person x $490 x $490 Total Payment $ Amount Due $490 $ Number of persons 1 Amount per person x $1050 x $550 x $550 Amount Due $1050

x $150

Note: Dependent children are exempt from paying the Right of Permanent Residence fee.

Incorrect fee payment

Payment issue - No fee included CIC (Citizenship and Immigration Canada) will return your application. Note: Processing of your application will only start after you return your application with the requested fees.

Payment issue - Insufficient fees included CIC (Citizenship and Immigration Canada) will return your application. Note: Processing of your application will only start after you return your application with the requested fees.

Payment issue - Overpayment CIC (Citizenship and Immigration Canada) will: start processing your application, and send you a refund as soon as possible. Note: You do not have to request a refund, it will be done automatically.

Payment issue Expired payment For expired certified cheques, bank drafts and money orders only. CIC will return your application. Note: Processing of your application will only start after you return your application with requested fees.

Payment method options

Complete the Fee Payment Form - Application for Permanent Residence (IMM 5620) and include it with your application to the CIO. On-line payments are not accepted by the CIO. In Canadian funds only, you may pay by certified cheque, bank draft or money order made payable to the "Receiver General for Canada." or with a credit card (Visa, MasterCard, American Express) Note: Certified cheques, bank drafts and money orders may have expiry dates. When you submit your application to the CIO, the expiry date must be at least five months into the future. If there is no expiry date on your certified cheque, money order or bank draft and it is drawn on a foreign bank, it can only be cashed for 6 months from the date of issue. To ensure it can still be cashed when the fee payment is processed at the CIO, it must be issued no more than 30 days before you send your application to the CIO. If you are paying by credit card, please ensure that your credit card will be valid for at least nine months from your submission date. If we are unable to process your payment, your application will be returned to you. Important information. Each application from a principal applicant must include a fee payment form. This form must include the fees for the principal applicant and any accompanying family members. The same fee payment form may not be used for more than one principal applicant. Do not enclose cash. If you are applying at one of the following visa offices and are unable to pay in Canadian funds, please visit the responsible Visa Office website for fee payment instructions and to obtain the fee payment form.

Obtaining an original receipt formInside Canada

You may obtain an original receipt form (IMM 5401) by ordering through our website (https://eservices.cic.gc.ca/kms/introinit.do?dispatch=introinit&appno=5401&lang=en).

Additional fees

You must also pay for the following for yourself and your family members (if applicable): medical examinations; police certificates; language assessments.

Step 4. Mail the Application

Mailing instructions
Follow the instructions below to determine where to submit your application. Put the completed forms, supporting documents and fee payment in a 23 cm x 30.5 cm (9 x 12) envelope. Send your completed application to ONE of the addresses shown below. Please write Start-up business visa on the outside of the envelope.

REGULAR MAIL:
Affix sufficient postage (top right of the envelope) Sender (top left of the envelope) (Your name) (Your Address) (Your Postal Code)

Recipient (centre of the envelope) Citizenship & Immigration Canada Centralized Intake Office Start Up Business Class P.O. BOX 8700 Sydney, NS B1P 0G2 Canada

OR BY COURIER:

Affix sufficient postage (top right of the envelope) Sender (top left of the envelope) (Your name) (Your Address) (Your Postal Code)

Recipient (centre of the envelope) Citizenship & Immigration Canada Centralized Intake Office Start Up Business Class 49 Dorchester Street Sydney, NS B1P 5Z2 Canada

Sign the form

The application must be signed and dated before it is submitted. If you are: 18 years of age or older, sign and date in the boxes provided at the bottom of the page, less than 18 years of age, your form must be signed by one of your parents or legal guardian. Note: If your application is not signed and dated, it will be returned to you.
Note

Submit the application form

When submitting your application, to ensure your encoded data is captured, you must include the last page or pages which contain your unique barcodes. See the image below:

Note: This page is only available when you complete your application electronically (on a computer).

What Happens Next?

The application process Submission Completion check: Once you have submitted your application, we will check to determine that all required application forms have been properly completed and submitted, the application processing fee has been paid, and that all requested supporting documentation has been provided. If your application package does not meet these requirements, we will return it to you. No file will be created or record kept until a complete application has been submitted. Acknowledgment of receipt: If your application is complete, we will begin to process it. You will be sent a letter that: notifies you of this fact and provides you with your visa office file number, sets out some basic instructions for contacting CIC (Citizenship and Immigration Canada), gives you a brief outline of future processing steps. Processing Review for decision Your application will undergo a detailed review by a CIC (Citizenship and Immigration Canada) Officer. The Officer will consider all the information and documentation you have provided, and will assess it against current selection standards.

Factors that can facilitate processing

There are certain things you can do to help ensure that your application is processed as fast as possible: make sure that all the documentation and information requested are provided with your application advise the visa office, of any change to your contact information. This includes: mailing address telephone number facsimile number (fax) e-mail address

Factors that may delay processing

The following factors may delay the processing of your application: missing signature on application forms missing documentation unclear photocopies of documents documents not accompanied by a certified English or French translation verification of information and documents provided a medical condition that may require additional tests or consultations a criminal or security problem consultation is required with other offices in Canada and abroad

Current processing times

Processing time can change. You can obtain current processing times (/english/information/times/index.asp) on our website.
For more information

Checking application status on line

You can check the status of your application on-line by doing the following: 1. Go to Check application status (http://10.24.221.62:8080/english/my_application/status.asp) on the CIC website. 2. Follow the instructions provided. Note: Your application status will only appear on-line once the application is received and the initial review by CIC (Citizenship and Immigration Canada) is completed.

To obtain details on how to remove your application status information from the Internet, visit the Help Centre (http://www.cic.gc.ca/english/helpcentre/results-by-topic.asp?t=3) section.

Protecting your information

Your personal information is: only available to Citizenship and Immigration Canada (CIC) and Canada Border Service Agency (CBSA) employees who need to see it in order to provide the services to you, and not disclosed to anyone else except as permitted under the provisions of the Privacy Act. For more information. You can obtain additional information on the protection of your data by visiting the Help Centre (http://www.cic.gc.ca/english/helpcentre/results-by-topic.asp?t=1) on our website.

Quality Assurance Program

Our quality assurance program randomly selects applications for a special review. If selected you will be asked to attend an interview with a Citizenship and Immigration official so that we can: verify the documentation you submitted is accurate, verify that your application has been completed properly.

Note: You will be notified in writing should your application be selected.

