If you chose Other in question 1, select one of the following: In Canada Humanitarian & Compassionate Considerations, Temporary Public Policy for Out-of-Status Construction Workers in the Greater Toronto Area, interview: if your native language is not in this list, select other, interpreter requested: you must select yes if you do not select English or French for the interview. If youre applying at a visa application centre (VAC), they may ask you to re-fill out the form at their internet kiosks. Tell us the family name(s) and given name(s) of your dependants current spouse or common-law partner. How do I fill out an immigration application? Declaration of applicant. Select the box to tell us if you have been married or in a common-law relationship. Quick guide on how to complete imm 5669 guide. If you selected Yes, provide your national identity document number exactly as shown on the identity document. #imm5669e #schedulea #irccHello,In this video, I have explained the step by step details of filling up the new schedule A background declaration form. Education . Enter your date of birth. This form is not available in PDF. Make sure you use Adobe Reader to open the form. . The application guide is available on IRCC's website. To view the PDF form, you need to: (Dont know what these mean? 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. From the list, select your first (native) language. Note: Completing the form electronically is easier and reduces the risk of errors that can slow down the application process. You will not receive a reply. Use this step-by-step . If you have problems opening a form in your internet browser, you need to: For more help, see our downloading files section of the Help Centre. Get help to open an application form or to fill one out in the Help Centre. Note: If you are a parent of a child to be adopted in Canada who is not yet identified, indicate your family name(s). For this trip, select Yes or No to tell us if you are using a National Israeli passport. The following are system-generated messages: See Application package Provincial nominees for a full list of forms. It is the number on your house or apartment building. If you checked Yes, give the following details for your previous spouse or common-law partner: Enter your current mailing address (where information should be mailed) by typing the following information: Note: All correspondence will go to this address unless you indicate your email address. 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. Enter the family name(s) and given name(s) of your current spouse or common-law partner. We won't refund your application fee, so make sure you're eligible for a study permit before you apply. Place the barcode page(s) on the top of your application (forms and supporting documents) when you submit it. If you answered Yes to one or more of these questions, you must explain what happened in the space provided. The name of your current country of residence. Enter the date (year, month and day) you were married or you entered into your current common-law relationship. Copy link to Tweet; Embed Tweet; Replying to @CitImmCanada. If you selected Yes, provide their national identity document number exactly as shown on the document. Enter all of your given name(s) (first, second or more) exactly as they are shown on your passport, travel or identity document. Print your name and the forms title on the additional sheet. To remove a dependant from the application, click the Remove Dependant button. Street number (no.). Note: If you are a parent of a child to be adopted in Canada who is not yet identified, select Other.. Make sure there is no space between each number or letter. Select the box to tell us if your dependant has a valid national identity document. 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. Do not use initials. Do not use initials. Israeli students have a presence in many Canadian Designated Learning Institutions. Sponsoring your spouse, partner or dependent child Sponsoring your spouse, partner or dependent child Get help to open an application form or to fill one out in the Help Centre. If you need more space, attach a separate sheet of paper. 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). Note: This barcode page will not appear if you fill out your application by hand. Fees are payable in Canadian dollars or local currencies. Use the Document Checklist to make sure that you include all the other forms and documents you need. 2 replies 0 . This means that you have never been married and are not in a common-law relationship. When individuals fill out the form they must enter detailed information about themselves and as well as their family member's travels to outside of their country of citizenship. Forms that are available outside the MyCIC system include the following: Note: In exceptional circumstances, persons with disabilities who are unable to complete an online Express Entry profile or application for permanent residence(APR) but are able to complete these forms in paper format may be provided these forms in paper format. This is the language that you learned at home during your