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.
If you have an extension number, indicate it after your phone number under “Ext.”
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.
If you have an extension number, indicate it after your phone number under “Ext.”
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. 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 to transmit your file and personal information to this specific e-mail.
Passport
- Question 1
- Check the appropriate box to indicate if you have a valid passport or travel document.
- Question 2
- If you checked “Yes”, provide your passport or travel document number. Make sure there is no space between each number or letter.
- Question 3
- From the list, select the country that issued your passport or travel document.
- Question 4
- Enter the date your passport or travel document was issued.
- Question 5
- Enter the expiry date of your passport or travel document.
National Identity Document
- Question 1
- Check the appropriate box to indicate if you have a valid identity document.
- Question 2
- If you checked “Yes”, provide your identity document number. Make sure there is no space between each number or letter.
- Question 3
- From the list, select the name of the country that issued your identity document.
- Question 4
- Enter the issue date of your identity document.
- Question 5
- 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
- No education.
- Secondary or less
- High school diploma obtained after elementary school and before college, university, or other formal training.
- Trade / Apprenticeship certificate / Diploma
- Diploma completed in a specific trade, such as carpentry or auto mechanics.
- Non-university certificate / Diploma
- Training in a profession that requires formal education but not at the university level (for example, dental technician or engineering technician).
- Post-secondary – No degree
- Post-secondary studies at a college or university but no degree earned.
- Bachelor’s 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 – No degree
- Post Graduate studies at a college or university but no degree earned (Master or PhD).
- Master’s degree
- Academic degree awarded by a graduate school of a college or university. You must have completed a Bachelor’s degree before a Master’s 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 Master’s 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.
- Question 3
- 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 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”.