How to contact CIC

Within Canada
CIC Call Centre: 1 888 242-2100 (toll-free) Hours of operation: Monday to Friday 8 a.m. to 4 p.m., your local time If you are deaf, deafened or hard of hearing, or you have a speech impediment and use a text telephone, you can access the TTY service from 8 a.m. to 4 p.m. your local time by calling: 1-888-5768502 (in Canada only).

Outside Canada
Contact a visa office at a Canadian: Embassy, High Commission or Consulate Consult the local phone pages or the CIC website for addresses, phone numbers and website addresses.

Notes to the applicant

TAKE THIS WITH YOU TO THE PHOTOGRAPHER

Immigration photos are not the same as passport photos.

Make sure that you provide the correct number of photos specified in the Checklist.

Notes to the photographer

The photos must: show a full front view of the persons 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.

Date Modified: 2013-10-25

Top of Page

PROTECTED WHEN COMPLETED - B PAGE 1 of 7

IMM 0008 (11-2013) E GENERIC APPLICATION FORM FOR CANADA

This form is made available by Citizenship and Immigration Canada and is not to be sold to applicants. (DISPONIBLE EN FRANAIS - IMM 0008 F)

PAGE 2 of 7
Applicant Name Date of Birth

GENERIC APPLICATION FORM FOR CANADA

Validate
APPLICATION DETAILS
1 *Program under which you are applying 2 * Category under which you are applying
Office use only

Clear Form

validated

* How many family members, including you, are in this application (see instructions guide)? Language preference for: *a) Correspondence *b) Interview *c) Interpreter requested

Immigration Office requested for processing this application

Where do you intend to live in Canada? *a) Province/Territory b) City/Town c) If no, when did you apply for your CSQ?
YYYY-MM-DD

a) Have you received your Certificat de Slection du Qubec (CSQ)?

b) if yes, please indicate the number No Yes

PERSONAL DETAILS
1 Full Name * Family name(s) (exactly as shown on your passport or travel document) Given name(s) (exactly as shown on your passport or travel document)

a) Have you ever used any other name (e.g. Nickname, maiden name, alias, etc.)?

* No

* Yes

b) If you answered "yes" to question 2a), please provide the name (e.g. Nickname, maiden name, alias, etc.) Family name(s) Given name(s)

UCI

4 *Sex

5 Height *cm OR ft. in.

*Eye colour

7 Date of Birth

Place of Birth * City/Town *Country

00
9 *1) * YYYY Citizenship(s) * MM

00
* DD

2)

10 Current country of residence: Country * *

YYYY-MM-DD YYYY-MM-DD

Status

Other

From

To

11 Date and place of your last entry to Canada

Date
YYYY-MM-DD

Place

12 a) 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? b) If you answered "yes" to question 12 a), please provide details Country Status

* No Other

* Yes From To

YYYY-MM-DD

YYYY-MM-DD

YYYY-MM-DD

YYYY-MM-DD

IMM 0008 (11-2013) E GENERIC APPLICATION FORM FOR CANADA

CITIZENSHIP AND IMMIGRATION CANADA CITOYENNET ET IMMIGRATION CANADA

PAGE 3 of 7
Applicant Name Date of Birth

13 * a) Your current marital status

b) (If you are married or in a common-law relationship) Provide the date on which you were married or entered into the common-law relationship Given name(s)

Date
YYYY-MM-DD

c) Provide the name of your current spouse/common-law partner Family name(s)

14 a) Have you previously been married or in a common-law relationship? b) Provide the following details for your previous spouse/common-law partner: Family name(s)

* No

* Yes Given name(s)

c) Type of relationship

d)

From
YYYY-MM-DD

To
YYYY-MM-DD

CONTACT INFORMATION
1 Current mailing address - All correspondence will go to this address unless you indicate your e-mail address below. - Indicating an e-mail address will authorize all correspondence, including file and personal information, to be sent to the e-mail address you specify. - If you wish to authorize the release of information from your application to a representative, indicate their e-mail and mailing address(es) in this section and on the IMM5476 form. Apt./Unit Street no. *Street name

P.O. box

City/Town

*Country

Province/State

Postal code

District

2 Residential address Apt./Unit

Same as mailing address? Street no.

* No Street name

* Yes City/Town

Country

Province/State

Postal code

District

Telephone no.

Canada/US
Country Code No.

Other Ext.

Alternate Telephone no.

Canada/US
Country Code No.

Other Ext.

Type

Type

Fax no. Canada/US Other

Country Code No.

6 Ext.

E-mail address

PASSPORT
1 Do you have a valid passport/travel document? 2
Passport/Travel document number (exactly as shown on your passport or travel document)

* No 3

* Yes 4 Issue date

YYYY-MM-DD

Country of issue

5 Expiry date
YYYY-MM-DD

NATIONAL IDENTITY DOCUMENT

1 2 Do you have a national identity document? Document number 3 * No * Yes 4 Issue date
YYYY-MM-DD

Country of issue

5 Expiry date
YYYY-MM-DD

IMM 0008 (11-2013) E GENERIC APPLICATION FORM FOR CANADA

CITIZENSHIP AND IMMIGRATION CANADA CITOYENNET ET IMMIGRATION CANADA

PAGE 4 of 7
Applicant Name Date of Birth

EDUCATION/OCCUPATION DETAIL
1 * Highest level of education 2 * Number of years of education in total

* Current occupation

4 * Intended occupation

LANGUAGE DETAIL
1 *a) Native language *b) If your native language is not English or French, which one do you use most frequently? 2 *Are you able to communicate in English and/or French?