childhood and that you still understand. IMM 5669 - Schedule A Background/Declaration To be completed and signed by the Principal Applicant and spouse/common-law . One of Canadas immigration objectives is to support and assist the development of minority language communities in Canada. Anexa A - Context/Declaraie (IMM 5669) Economic Classes - Atlantic Immigration Program (IMM 5501) Informaii suplimentare despre familie (IMM 5406) . In addition, you will need to fill out some other supporting documents. Title: IMM5669 E : SCHEDULE A Author: Immigration, Refugees and Citizenship Canada \(IRCC\) / Immigration, Rfugis et Citoyennet Canada \(IRCC\) For enquiries,contact us. If making a payment outside Canada, make sure the payment of fees is included with your application. signNow's web-based software is specifically designed to simplify the management of workflow and improve the whole process of competent document management. children of your spouse(step-children) or common-law partner. If you dont have one or cant obtain one, you must select the No box. Your immigration status in that country (indicate one of the following): Other: This section must be completed if you selected Other as a status. box, From the list, select the Country of your current mailing address. A last page with barcodes and a signature line will automatically be created. From the list, select the name of your dependants current country of residence. If you are married and you were physically present at the marriage, indicate married physically present in the marital status box, If you are married and you were not physically present at the marriage, indicate married not physically present in the marital status box, your spouse or common-law partner, (if applicable), If you are married and your spouse was physically present at the marriage, indicate married physically present in the marital status box, If you are married and your spouse was not physically present at the marriage, indicate married not physically present in the marital status box. For refugee claimants in Canada only: Enter the total number of family members included in your application for refugee protection who are with you in Canada. Select the box to tell us if you have a valid passport or travel document. Note: If you are a parent of a child to be adopted in Canada who is not yet identified, indicate Unknown.. You must provide a street number if you did not enter in a P.O. Questions 1 to 9 are the same questions you answered for yourself. Generic Application Form for Canada [IMM 0008] (PDF, 652 KB) Application to Sponsor, Sponsorship Agreement and Undertaking [IMM 1344] (PDF, 478.72 KB) Schedule A - Background/Declaration [IMM 5669] (PDF, 776.4 KB) If you're submitting one of these forms, you need to use version 11.0.09 of Acrobat Reader to fill it out. Read all of the statements in all sections carefully and. Once completed you can sign your fillable form or send for signing. Use Fill to complete blank online GOVERNMENT OF CANADA pdf forms for free. From the list, select whether you are able to communicate in English and/or French: If you selected Both, choose whether you are most at ease in English or French. When we update our forms, if you dont clear your history, your browser may still open the old forms. Enter your name in your native language or script (if applicable). The principal applicant must answer the following questions. Having trouble downloading the form? Imm5690e IMM 5690 E : DOCUMENT CHECKLIST On average this form takes 4 minutes to complete This section contains policy, procedures and guidance used by IRCC staff. The Generic Application Form for Canada [IMM 0008] must be validated with 2D barcodes. For example: Arabic, Cyrillic, Chinese, Farsi, Korean, Japanese characters or Chinese commercial/telegraphic code. Express Entry applicants fill out a dynamic application for permanent residence (APR) in their MyCIC account, which is also not available in PDF. Check if your child qualifies as a dependant by answering a few questions. Get ready to apply You must now apply online As of September 23, 2022, you must now apply online for this program. What steps do I need to take to apply? Provide the details of your military or paramilitary service for each of the countries whose armed forces you served in. My immigration or citizenship application, Super visa (for parents and grandparents), Change conditions or extend your stay as a visitor, Stay in Canada as a temporary resident permit (TRP) holder, Temporary resident permit (TRP) for victims of human trafficking, Correct an error on your temporary resident document, Verification of Status (VOS) or replacement of an immigration document, Rehabilitation for Persons who are Inadmissible to Canada because of Past Criminal Activity, Study permit application from within Canada, Study permit application from outside of Canada, Extend or change the conditions on your study permit, Visitor visa for students from within Canada, Study and work as an international student, Work permit under the Atlantic Immigration Pilot, Work Permit for victims of human trafficking, Extend or change the conditions on your work permit, Create