Give details about your current activity or job:
Give details of your previous activity or job for the past 10 years. If you are retired, include the details about the 10 years before your retirement.
If you need more space, print out another page of the form, fill in this section and submit it with your application.
You must answer all questions in this section or your application will be considered incomplete and will be sent back to you.
Note: See the Family Members definition in this guide.
If you checked “yes”, give details.
Note: This barcode page will not appear if you fill out your application by hand.
Note: By signing, you certify that you fully understand the questions asked, and that the information you have given is complete, accurate, and factual. If you do not sign and date the application form, it will be sent back to you.
This form must be filled out by each person, 18 years of age or older, applying for a Temporary Resident Visa, a study or work permit outside Canada.
You must complete the Family Information form (IMM 5645 or IMM 5707) listed in the application package for your country or territory.
Write the personal details about:
Include: full name, relationship, date of birth, marital status (married, single, widowed, common-law, divorced, separated, annulled marriage), present address and occupation (job), and if they will come with you to Canada by checking ‘‘Yes’’ or ‘‘No’’.
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