DEPENDANT(S)
You must provide the following details about each of your family members, whether they will be accompanying you to Canada or not. You must include your spouse or common-law partner, if applicable, and all of your dependent children, and those of your spouse or common-law partner, who are not already permanent residents or citizens of Canada. 2 a) Have you ever used any other name (e.g. Nickname, maiden name, alias, etc.) ? * No * Yes

b) If you answered "yes" to question 2a), please provide the name (e.g. Nickname, maiden name, alias, etc.) Family name(s) Given name(s)

UCI

4 *Sex

5 Height cm OR ft. in.

Eye colour

7 Date of Birth

Place of birth * City/Town *Country

00
9 *1) * YYYY Citizenship(s) * MM

00
* DD

2) b) Other

10 *a) Relationship to principal applicant

11 a) Will accompany principal applicant to Canada? b) Reason why dependant is non-accompanying

* No

* Yes

12 Dependant Type

13 Current country of residence: Country * *

YYYY-MM-DD YYYY-MM-DD

Status

Other

From

To

14 Date and place of your last entry to Canada

Date
YYYY-MM-DD

Place

IMM 0008 (11-2013) E GENERIC APPLICATION FORM FOR CANADA

CITIZENSHIP AND IMMIGRATION CANADA CITOYENNET ET IMMIGRATION CANADA

PAGE 5 of 7
Applicant Name Date of Birth

PERSONAL DETAILS
1 Full Name * Family name(s) (exactly as shown on your passport or travel document)

To remove this dependant from the application click the remove dependant button

Remove Dependant

Given name(s) (exactly as shown on your passport or travel document)

15 a) 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? b) If you answered "yes" to question 15 a), please provide details Country Status

* No

* Yes

Other

From

To

YYYY-MM-DD

YYYY-MM-DD

YYYY-MM-DD

YYYY-MM-DD

16 *a) Your current marital status

b) (If you are married or in a common-law relationship) Provide the date on which you were married or entered into the common-law relationship Given name(s)

Date
YYYY-MM-DD

c) Provide the name of your current spouse/common-law partner Family name(s)

17 a) Have you previously been married or in a common-law relationship? b) Provide the following details for your previous spouse/common-law partner: Family name(s)

* No

* Yes Given name(s)

c) Type of relationship

d)

From
YYYY-MM-DD

To
YYYY-MM-DD

PASSPORT
1 Do you have a valid passport/travel document? 2
Passport/Travel document number (exactly as shown on your passport or travel document)

* No 3

* Yes 4 Issue date

YYYY-MM-DD

Country of issue

5 Expiry date
YYYY-MM-DD

NATIONAL IDENTITY DOCUMENT

1 2 Do you have a national identity document? Document number 3 * No * Yes 4 Issue date
YYYY-MM-DD

Country of issue

Expiry date
YYYY-MM-DD

EDUCATION/OCCUPATION DETAIL
1 * Highest level of education 2 * Number of years of education in total

3 * Current occupation

4 * Intended occupation

LANGUAGE DETAIL
1 *a) Native language *b) If your native language is not English or French, which one do you use most frequently? 2 *Are you able to communicate in English and/or French?

ADD DEPENDANT(S) To add a new dependant to the application click the Add dependant button

Add Dependant

IMM 0008 (11-2013) E GENERIC APPLICATION FORM FOR CANADA

CITIZENSHIP AND IMMIGRATION CANADA CITOYENNET ET IMMIGRATION CANADA

PAGE 6 of 7
Applicant Name Date of Birth

Validate
CONSENT AND DECLARATION OF APPLICANT
Consent to release information to intended province/territory of destination I, (first name, last name) ____________________________________________________ on behalf of myself and all dependants included in this application, authorize Citizenship and Immigration Canada to share the information collected in this application as well as supporting documentation with Provincial and Territorial authorities with responsibility for immigration for the purposes of the Immigration and Refugee Protection Act. I agree that the information contained in this application related to my intended occupation, education and work experience may be shared with prospective employers in order to assist them in hiring workers. No Consent to release information for Evaluation purposes This declaration covers the information I have provided on this form and all the information submitted in my application as well as in the attached schedules and accompanying documents. I understand that any false statements or concealment of a material fact may result in my exclusion from Canada and may be grounds for my prosecution or removal. I also understand that should I be found to be inadmissible for misrepresentation under section 127 of the Immigration and Refugee Protection Act, I may be barred from entering Canada for a period of two years following a final determination of my inadmissibility or, if this determination is made in Canada following my removal from Canada. I understand that if I wish to work in a regulated occupation, it is my responsibility to obtain information on the licensing requirements from the appropriate regulatory body in Canada and that should I be issued a visa for Canada, I am not guaranteed employment in Canada in my occupation or in any other occupation. I understand that should I be issued a visa for Canada, conditions may be imposed on me at the time of its issuance and that I will be required to meet them. I understand all the foregoing statements, having asked for and obtained an explanation on every point that was not clear to me. I realize that once this document has been completed and signed, it will form part of my Immigration Record and will be used to verify my family details on future applications. I will immediately inform the visa office where I submitted my application if any of the information or the answers provided in my application forms change. Yes

I declare that the information I have given is truthful, complete and correct.

Declaration of applicant

Signature of Applicant or Parent/Legal Guardians for a person under 18 years of age.

Date: YYYY-MM-DD

IMPORTANT NOTE: This application must be signed and dated before it is submitted. Do not forget to include: photos, fees (if applicable), and any other documents required by the visa office. Review application guide and kit for more information and verify you have completed all of the required documents as per the document checklist.

DISCLOSURE
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. It will be stored in Personal Information Banks (PPU 042 entitled Immigrant Case File and PPU 009 entitled Refugee Claim in Canada Case File and PPU 053 entitled Permanent Resident Data System) CIC. The information may be shared with other Canadian government institutions such as the Canada Border Services Agency (CBSA), the Royal Canadian Mounted Police (RCMP), the Canadian Security Intelligence Service (CSIS), and foreign governments in accordance with subsection 8(2) of the Privacy Act. Information may also be disclosed to foreign governments, law enforcement bodies and detaining authorities with respect to the administration and enforcement of immigration legislation where such sharing of information may not put the individual and or his/her family at risk. Information may also be systematically validated by other Canadian government institutions under the terms of an agreement or arrangement for the purposes of validating status and identity to administer their programs. In accordance with the Privacy Act and the Access to Information Act, individuals have a right to access, correction and protection of their personal information. Details on these matters are available at the Info Source website (http://infosource.gc.ca) and through the Citizenship and Immigration Canada Call Centre.

Validate

IMM 0008 (11-2013) E GENERIC APPLICATION FORM FOR CANADA

CITIZENSHIP AND IMMIGRATION CANADA CITOYENNET ET IMMIGRATION CANADA

PAGE 7 of 7
Applicant Name Date of Birth

IMM 0008 (11-2013) E GENERIC APPLICATION FORM FOR CANADA

CITIZENSHIP AND IMMIGRATION CANADA CITOYENNET ET IMMIGRATION CANADA

Please wait...
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Citizenship and Immigration Canada

Citoyennet et Immigration Canada

PROTECTED WHEN COMPLETED - B PAGE 1 OF 2

SCHEDULE 13 - BUSINESS IMMIGRATION PROGRAMS START UP BUSINESS CLASS

It is important that you make a careful assessment before you apply because you must pay certain fees, one of which is non-refundable (the processing fee) even if your application is refused. Before you start completing this form, make sure to read carefully the accompanying Guide. THE PRINCIPAL APPLICANT MUST COMPLETE THIS FORM.
By submitting this form, you consent to the release by the Canadian Government, as necessary, of any personal financial information or corporate financial information of which you are the proprietor to the appropriate government authorities. It is important that you complete this form fully and accurately, so that we can better assess the commitment issued to you and your experience. The information you provide will be used to evaluate your ability to meet the requirements of the Immigration and Refugee Protection Act and Regulations as it applies to applicants in the Investor and Entrepreneur classes. Before you start completing this form, make enough photocopies for your needs. You can also print all or part of this form from our Web site at www.cic.gc.ca If there is not enough space to provide all the necessary information, attach a separate sheet of paper with further details. Print your name at the top of each additional sheet and indicate the form's title and the number of the question you are answering.