an International Experience Canada (IEC) profile, Apply for an IEC work permit (after being invited to apply, Visitor visas for workers from within Canada, Application for Permanent Residence under the updated temporary Public Policy for Extended Families of Former Afghan Interpreters, Home Child Care Provider Pilot and Home Support Worker Pilot, Pathway to permanent residence: In-Canada families of Canadian victims of recent air disasters, Provincial Nominees - Apply through Express Entry, Permanent residence for temporary resident permit holders, Right of Permanent Residence Fee loan application, Temporary Public Policy: Out-of-status construction workers in the Greater Toronto Area (GTA), Temporary resident to permanent resident pathway, Health-care workers permanent residence pathway, Correct an error on your Record of Landing or your Confirmation of Permanent Residence, Adopted children and other relatives - Application package for sponsor, Adopted children and other relatives - Application package for sponsored person, Application guide for the Canadian Refugee Protection Portal (CRPP), Application for Interim Federal Health Program (IFHP) Coverage, Convention Refugees Abroad and Humanitarian Protected Persons Abroad, Protected Persons and Convention Refugees in Canada, Community Sponsors, Groups of Five and Sponsorship Agreement Holders and Constituent Groups, Request to Process Following Family Members under the One-Year Window of Opportunity Provisions, Sponsorship Agreement Holder: Organizational Assessment Guide, Humanitarian and Compassionate Considerations, Permanent residence pathways for Hong Kong residents, Visitors - change conditions or extend your stay, Students - change conditions or extend your stay, Workers - change conditions or extend your stay, Visitor visas for workers and students in Canada, Stay in Canada as a Temporary Resident Permit Holder, Temporary Resident Permit (TRP) and Work Permit for victims of human trafficking, Permanent Resident Card (PR Card) (initial, renewal or replacement), Request to reissue a permanent resident card, Solemn Declaration Concerning a Lost, Stolen, Destroyed or Never-Received Permanent Resident Card (PR Card), Application to Amend the Record of Landing, Confirmation of Permanent Resident or Valid Temporary Resident Documents, Voluntary Renunciation of Permanent Resident Status, Stateless person born to a Canadian parent, Apply for a citizenship certificate (or replacement), Solemn Declaration Concerning a Citizenship Certificate That Was Lost, Stolen, Destroyed or Never Received, Renounce Canadian Citizenship R7.1 (for certain persons who acquired citizenship under amendments to the Citizenship Act in 2009 or 2015), Resume Canadian Citizenship Canadian Armed Forces, Access to information and personal information request, Consent for an access to information and personal information request, Application for a Citizenship Certificate, Application for Canadian Citizenship Adults, Application for Canadian Citizenship Minors, Document Checklist: Application for Canadian Citizenship under Subsection 5(1) Adults (18 years of age and older), Document Checklist: Application for Canadian Citizenship under Paragraph 5(2) Minors (under 18 years of age), Confirmation of Canadian Citizenship of the Adoptive Parent(s), Document Checklist: Application for a Citizenship Certificate (Proof of Citizenship), Application for a Search of Citizenship Records, Document Checklist: Application for Canadian Citizenship Canadian Armed Forces under Subsection 5(1.2) or 5(1.3), Application to Resume Canadian Citizenship, Application to Renounce Canadian Citizenship, Document Checklist: Application to Renounce Canadian Citizenship under Subsection 9(1), Application for Canadian citizenship Minors (under 18 years of age) applying under Subsection 5(1), Statutory Declaration of Common-law Union Citizenship, Canadian Citizenship Certificate Preparation Form, Document Checklist: Adoption Part 1 Confirmation of Canadian Citizenship of the Adoptive Parent(s), Document Checklist: Adoption Part 2 Adoptees Application, Application to Renounce Canadian Citizenship R7.1 (for certain persons who acquired citizenship under amendments to the Citizenship Act in 2009 or 2015), Application for Grant of Citizenship for Stateless Persons Born to a Canadian Parent (Subsection 5(5)), Document Checklist: Application for Grant of Citizenship for Stateless Persons Born to a Canadian Parent (Subsection 5(5)), Document Checklist: Application to Renounce Canadian Citizenship (For certain persons who acquired citizenship on April 17, 2009 R7.1), Application for Canadian citizenship Canadian Armed Forces under Subsection 5(1.2) or 5(1.3), Application to Resume Canadian Citizenship Canadian Armed Forces, Document Checklist: Application for Canadian citizenship under subsection 5(1) Minors (under 18 years of age), Document Checklist: Sponsorship Agreement Holders (SAH), Statutory Declaration for the Purpose of Entry Into Canada for Extended Family Members COVID-19 Emergency Orders in Council Under the, Schedule 4A: Provincial Business Nominees, Schedule 5: Economic Classes Declaration of Intent to