Note: If you do not have a family name on your passport or travel document, enter all your given names here and leave the given name field blank.
Type all of your given names (first, second, or more) exactly as shown on your passport or travel document (even if the name is misspelled). Do not use initials.
Note: If you do not have a given name on your passport or travel document, leave this field blank. Do not enter “*”, “Not applicable” or “NA”.
Question 2 Nick names or Alias
Check the box to tell us if you have ever used any other name. This could include your birth name, maiden name, married name, nick name, etc.
If you checked “Yes”, type any other family name that you have ever used.
If you checked “Yes”, type any other given name (first, second, or more) that you have ever used.
Question 3 Choose your gender (F-Female, M-Male or X-Another gender). Note: If the gender identifier chosen is F or M, it must match the sex that appears on the passport or travel document you provide with your application. If the gender identifier chosen is X, it should match an equivalent non-binary option.
Question 4 Enter your date of birth. If your entire date of birth is unknown, please use ‘*’ (star sign or asterisk) to fill in the spaces for the year, month or day, where applicable. Question 5 Note, if your city, town, or country or territory of birth is indicated in your passport or your travel document, please record it as it appears in the document. Question 6 Choose your country or territory of citizenship. To be a citizen of a country or territory means that you were either born in that country or territory (in most cases) or have been granted citizenship by that country or territory. If you are a citizen of more than one country or territory, choose the country or territory that issued the passport you will be using for this trip. Question 7 Choose the correct information: - The name of the country or territory you live in, if you have been lawfully admitted to that country or territory.
- Your immigration status in that country or territory (choose one of the following):
- Citizen
- Permanent resident
- Visitor
- Worker
- Student
- Other
- Protected Person
- Refugee Claimant
- Other: You must fill out this section if you chose “Other” as a status.
- The dates (From – To) you have been living in your country or territory of residence.
Question 8 Check the box to tell us if during the past five years, you have lived in any other country or territory other than your country of citizenship or your current country or territory of residence (indicated above) for more than six months? If you checked “Yes”, choose the correct information:
- The name of the country or territory you lived in,
- Your immigration status for the time you were in that country or territory:
- Citizen
- Permanent resident
- Visitor
- Worker
- Student
- Other
- Protected Person
- Refugee Claimant
- Other: You must fill out this section if you chose “Other” as a status.
- The dates (From – To) you were living in that country or territory.
Question 9 Check the box to tell us if you are applying from the country or territory you live in. If you checked “No”, choose the correct information:
- The name of the country or territory where you are applying from,
- Your immigration status in that country or territory by choosing one of the following:
- Citizen
- Permanent resident
- Visitor
- Worker
- Student
- Other
- Protected Person
- Refugee Claimant
- Other: You must fill out this section if you chose “Other” as a status.
- The dates (From – To) that you have been living in that country or territory.
If you are not a citizen of the country or territory where you are applying, you must send proof of your legal status in the country or territory you live in when you submit your application.
Question 10 - Choose your current marital status:
- Annulled Marriage
- This is a marriage that is legally declared invalid. An annulment can also be a declaration by the Catholic Church that the marital union did not have a binding force.
- Common-
Law - This means that you have lived continuously with your partner in a marital-type relationship for a minimum of one year.
- Divorced
- This means that you are officially separated and have legally ended your marriage.
- Legally Separated
- This means that you are married, but are no longer living with your spouse.
- Married
- 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.
- Single
- This means that you have never been married and are not in a common-law relationship.
- Widowed
- This means that your spouse has died and that you have not re-married or entered into a common-law relationship.
- Enter the date (year, month and day) you were married or you entered into your current common-law relationship.
- Type the family names and given names of your current spouse or common-law partner.
If you are in a common-law union, you must also fill out the Statutory Declaration of Common-law Union (IMM 5409) form and include it with your application. If you are married, you must send a photocopy of your marriage licence or certificate with your application.
Question 11 Check the box to tell us if you have ever been married or in a common-law relationship. If you checked “Yes”, enter: - All family names,
- All given names,
- Date of birth,
- Type of relationship:
- Dates (From – To) for which you were in the relationship with your former spouse or common-law partner.