Your full name - Family name

Given name(s)

Your date of birth (YYYY-MM-DD)

Financial Commitment

Specify the Financial Commitment: What is the name of the designated angel investor group that is investing at least $75,000 in a qualifying business? OR

What is the name of the designated venture capital fund which confirms that it is investing at least $200,000 in a qualifying business?

Commitment

You must include your Letter of support with your application. Date of issue of Letter of support
(YYYY-MM-DD)

Number of persons, including yourself, identified in the Letter of support

Number of essential persons identified in the Letter of support

By submitting this form you consent to the release by the Government of Canada, as necessary, of any personal information which may be contained in the Commitment (including letter of support, commitment certificate, etc.) of which you are the subject to the appropriate organizations for the purpose of conducting a Peer Review. Initials Date (YYYY-MM-DD)

If essential persons, other than yourself, have been identified in the Letter of support, please complete the following table: Name Name Name Name Date of birth (YYYY-MM-DD) Date of birth (YYYY-MM-DD) Date of birth (YYYY-MM-DD) Date of birth (YYYY-MM-DD)

IMM 0008 (03-2013) E SCHEDULE13

This form is made available by Citizenship and Immigration Canada and is not to be sold to applicants. (DISPONIBLE EN FRANAIS - IMM 0008 F Annexe 13)

PAGE 2 OF 2 5 Explain how your past experiences (work, education, etc.) assisted in developing the idea for the proposal.

Is anyone in the designed entity(ties) with which you have entered into agreement related to you either by blood or marriage? No Yes If yes, please specify.

How did you first meet or get to know the designed entity which issued the Letter of support to you?

Please provide details on the history of any relationship related to business or any persons related to the entity investing in your business, including any business meetings you may have had.

Have you ever presented a proposal for the same or similar business idea to: An investor outside of Canada No Yes If yes, what was the outcome?

An investor in Canada

No

Yes

If yes, what was the outcome?

The information you provide on this form is collected under the authority of the Immigration and Refugee Protection Act for the purposes of verifying your status in Canada. It will be stored in Personal Information Banks (PPU 053 entitled Permanent Resident Data System, PPU 054 Temporary Worker Records and Case File, and PPU 051 Foreign Student Records and Case File) CIC. Information may be systematically validated by other Canadian government institutions under the terms of an agreement or arrangement for the purposes of validating status and identity to administer their programs. In accordance with the Privacy Act and the Access to Information Act, individuals have a right to access, correction and protection of their personal information. Details on these matters are available at the CIC website (http://www.cic.gc.ca/ english/department/atip/infosource/index.asp) and through the Citizenship and Immigration Canada Call Centre.

IMM 0008 (03-2013) E SCHEDULE13

Citizenship and Immigration Canada

Citoyennet et Immigration Canada

PROTECTED WHEN COMPLETED - B

PAGE 1 OF 4

SCHEDULE A
BACKGROUND / DECLARATION

FOR CIC USE ONLY Client ID/UCI/FOSS ID

Before you start completing this form, make enough photocopies for your needs. You can also print all or part of this form from our Web site at www.cic.gc.ca. If there is not enough space to provide all the necessary information, attach to this form a separate sheet of paper with further details. Print your name at the top of each additional sheet and indicate the form's title and the number of the question you are answering.
BEFORE YOU START, READ THE INSTRUCTION GUIDE TYPE or PRINT in black ink Indicate whether you are The principal applicant 1. Your full name Family name Given name(s) The spouse, common-law partner or dependent child aged 18 years or older of the principal applicant 6. Have you, or, if you are the principal applicant, any of your family members listed in your application for permanent residence in Canada, ever: YES NO a) been convicted of a crime or offence in Canada for which a pardon has not been granted under the Criminal Records Act of Canada? b) been convicted of, or are you currently charged with, on trial for, or party to a crime or offence, or subject of any criminal proceedings in any other country? c) made previous claims for refugee protection in Canada or at a Canadian visa office abroad, in any other country or countries, or with the United Nations High Commissioner for Refugees (UNHCR)? d) been refused refugee status, an immigrant or permanent resident visa (including a Certificat de slection du Qubec (CSQ) or application to the Provincial Nominee Program) or visitor or temporary resident visa, to Canada or any other country? e) been refused admission to, or ordered to leave, Canada or any other country? f) been involved in an act of genocide, a war crime or in the commission of a crime against humanity? g) used, planned or advocated the use of armed struggle or violence to reach political, religious or social objectives? h) been associated with a group that used, uses, advocated or advocates the use of armed struggle or violence to reach political, religious or social objectives?
Year Month Day

2.

Your full name written in your native language or script (e.g., Arabic, Cyrillic, Chinese, Korean, Japanese characters or Chinese commercial/telegraphic code)

3. 4.

Your date of birth

Year

Month

Day

Personal details of your father Family name Given name(s)

Date of birth Town/City of birth Country of birth Date of death, if deceased 5.

Year

Month

Day

i) been member of an organization that is or was engaged in an activity that is part of a pattern of criminal activity? j) been detained, incarcerated or put in jail? k) had any serious disease or physical or mental disorder?

Personal details of your mother Family name at birth Given name(s)

If your answer to any of these questions is YES, provide details below.

Date of birth Town/City of birth Country of birth Date of death, if deceased

Year

Month

Day

Year

Month

Day

This form is made available by Citizenship and Immigration Canada and is not to be sold to applicants.
IMM 5669 (12-2012) E

(DISPONIBLE EN FRANAIS - IMM 5669 F)

PAGE 2 OF 4 7. Education Give the number of years of school you successfully completed for each of the following levels of education. Elementary/ primary school Secondary/ high school University/ college Trade school or other post secondary school

Give full details of all the secondary and post secondary education (including university, college and apprenticeship training) you have had. From To Type of certificate or Name of institution City and country diploma issued Y M Y M

Field of study

8.