Reside in Quebec, Schedule 6: Business Immigrants Investors and Entrepreneurs Declaration of Intent to Reside in Quebec, Schedule 6A: Business Immigrants Self-Employed Persons, Schedule 9: Sponsorship Declaration of Intent to Reside in Quebec, Schedule 12: Additional Information Refugee Claimants inside Canada, Schedule 13: Business Immigration Programs Start Up Business Class, Schedule 14: Protected Persons and Convention Refugees, Statutory Declaration for the Parent of a Minor for the Purposes of Entry into Canada for Extended Family Members COVID-19 Emergency Orders in Council Under the, Letter of explanation Open work permit for vulnerable workers, Application to Become a Sponsorship Agreement Holder, Schedule 1: Temporary Public Policy to further facilitate access to permanent resident status for out-of-status construction workers in the Greater Toronto Area (GTA), Offer of Employment to a Foreign National: Agri-Food Pilot, Document Checklist: Temporary Public Policy to further facilitate access to permanent resident status for out-of-status construction workers in the Greater Toronto Area (GTA), Document Checklist: In-Canada families of Canadian victims of recent air disasters, Schedule 3 Temporary Resident to Permanent Resident Pathway: Streams A & B and International Graduates, Document Checklist: Permanent residence pathways for Hong Kong residents (Stream A and Stream B), Schedule 7A Permanent residence pathways for Hong Kong residents: Stream A In-Canada graduates, Schedule 7B Permanent residence pathways for Hong Kong residents: Stream B Canadian work experience, Document Checklist: Economic Mobility Pathways Pilot, Schedule 20: Economic Mobility Pathways Pilot, Document Checklist: Application for Permanent Residence under the updated temporary Public Policy for Extended Families of Former Afghan Interpreters, Schedule 1: Application for Permanent Residence under the updated temporary Public Policy for Extended Families of Former Afghan Interpreters, Statutory Declaration to Confirm the Relationship to Extended Family Members, Document Checklist: Atlantic Immigration Program, Undertaking for an Application for a Work Permit Exempted from a Labour Market Impact Assessment (LMIA) as part of the Atlantic Immigration Program (AIP), Offer of Employment to a Foreign National: Atlantic Immigration Program, Document Checklist for a Work Permit for Candidates under the Atlantic Immigration Program (Outside Canada applicant), Document Checklist for a Work Permit for Candidates under the Atlantic Immigration Program (In Canada applicant), 2022 Sponsorship Agreement Holder (SAH) Organizational Assessment, Document Checklist: for Sponsorship Agreement Holder (SAH) Organizational Assessment, Document Checklist: Application Forms for Outside-of-Canada Families of Canadian Victims of Air Disasters, Statutory Declaration for Extended Family Members Outside Canada of a Canadian Victim of an Air Disaster that may apply for a Permanent Residence Visa, Declaration Authorization for representative to submit a refugee claim through the IRCC Portal, Economic Mobility Pathways Pilot (EMPP) Pre-Arrival Facilitations Form, Document Checklist: Application Forms for Health-Care Workers Permanent Residence Pathway (COVID-19 pandemic), Schedule 1: Health-care Workers Permanent Residence Pathway, Application for a Study Permit Made Outside of Canada, Application for a Work Permit Made Outside of Canada, Undertaking/Application for a Joint Assistance Sponsorship, Application to Sponsor, Sponsorship Agreement and Undertaking, Verification of Status (VOS) or Replacement of an Immigration Document, Application for a Temporary Resident Visa, Schedule 1: Application for a Temporary Resident Visa, Document Checklist: Humanitarian & Compassionate Considerations, Supplementary Information: Humanitarian and Compassionate Considerations, Document Checklist: Protected Person Permanent Residence, CanadaUnited StatesMexico Agreement Application for trader/investor status (work permit), Right of Permanent Residence Fee Loan Application, Sponsorship Undertaking Sponsorship Agreement Holders (SAH), Additional Family Information Form Permanent Residence, Statutory Declaration of Common-Law Union Temporary and Permanent Residence, Settlement Plan Sponsorship Agreement Holder or Constituent Group, Application for a Permanent Resident Card or Permanent Resident Travel Document, Solemn Declaration Concerning a Permanent Resident Card That Was Lost, Stolen, Destroyed or Never Received, Document Checklist: Atlantic High-Skilled Program, Document Checklist: Atlantic Intermediate-Skilled Program, Authority to Release Personal Information to a Designated Individual, Sponsorship Evaluation Form Dependent Children, Document Checklist: Temporary Resident Visa (Visitor Visa) outside of Canada, Document Checklist: Work Permit (Applied outside Canada), Settlement Plan: Joint Assistance Sponsorship, Document Checklist: Joint Assistance Sponsorship, Document Checklist: Atlantic International Graduate Program, Atlantic Immigration Program Declaration Form, Request for a Joint Assistance Sponsorship Refugee Profile, Settlement Plan and Financial Assessment: