Follow the step-by-step instructions below to complete the application forms.
The following are the forms that must be filled out and submitted:
Note: If you receive this application by mail, you will find these documents included in this application package.
It
is a serious offence to give false or misleading information on these forms.
The information you provide on your application may be subject to verification.
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Complete all sections. If any section is not applicable to you, write “N/A” (“Not applicable”). If your application is incomplete it may be returned to you and processing may be delayed.
Note: If you need more space for any section, use an extra sheet of paper and indicate the number and/or letter of the section you are completing and submit it along with your application.
| Question | Action |
|---|---|
| General Application Information | |
| 1 | Would you like to receive service (correspondence, interview) in English or in French? |
| 2 | Write the date you became a permanent resident of Canada. |
| 3 | Check only one (1) box to identify what this application for a PR Card is for:
|
| Section A – Personal details | |
| 4 | Write your last name (surname/family name) and given name(s) as they appear on your:
|
| 5 | Write your current last name (surname/family name) and given names, if different from question A-4.
|
| 6 | Check one (1) box to identify whether you are male or female. |
| 7 | Write your date of birth in numerical format. |
| 8 | Write the name of your country of birth. |
| 9 | Write the name of your country (or countries) of citizenship. |
| 10 | Check one (1) box to identify the colour of your eyes. If none of the options apply, write an explanation in the “other” box. |
| 11 | Write your height in centimetres or in feet and inches. |
| 12 | Write your residential address, complete with postal code. |
| 13 | Write your mailing address, complete with postal code, if different from the residential address in question A-12. Note: If you provide us with a mailing address, all correspondence will be sent to this address. |
| 14 | Write the contact details for where you can be reached by telephone. An alternative telephone number can include a business or cellular telephone. |
| 15 | Check the one (1) box that identifies your current marital status. |
| Section B – Your Immigration History | |
| 16 | Write the city and province in Canada, where you became a permanent resident. |
| 17 | Check the box that identifies whether or not you have ever been issued a removal order in Canada. |
| 18 | Check the box that identifies whether or not a Citizenship and Immigration Canada officer or a Canadian Border Service Agency officer has ever issued a Report Under Subsection 44(1) or has made the decision that you have not met the residency obligations required of Canadian permanent residents. |
| Section C – Address, Work and Educational History | |
| 19 | You must list all your residential addresses for the past five (5) years and must account for each month. |
| 20 | You must list all your work and education history for the past five (5) years and must account for each month. |
| 21 | You must list all your
absences from Canada in the last five (5) years. Absences include vacations. If you have been outside Canada for 1095 days or more, complete Section D. See Appendix A for more information on meeting the residency obligation. If your absences add up to less than 1095 days, go to Section E: Declaration of applicant. |
| Section D – Residency Obligation | |
| 22 | If you have been outside of Canada for 1095 days or more, list your absences from Canada in the past five (5) years in the situations indicated. If you became a permanent resident less than five (5) years ago: list the absences from the time you became a permanent resident to present. See Appendix A at the end of this guide. |
| Section E – Declaration of Applicant | |
| 23 | You must sign and date the application form. Applicants who are 14 years of age or more but less than 18 years of age: the applicant and one of the applicant’s parents or legal guardian must sign the application. |
| Section F – Solemn Declaration Concerning a Lost, Stolen, Destroyed or Never Received Permanent Resident Card | |
| 24 | Complete this section only if you are applying to replace a lost, stolen, destroyed or never received permanent resident card. |
You must use an original of this form. Photocopies
are not acceptable.
You can order it from the Call Centre or from our
website.
Do
not in any way fold or crease any part of this form.
| Question | Action |
|---|---|
| General Application Information | |
| 1 | Write your last name (surname/family name) and given name(s). |
| 2 | Write your date of birth. |
| 3 | Write your height in centimeters or in feet and inches. |
| 4 | Write your eye colour and indicate the date of permanent residence. |
| Signature | You must sign inside the white box in black ink only.
This is the signature that will appear on your card. Applicants who are 14 years of age or older must sign their own form. If the applicant is under 14 years of age, only his or her parent or guardian must sign the form. |
| Photo | You must:
|
Complete this form only if you are appointing a representative.
If you have dependent children aged 18 years or older, they are required to complete their own copy of this form if a representative is also conducting business on their behalf.
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A representative is someone who has your permission to conduct business on your behalf with Citizenship and Immigration Canada.
When you appoint a representative:
You are not obliged to hire a representative. We treat everyone equally, whether they use the service of a representative or not.
You
must notify us if your representative’s contact information changes
or if you cancel the appointment of a representative.
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There are two types of representatives:
Unpaid representatives can be:
Paid representatives:
If you want us to conduct business with a representative who is, or will
be charging a fee to represent you, they must be authorized. Authorized
representatives are:
If you appoint a paid representative who is not a member of one of these designated bodies, your application will be returned. For more information on using a representative, visit our website.
| Question | Action |
|---|---|
| General Application Information | |
| Check one box to indicate if you are appointing or canceling the appointment of a representative. | |
| Section A – Applicant Information | |
| 1 | Write your last name (surname) and given name(s). |
| 2 | Write your date of birth. |
| 3 | If you have already submitted your application write:
|
| 4 | Write your Citizenship and Immigration Canada Identification number (if known) |
| Section B – Appointment of Representative | |
| 5 | Write your representative’s
full name If your representative is a member of CSIC, a law society or the Chambre des notaires du Québec, print his or her name as it appears on the organization’s membership list. |
| 6 | Check one box to indicate if your
representative is unpaid or paid. If your representative is paid write the membership ID number. |
| 7 | Write your representative’s contact information. |
| 8 | Your representative must sign to accept responsibility for conducting business on your behalf. |
| Section C – Cancel the Appointment of a Representative | |
| 9 | Fill in this section if you wish
to cancel the appointment of a representative. Write the representative’s full name |
| Section D – Your Declaration | |
| 10 | By signing, you authorize CIC to
complete your request for yourself and your dependent children
under 18 years of age. If your spouse or common-law partner is included in this request, he or she must sign in the box provided. |
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To authorize CIC to release information from your case file to someone other than a representative, you will need to complete the form Authority to Release Personal Information to a Designated Individual (IMM 5475) which is available:
The person you designate will be able to obtain information on your case file, such as the status of your application. However, they will not be able to conduct business on your behalf with CIC.