Personal history Provide the details of your personal history since the age of 18, or the past 10 years, whichever is most recent. Start with the most recent information. Under "Activity", write your occupation or job title if you were working. If you were not working, provide information on what you were doing (for example: unemployed, studying, travelling, retired, in detention, etc.). If you were outside your country of nationality, indicate your status in that country. Note: Please ensure that you do not leave any gaps in time. Failure to account for all time periods will result in a delay in the processing of your application. From Y M Y To M Activity City or town and country Status in country Name of company, employer, school, facility, as applicable

9.

Membership or association with organizations What organizations have you supported, been a member of or been associated with? Include any political, social, youth or student organization, trade unions and professional associations. Do not use abbreviations. Indicate the city and country where you were a member. Write "NONE" in the box if you have not been a member of any association/organization. From Y M Y To M Name of organization Type of organization Activities and/or positions held within organization City and country

10. Government positions List any government positions (such as civil servant, judge, police officer, employee in a security organization) you have held. Include positions you have held before or after your retirement. Do not use abbreviations. Write "NONE" in the box if you have not held any government positions. From Y M Y To M Country and level of jurisdiction (e.g. national, regional, municipal) Department/Branch Activities and/or positions held

IMM 5669 (12-2012) E

PAGE 3 OF 4 11. Military and/or paramilitary service Provide below complete details of military and/or paramilitary service for each of the countries in whose armed forces you served. Write "NONE" in the box if you have not undertaken military and/or paramilitary service. Do not leave any gaps in time. Name of country

From Y M Y

To M

Branch of service, unit numbers and names of your commanding officers

Rank(s)

Dates and places of any active combat

Reason for end of service

Name of country

From Y M Y

To M

Branch of service, unit numbers and names of your commanding officers

Rank(s)

Dates and places of any active combat

Reason for end of service

12. Addresses List all addresses where you have lived since your 18th birthday or the past 10 years, whichever is most recent. Do not use P.O. box addresses. From Y M Y To M Province, State or District Postal code/ Zip code

Street and number

City or town

Country

IMM 5669 (12-2012) E

PAGE 4 OF 4

Authority to disclose personal information

By submitting this form, you consent to the release to Canadian government authorities of all records and information any government authority, including police, judicial and state authorities in all countries in which you have lived may possess on your behalf concerning any investigations, arrests, charges, trials, convictions and sentences. This information will be used to assist in evaluating your suitability for admission to Canada or remaining in Canada pursuant to Canadian legislation.

Declaration of applicant
I declare that the information I have given is truthful, complete and correct.
Year Month Day

Signature

Date

DO NOT COMPLETE THE FOLLOWING SECTION NOW. YOU MAY BE ASKED TO SIGN IN THE PRESENCE OF A REPRESENTATIVE OF THE CANADIAN GOVERNMENT OR AN OFFICIAL APPOINTED BY THE CANADIAN GOVERNMENT.
Solemn declaration
I, , do solemnly declare that the information I have given in the foregoing application is truthful, complete and correct, and I make this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath.

Interpreter declaration
I, , do solemnly declare that I have faithfully and accurately interpreted in the language the content of this application and any related forms to the person concerned. I have been informed by the person concerned, and I do verily believe, that he or she completely understands the nature and effect of these forms, and I make this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as is made under oath.

Signature of applicant

Signature of interpreter

Declared before me at Canadian Government official

this

day of

of the year

Name Please print or type

Signature

The information you provide on this form is collected under the authority of the Immigration and Refugee Protection Act and will be used for the purpose of assessing your application for permanent residence. It will be stored in Personal Information Banks (PPU 039 entitled Overseas Immigration Case File and PPU 042 entitled Immigrant Case File). For refugee claimants, this information will be used for the purpose of assessing your admissibility to Canada and eligibility to make a refugee claim according to the requirements of the Act. This information will be retained in the Personal Information Bank CIC PPU 009 entitled Refugee Claim in Canada. It may be shared with other organizations in accordance with the consistent use of information under the Privacy Act. Under the provisions of the Privacy Act and the Access to Information Act, individuals have the right to protection of and access to their personal information. Details on these matters are available at the Infosource website (http://infosource.gc.ca) and are also available at public libraries across Canada.

IMM 5669 (12-2012) E

Citizenship and Immigration Canada

Citoyennet et Immigration Canada

PROTECTED WHEN COMPLETED - B PAGE 1 OF 1

ADDITIONAL FAMILY INFORMATION

BEFORE YOU START, READ THE INSTRUCTION GUIDE. TYPE or PRINT in black ink. SECTION A Name Relationship Applicant Spouse or common-law partner Mother Father SECTION B CHILDREN (Include ALL sons and daughters, including ALL adopted and step-children, regardless of age or place of residence) Marital Present address and Date of birth Relationship Place of birth (YYYY-MM-DD) status e-mail address
(YYYY-MM-DD)

The principal applicant, their spouse or common-law partner (if applicable), and all dependent children 18 years of age or older must complete their own copy of this form. Complete ALL names in English and in your native language (for example, Arabic, Cyrillic, Chinese, Chinese commercial/telegraphic code, Korean, or Japanese characters). If additional space is required attach a separate sheet. If a section does not apply to you, write "Not applicable".

Date of birth

Place of birth

Marital status

Present address

E-mail address

Name

E-mail address

E-mail address

E-mail address

E-mail address

E-mail address

SECTION C

BROTHERS AND SISTERS (Including half - and step-brothers and sisters) Name Relationship
(YYYY-MM-DD)

Date of birth

Place of birth

Marital status

Present address

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. Signature: __________________________________________________ Date (YYYY-MM-DD)

The information you provide is collected under the authority of the Immigration and Refugee Protection Act to determine if you may be admitted to Canada as an immigrant. It will be stored in Personal Information Bank number EIC PPU 015. It is protected and accessible under the provisions of the Privacy Act and the Access to Information Act.

IMM 5406 (09-2013) E

(DISPONIBLE EN FRANAIS - IMM 5406 F)

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Citizenship and Immigration Canada

Citoyennet et Immigration Canada

PROTECTED WHEN COMPLETED - B

FOR OFFICE USE ONLY

DECLARATION FROM NON-ACCOMPANYING PARENT/GUARDIAN FOR MINORS IMMIGRATING TO CANADA

File no.
Day Month Year

Date

Send this fully completed Declaration and a photocopy of a valid and legible identity document to the Canadian Embassy/Canadian Consulate. This form must be: filled out by the non-accompanying parent/guardian, former spouse or former common-law partner and; witnessed by a notary public. A copy of this form must be completed for each child travelling to Canada.

