Application For Permanent Residence
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1
2Fillable Form
Citizenship and
Citoyenneté et
PROTECTED WHEN COMPLETED - B
Immigration Canada
Immigration Canada
PAGE 1 OF 2
APPLICATION FOR PERMANENT
FOR OFFICE USE ONLY
RESIDENCE IN CANADA
Office file number (or IMM 1343 Case Label)
BEFORE YOU START, READ THE INSTRUCTION GUIDE
TYPE or PRINT in black ink
Category under which you are applying (see instructions)
Space reserved
Date of receipt stamp at post
Economic Classes
for applicant's photo
Federal Skilled Worker
Family Class
Canadian Experience
Refugee Class
Other
How many family members (including yourself) are included
in this application for permanent residence in Canada?
Language you prefer for:
Correspondence:
English
French
Interview:
English
French
Other
Visa Office requested for the
process of your application:
1.
Your full name (as shown in your passport or travel document)
12. Education
How many years of formal education do you have?
Family name
What is your highest level of completed education?
Given name(s)
No secondary
Bachelor's degree
2.
Your sex
Male
Female
Secondary
Master's degree
Year
Month
Day
Trade/Apprenticeship
Ph D
3.
Your date of birth
Non-university certificate/diploma
4.
Your place of birth
Town/City
13. Your current occupation
Country
14. Your mailing address (include city and country)
5.
Your country
of citizenship
Your country of
residence
6.
Your native language
a)
If your native language is not English or French, which language do
15. Your residential address, if different from your mailing address
you use most frequently?
English
French
Neither
7.
Your height
OR
cm
ft
in
8.
Colour of your eyes
16. Your telephone numbers
Country code
Area code
Number
9.
Your current marital status
Never
Legally
(
)
(
)
At home
Married
Widowed
married
separated
Annulled
Alternative
(
)
(
)
Divorced
Common-law
marriage
If you are married or in a common-law
17. Your e-mail address, if applicable
Year
Month
Day
relationship, provide the date on which
you were married or entered into the
common-law relationship
By indicating your e-mail address, you are hereby authorizing Citizenship
10. Have you previously been married or in a common-law relationship?
and Immigration Canada to transmit your file and personal information to
this specific e-mail address.
No
Yes
Give the following details for each previous spouse
18. Details from your passport
or partner. If you do not have enough space,
provide details on a separate sheet of paper.
Passport number
Name of previous
spouse or partner
Country of issue
Year
Month
Day
Year
Month
Day
Date of birth
Date of expiry
Type of relationship
Marriage
Common-law union
19. Your identity card number, if applicable
Year
Month
Day
Year
Year
Month
Month
Day
Day
From
to
to
20. Where do you intend to live in Canada?
11. Your knowledge of English and French
City/Town
Can you communicate in English?
Yes
No
Province/Territory
Can you communicate in French?
Yes
No
This form is made available by Citizenship and Immigration Canada and is not to be sold to applicants.
IMM 0008 (04-2010) E
(DISPONIBLE EN FRANÇAIS - IMM 0008 F GÉNÉRIQUE)
GENERIC
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