Community Sponsors, Statutory Declaration of Severance of a Common-Law Union, Document Checklist: Temporary Resident Permit Holders, Request to Reissue a Permanent Resident Card, Relationship Information And Sponsorship Evaluation Form, Document Checklist: Spousal Sponsorship (Including Dependent Children), Document Checklist: Sponsoring a Dependent Child, Document Checklist: Worker (in Canada Applicant), Document Checklist: Temporary Resident Permit, Document Checklist: Temporary Resident Visa (Visitor Visa) in Canada Applicant, Access to Information and Personal Information Request, Application for the Interim Federal Health Program (IFHP) Coverage, Request for Processing Family Members under the One-Year Window of Opportunity Provisions, Humanitarian and Compassionate Considerations under the February 4, 2016 Temporary Public Policy for Nationals of Haiti and Zimbabwe, Document Checklist: Students Applying for a Work Permit, Document Checklist: Sponsoring a Common-Law Partner (Including Dependent Children), Declaration from Non-accompanying Parent/Guardian for Minors Immigrating to Canada, Request to Add a Family Member to a Privately Sponsored Refugee Application, Document Checklist: Sponsoring a Conjugal Partner (Including Dependent Children), Live-in Caregiver: Employer Declaration of Hours Worked, Document Checklist: Application for a Permanent Resident Card or Permanent Resident Travel Document, Family Information Form Visitors, Students and Workers, Document Checklist: Atlantic Immigration Pilot Program Work permit (in Canada applicant), Document Checklist: Atlantic Immigration Pilot Program Work permit (applied outside Canada), Undertaking for an Application for a Work Permit Exempted from a Labour Market Impact Assessment (LMIA) as part of the AIP, Sponsorship Undertaking and Settlement Plan: Community Sponsor (CS), Schedule A: Sponsorship Background/Declaration Form To be used only when applying for refugee protection within Canada (Guide 5746), Schedule A: Background / Declaration Form, Sponsorship Undertaking and Settlement Plan: Groups of Five, Request for an opinion on Work Permit or LMIA Exemption, Document Checklist: Provincial Nominee Program and Quebec Skilled Workers, Application to Change Conditions, Extend my Stay or Remain in Canada as a Visitor or Temporary Resident Permit Holder, Application to Change Conditions, Extend my Stay or Remain in Canada as a Student, Application to Change Conditions, Extend my Stay or Remain in Canada as a Worker, Document Checklist: Temporary Resident Visa (Visitor Visa) Applicants in Canada, Document Checklist: Federal and Quebec Selected Business Class Applicants, Return of Processing Fee, Right of Permanent Residence Fee or Right of Landing Fee, Consent for an Access to Information and Personal Information Request, Document Checklist: Applying for Refugee Protection within Canada, Income Sources for the Sponsorship of Parents and Grandparents, Document Checklist: Start up Business Class, Start-up business class commitment certificate: letter of support, Start-up business class commitment certificate for designated entities, Financial Evaluation for Parents and Grandparents Sponsorship, Document Checklist: Sponsoring Parents and Grandparents, Return of Application Fees for the Federal Immigrant Investor Program (IIP) and Entrepreneur Program (EN), Application to Voluntarily Renounce Permanent Resident Status, Document Checklist: Voluntary Renunciation of Permanent Resident Status, Document Checklist: Quebec Selected Self-employed and Federal Self-employed Persons, Rural and Northern Immigration Pilot Community Interest Form, Schedule 19b: Home Child Care Provider or Home Support Worker (Work Experience), Schedule 1: Rural and Northern Immigration Pilot, Document Checklist: Applicants in the USA applying for Rehabilitation or Temporary Resident Permits (TRP), Document Checklist: Applicants in the USA applying for an Authorization to Return to Canada (ARC), Appointment of Representative(s) in Expected Community of Settlement Form, International Mobility Program Employer Compliance Voluntary Disclosure Form, Important Medical Information: Syphilis Treatment Form, Document Checklist: Home Child Care Provider or Home Support Worker, Schedule 19a: Home Child Care Provider or Home Support Worker (Language and Education), Offer of Employment: Home Child Care Provider or Home Support Worker, Offer of Employment to a foreign national: Rural and Immigration Pilot, Document Checklist: Rural and Northern Immigration Pilot, Request form for a Change of Sex or Gender Identifier, Confirmation of Eligibility for a Reclaimed Name Change Gratis Replacement Document Under Call to Action 17, Statutory Declaration to Reclaim an Indigenous Name on Canadian Citizenship Certificates or Permanent Resident Cards, Application for Permanent Residence under the updated temporary Public Policy for extended family members of Afghan Interpreters, Access to information and privacy request, To immigrate as a refugee or protected person, For humanitarian and compassionate considerations, Proof of citizenship (citizenship certificate). 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