I, child:
Child's full name

, declare that I have no objections to my

Day Month Year

Child's date of birth

immigrating to Canada with his/her parent/guardian:

Parent/Guardian name

Relationship to child

Parent/Guardian name

Relationship to child

Fill out this section if this child is travelling to Canada with someone other than the parent/guardian listed above.

Name

Relationship to child

I have read and understand the contents of this letter and by signing and returning this letter, I am confirming that I fully understand that I may be permanently separated from my above-named child. I further understand that if I wish to enter Canada, as a temporary resident or a permanent resident, I must comply with all requirements of the Immigration and Refugee Protection Act and Regulations in force at the time of my application.
To be completed by the non-accompanying parent/gardian, former spouse or former common-law partner, in front of the witness. Present your original Identification Card to the witness*
Signature (before witness*) Date
Day Month Year

Emergency contact telephone number

Place

To be completed by the witness (notary public)

Witness title and name in block letters (*must be a notary public) Witness* professional chop/stamp

Signature of witness*

IMM 5604 (07-2008) E

(DISPONIBLE EN FRANAIS - IMM 5604 F)

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Citizenship and Immigration Canada

Citoyennet et Immigration Canada

PROTECTED WHEN COMPLETED - B PAGE 1 OF 1

FEE PAYMENT FORM - APPLICATION FOR PERMANENT RESIDENCE

This form must accompany your application for Permanent Residence under certain programs. Refer to the instruction guide to know if you can use this fee payment form. Please refer to step 3 of your instruction guide for acceptable methods of payment. Applications submitted with incorrect payments will be returned.

STEPS TO FOLLOW:

1. Calculate the applicable fee by referring to the fee table below. Processing Fee Number of persons 1 OR Principal applicant 1 Amount per person
for the following programs: Provincial Nominee Program, Canadian Experience Class, Quebec Skilled Workers, Federal Skilled Workers, and Federal Skilled Trades Class

Amount due $ CAD

x $ 550

Principal applicant

OR

for the following Business Class applicants (Federal and Quebec): Self-Employed, Investors, Entrepreneurs and Start Up Business

x $ 1050

Each family member aged 22 or older Each family member under the age of 22 who is married or in a common-law relationship Each family member under the age of 22 who is unmarried and not in a commonlaw relationship

x $ 550 x $ 550 x $ 150 Total payment

2. Pay by certified cheque, bank draft or money order payable to THE RECEIVER GENERAL FOR CANADA or by Visa, Mastercard or American Express. 3. Include the payment form and the documents specified in the Document Checklist with your application, specific to the class you are applying under. 4. Check the appropriate box to indicate your method of payment: Credit card (complete section A and B below) Certified cheque, bank draft or money order (enclosed and complete section A below)

METHOD OF PAYMENT OPTIONS

A combination of more than one method of payment is acceptable. However, payment by each method MUST be equal to a single or a multiple amount per person that you have indicated in Step 1 above. For example: An amount of $550 paid by credit card for the principal applicant, and 2 x $150 paid by a certified cheque for 2 dependents for a total of $850 is acceptable. However, $500 paid by credit card and $350 by certified cheque will not be accepted.

SECTION A
Name of principal applicant (given name(s), surname) Address of payer (if different from the principal applicant) Name of payer (if different from the principal applicant)

SECTION B - CREDIT CARD PAYMENT AUTHORIZATION

(Please indicate the type of credit card with an "X")

I agree to pay the Receiver General for Canada CAD$ for permanent residence.
Note: The amount authorized must be equal to a single fee or a multiple of a single fee. Authorizations for other amounts are incorrect.

VISA Credit card number

MASTERCARD

AMERICAN EXPRESS

on my credit card for fees related to an application

Expiry date of the card

Month

Year

Card security/card verification value code (CVV)

Name of cardholder (please print) Signature of cardholder FOR OFFICIAL USE ONLY
IMM 5620 (03-2013) E

A three (3) or four (4) digit number usually found on the back or front of the credit card. Note: The credit card must be valid for at least nine (9) months from the date of submission of your application. Otherwise your application will be returned.

Date (YYYY-MM-DD) Authorization number

(DISPONIBLE EN FRANAIS - IMM 5620 F)

Citizenship and Immigration Canada

Citoyennet et Immigration Canada

PROTECTED WHEN COMPLETED - B PAGE 1 OF 4

DOCUMENT CHECKLIST
PERMANENT RESIDENCE - START UP BUSINESS CLASS
This document is available in PDF format only. You need to mail this form and other documents with your application. Please make sure you print this document, complete it and include it in your application as the cover page. The checklist of required documents is subject to change. Applicants are advised to refer to the application kit on the CIC website periodically while preparing their application to ensure that they have included all forms and documents listed on the most up-to-date checklist. Gather your documents in the order of the checklist and check R each item. Attach small items such as photos and certified cheques with a paper clip, otherwise leave documents unbound. Place all documents in a sealed envelope. If your documents are not in English or French, send a notarized (certified) translation with a copy of the original version. Do not send any additional documents when submitting your application to the CIO. If your commitment has more than 1 person related to the business proposal an application for each person named in the commitment must be received. This means that if a husband and wife are both named on the commitment then an application and supporting documents must be submitted for the husband and a separate application with supporting documents must be submitted for the wife. Note: If you are unable to provide any of the requested documentation, include with your application, a written explanation with full details as to why that documentation is unavailable and any documentation that would support your claim. If your application lacks any of the documents without a reasonable justification, it will be returned to you or in certain circumstances could result in the refusal of your application.

IMPORTANT NOTICE: Answer all questions and sign all forms where applicable. Please note that by signing these documents, you are certifying that all information provided therein, whether prepared by you or not, is complete and true in all respects. If you or someone acting on your behalf directly or indirectly submits false documents or misrepresents facts relating to your application for a permanent resident visa: your application may be refused; the circumstances of your refusal will be entered into Canada's global immigration database; and you and your family members could become inadmissible to Canada for two years under section 40(2) of the Immigration and Refugee Protection Act. The officer will base his/her decision on the documents on file at the time of the assessment. In the following circumstances, it is your responsibility to notify the office processing your case and provide the relevant supporting documentation if there are changes in the following: family status (e.g. marriage or common-law union, divorce, annulment, legal separation, birth, adoption, death of the principal applicant or any accompanying family member, including grandchildren born to dependent children); education (e.g. completion of another degree); or mailing address/e-mail address/contact information. Any changes which we have not been informed of will delay processing or may result in the refusal of the application or the exclusion of a family member.

