Fillable Form Imm 0008 - Canada Generic Application (Page 5 of 5) in pdf

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Applicant Name

Date of Birth

CONSENT AND DECLARATION OF APPLICANT

Citizenship and Immigration Canada (CIC), or an organization at CIC’ request, may want to contact you in the future to ask you about any services you received from CIC prior to the

application process (such as participation in an information forum), during the application process (including the application process itself as well as orientation or accreditation services), and

services received after arriving in Canada (including settlement, integration and citizenship). CIC will use this information, along with the information provided by other individuals, for

research, performance measurement or evaluation purposes. CIC will not use this information to make any decisions about you personally.

Yes

Do you consent to be contacted by CIC, or an organization at CIC’s request, in the future?

Consent to release information to intended province/territory of destination

I, (first name, last name) ____________________________________________________ on behalf of myself and all dependants included in this application, authorize Citizenship and

Immigration Canada to share the information collected in this application as well as supporting documentation with Provincial and Territorial authorities with responsibility for immigration

for the purposes of the Immigration and Refugee Protection Act.

Consent to release information for Evaluation purposes

I agree that the information contained in this application related to my intended occupation, education and work experience may be shared with prospective employers in order to assist

them in hiring workers.

Yes

This declaration covers the information I have provided on this form and all the information submitted in my application as well as in the attached schedules and accompanying documents.

I understand that any false statements or concealment of a material fact may result in my exclusion from Canada and may be grounds for my prosecution or removal.

I also understand that should I be found to be inadmissible for misrepresentation under section 127 of the Immigration and Refugee Protection Act, I may be barred from entering Canada for a

period of two years following a final determination of my inadmissibility or, if this determination is made in Canada following my removal from Canada.

I understand that if I wish to work in a regulated occupation, it is my responsibility to obtain information on the licensing requirements from the appropriate regulatory body in Canada and

that should I be issued a visa for Canada, I am not guaranteed employment in Canada in my occupation or in any other occupation.

I understand that should I be issued a visa for Canada, conditions may be imposed on me at the time of its issuance and that I will be required to meet them.

I understand all the foregoing statements, having asked for and obtained an explanation on every point that was not clear to me.

I realize that once this document has been completed and signed, it will form part of my Immigration Record and will be used to verify my family details on future applications.

I will immediately inform the visa office where I submitted my application if any of the information or the answers provided in my application forms change.

I declare that the information I have given is truthful, complete and correct.

Declaration of applicant

Date: YYYY-MM-DD

Signature of Applicant or Parent/Legal Guardian’s for a person under 18 years of age.

IMPORTANT NOTE:

This application must be signed and dated before it is submitted.

Do not forget to include: photos, fees (if applicable), and any other documents required by the visa office. Review application guide and kit for more information and verify

you have completed all of the required documents as per the document checklist.

DISCLOSURE

The information you provide on this form is collected under the authority of the Immigration and Refugee Protection Act to determine if you may be admitted to Canada. It will be stored in Personal Information Banks (PPU 042

entitled Immigrant Case File and PPU 009 entitled Refugee Claim in Canada Case File and PPU 053 entitled Permanent Resident Data System) CIC. The information may be shared with other Canadian government institutions

such as the Canada Border Services Agency (CBSA), the Royal Canadian Mounted Police (RCMP), the Canadian Security Intelligence Service (CSIS), and foreign governments in accordance with subsection 8(2) of the Privacy Act.

Information may also be disclosed to foreign governments, law enforcement bodies and detaining authorities with respect to the administration and enforcement of immigration legislation where such sharing of information

may not put the individual and or his/her family at risk. Information may also be systematically validated by other Canadian government institutions under the terms of an agreement or arrangement for the purposes of

validating status and identity to administer their programs. In accordance with the Privacy Act and the Access to Information Act, individuals have a right to access, correction and protection of their personal information.

Details on these matters are available at the Info Source website ( ) and through the Citizenship and Immigration Canada Call Centre.

Validate

IMM 0008 (02-2015) E

CITIZENSHIP AND IMMIGRATION CANADA

CITOYENNETÉ ET IMMIGRATION CANADA

GENERIC APPLICATION FORM FOR CANADA