IMM 5760 (03-2013) E

This form is made available by Citizenship and Immigration Canada and is not to be sold to applicants. (DISPONIBLE EN FRANAIS - IMM 5760 F)

PAGE 2 OF 4

Forms and Supporting Documents (to be completed and submitted by all applicants)
See the Complete the application section of the Instruction Guide for specific instructions on how to complete the questions on each of the following forms.

DO NOT SUBMIT ORIGINALS UNLESS OTHERWISE STATED AS DOCUMENTS SUBMITTED WILL NOT BE RETURNED.
Note that original or certified copies of documents or more information may be requested by an officer at a later date. You must keep a copy of the completed forms and all documents before sending them to the CIO.
Format

Forms List
1. Generic Application Form to Canada (IMM 0008) Completed and signed by the principal applicant. 2. Additional Dependants/Declaration (IMM 0008DEP) (if applicable) Completed, dated and signed by the principal applicant if the applicant has more than five dependants (whether they are accompanying or not). 3. Schedule A: Background/Declaration (IMM 5669) Completed, dated and signed by everyone in the following list: the principal applicant spouse or common-law partner (whether they are accompanying or not) each dependent child over the age of 18 years (whether they are accompanying or not) 4. Supplementary Information - Your Travels (IMM 5562) Completed by the principal applicant. 5. Schedule 13 - Business Immigration Programs - Start Up Business Class (IMM 0008 - Schedule 13) Completed, dated and signed by the principal applicant. 6. Additional Family Information (IMM 5406) Completed, dated and signed by everyone in the following list: the principal applicant spouse or common-law partner (whether they are accompanying or not) each dependent child over the age of 18 years (whether they are accompanying or not) 7. Use of a Representative (IMM 5476) Complete, date, sign and include this form in your application if you have a paid or unpaid representative.
Original

Original

Original

Original

Original

Original

Original

Documents List
8. Travel documents and passports Copy of the pages of your passport or travel documents for you, your spouse or common-law partner and your dependent children, showing: the passport number, date of issue and expiry, the photo, name, date and place of birth, pages showing any amendments in name, date of birth, expiration, etc. You must hold a valid regular passport. Diplomatic, official, service or public affairs passports are not valid for immigration to Canada. If you live in a country other than your country of nationality, include a photocopy of your visa for the country in which you currently live. 9. Proof of language proficiency 10. Letter of Support You must provide a Letter of Support with your application. The Letter of Support will be given to you by the designed entity which is investing in your business proposal.
Original Original

Copies

IMM 5760 (03-2013) E

PAGE 3 OF 4

11. Identity and Civil Documents You must provide the following documents for you and your spouse or common-law partner: Birth certificates; Legal documents showing name or date of birth changes (if applicable); Marriage certificate(s), final divorce or annulment certificate(s). If married more than once, include certificates from each marriage and divorce or annulment you, your spouse or common-law partner have had; Death certificate for former spouse(s) or common-law partner(s) (if applicable); National IDs, family/household registry/book (if applicable); If you have a common-law partner, complete and include the Statutory Declaration of Common-Law Union (IMM 5409 original) and provide evidence that you have cohabited with your partner for a period of at least 12 continuous months. Provide the following documents listing both your names, for example: copies of joint bank account statements, copies of leases, utility bills, etc. 12. Children's Information (if applicable) Children's birth certificates (which name their parents); Adoption papers issued by recognized national authorities showing the legal, approved adoption of adopted dependent children; Proof of full custody for children under the age of 18 and proof that the children may be removed from the jurisdiction of the court; If the other parent of your children is not accompanying you to Canada, you must submit a signed Statutory Declaration from NonAccompanying Parent/Guardian for Minors Immigrating to Canada (IMM 5604 - original). You must submit one form for each child and a copy of the non-accompanying parent's photo ID showing their signature; Proof of continuous full-time studies of all dependent children aged 22 or over, including: complete school records/transcripts since attaining age 22; letters from the schools indicating the number of hours of classes attended per day, and the number of days attended per week; proof of full financial support by parents since reaching age 22. 13. Police Certificates and Clearances You are strongly encouraged to submit your police certificates with your application to the CIO. If you are unable to obtain all the necessary police certificates, you may still send your application to the CIO without them. However, we strongly recommend that you take steps to obtain your police certificates now to avoid future delays. You must be ready to submit them when requested by an officer. Note: Police certificates are generally considered to be valid for one year from date of issue; therefore depending on the processing time of your application, you may be requested to submit new certificates. Consult our Web site at: www.cic.gc.ca/english/information/security/police-cert/index.asp for specific and up-to-date information on how to obtain police certificates from any country. 14. Photo Requirements Include six (6) photos for each member of your family and yourself. Follow the instructions provided in Appendix A: Photo Specifications. Photos must have been taken within six (6) months before application submission. On the back of five (5) of the photographs, write the name and date of birth of the person who appears in the photo as well as the date the photo was taken. Leave the sixth photograph blank.
Originals

Copies, unless otherwise stated

Copies, unless otherwise stated

Originals

IMM 5760 (03-2013) E

PAGE 4 OF 4

15. Fee Payment You must submit: Fee Payment Form - Application for Permanent Residence (IMM 5620) In Canadian funds only, you may pay: by certified cheque, bank draft or money order made payable to the "Receiver General for Canada," or with a credit card (e.g. Visa, MasterCard, American Express) Note for certified cheques, bank drafts and money orders: When you submit your application to the CIO, the expiry date must be at least five months* into the future. *If there is no expiry date on your certified cheque, money order or bank draft and it is drawn on a foreign bank, it can only be cashed for 6 months from the date of issue. To ensure it can still be cashed when the fee payment is processed at the CIO, it must be issued no more than 30 days before you send your application to the CIO. Note for the credit cards: Credit cards must be valid for at least nine months from your submission date. If we are unable to process your payment, your application will be returned to you. Do no enclose cash. If you are a resident of one of the countries listed on our website AND are unable to pay in Canadian funds, visit the responsible Visa Office website for fee payment instructions and to obtain the fee payment form. Include with your application to the CIO a copy of your receipt from the mission as proof of payment. Consult "Step 3, Pay the Fee" section of the instruction guide for more information about fee payment. 16. Education Requirement For the Principal Applicant Secondary education documents: secondary school (high school) diploma. Post-secondary education documents: evidence of having attended a post-secondary educational institution for at least 1 year (this could include certificates or diplomas, transcripts, letter from the registrar confirming completion of at least one year); evidence of being in good standing at the institution while you were in attendance for at least 1 year at the educational institution (this could include a certificate or diploma, a letter from the educational institution that you attended stating that you were in good standing for at least 1 year while you were in attendance, or transcript that indicate whether or not you were in good standing). 17. Settlement Funds For instructions, please visit the "Proof of Funds" section of our website. Provide proof of readily transferable funds in a convertible currency available for settlement in Canada: current bank certification letter; or evidence of savings balance; or fixed or time deposit statements. In addition, you may be required to disclose all assets and liabilities belonging to you and your spouse or common-law partner. Do not provide supporting documents at this point. If necessary, you will be asked to provide supporting documentation later in the process. 18. Mailing your application Mail to the Centralized Intake Office - Start Up Business Class this document checklist your complete application supporting documents required in this checklist; and include 2 self-addressed mailing labels: one in English or French and one in the official language of your country of residence. Please consult "Step 4, Mail the application" section of the instruction guide for the CIO address and specific instructions on mailing your application.
Copies, unless otherwise stated Copies

Originals

Original

IMM 5760 (03-2013) E

Citizenship and Immigration Canada

Citoyennet et Immigration Canada

PROTECTED WHEN COMPLETED - B PAGE 1 OF 2

USE OF A REPRESENTATIVE
You do not need to hire an immigration representative, it is your choice. No one can guarantee the approval of your application. All the forms and information that you need to apply are available free at www.cic.gc.ca. A representative is someone who has provided advice or guidance to you prior to submitting your application, following the submission of your application, and/ or someone who has your permission to conduct business on your behalf with Citizenship and Immigration Canada (CIC) and the Canada Border Services Agency (CBSA). You may have one representative only. If you appoint an additional representative, the previous representative will no longer be authorized to conduct business on your behalf and receive information on your case file. I am: appointing a representative. Complete Sections A, B and D. cancelling the appointment of a representative. Complete Section A, C and D.

SECTION A: APPLICANT INFORMATION 1. Your full name Family name (Surname) Given name(s)

2. 3.

Your date of birth If you have already submitted your application: Name of office where the application was submitted Location of office Type of application (permanent residence, extension of study permit, etc.)

(YYYY-MM-DD)

4.

Your Citizenship and Immigration Canada Identification number (if known) Client Identification (ID) or Unique Client Identifier (UCI) number

SECTION B: APPOINTMENT OF REPRESENTATIVE

5.

I authorize the following individual to serve as my representative and to conduct business on my behalf with Citizenship and Immigration Canada and Canada Border Services Agency. I authorize Citizenship and Immigration Canada and Canada Border Services Agency to release information from my case file and that of my dependent children under 18 years of age to my representative. This authorization is in accordance with the Privacy Act . I am aware that any information which would be subject to exemption, if I had the right of access under the Privacy Act or the Access to Information Act, will likely not be released. Your representative's full name Family name (Surname) Given name(s)

6.

Your representative: (choose one) is UNCOMPENSATED and is a: family member or friend member of a non-governmental or religious organization member of the Immigration Consultants of Canada Regulatory Council (ICCRC), a Canadian provincial or territorial law society, or the Chambre des notaires du Qubec other is or will be COMPENSATED and is a member in good standing of: the Immigration Consultants of Canada Regulatory Council (ICCRC) Membership ID number a Canadian provincial or territorial law society Which province or territory? Membership ID number the Chambre des notaires du Qubec Membership ID number

IMM 5476 (04-2013) E

This form is made available by Citizenship and Immigration Canada and is not to be sold to applicants (DISPONIBLE EN FRANAIS - IMM 5476 F)

PAGE 2 OF 2 7. Your representative's contact information

Name of firm or organization (if applicable) Mailing address

Postal code/ZIP Telephone number Country code Area code Number

(
Fax number

)
Number

Country code Area code

(
E-mail address (if applicable)

By indicating your representative's e-mail address, you are hereby authorizing Citizenship and Immigration Canada to transmit your file and personal information to this specific e-mail address. 8. Your representative's declaration:

I declare that the information in Section B is truthful, complete and correct. I understand and accept that I am the person appointed by the applicant to conduct business on the applicant or sponsor's behalf with Citizenship and Immigration Canada and Canada Border Services Agency. Signature of representative Date
(YYYY-MM-DD)

Party ID (if known)

SECTION C: CANCEL THE APPOINTMENT OF A REPRESENTATIVE I withdraw my authorization for this person to serve as my representative, to receive information on my case file and to conduct business on my behalf with Citizenship and Immigration Canada and Canada Border Services Agency. 9. Your representative's full name Family name (Surname) Given name(s)

Name of firm or organization (if applicable) SECTION D: YOUR DECLARATION 10.

I declare that I have fully and truthfully answered all questions on this form and any attached application (if applicable). I also declare that I have read and understood all the statements on this form, having asked and obtained an explanation for every point that was not clear to me. Signature of applicant Date Signature of spouse or common-law partner (if applicable) Date
(YYYY-MM-DD) (YYYY-MM-DD)

Warning! It is a serious offence to give false or misleading information on this form.

The information you provide on this form is collected under the authority of the Immigration and Refugee Protection Act and will be used in assessing your application according to the requirements of the Act. It will be retained in a Personal Information Bank identified in Infosource. The information may be shared with other organizations such as the Canada Border Services Agency (CBSA), the Royal Canadian Mounted Police (RCMP), the Canadian Security and Intelligence Service (CSIS), where there is an agreement or arrangement with a foreign government, in accordance with subsection 8(2) of the Privacy Act. Pursuant to the Immigration and Refugee Protection Regulations, the information may also be shared with a regulatory body that is responsible for governing or investigating the conduct of representatives, such as a provincial and territorial law society, the Chambre des Notaires du Qubec and the Immigration Consultants of Canada Regulatory Council (ICCRC). Under the Privacy Act and the Access to Information Act individuals have the right to protection of and access to their personal information. Details on these matters are available at infosource.gc.ca and through the Citizenship and Immigration Call Centre. Infosource is also available in Canadian public libraries. IMM 5476 (04-2013) E