The documentation you provide will be used to establish that your authorization to remain in Canada would not be contrary to the Act. Failure to provide complete, truthful and accurate material will result in your application being assessed based on the documentation submitted, which may result in your application being refused.
To complete your application you will need to know the cost of your education including tuition fees and books, medical insurance, return transportation costs and living costs for yourself and any family members while in Canada. Living costs vary in each province.
As most of the form is self-explanatory, supplementary instructions have only been provided when necessary. Follow the numbered instructions which correspond to the application form, carefully. Your application may be returned or refused if it is not properly completed, or if all of the necessary documents have not been submitted. Attach a separate sheet of paper if you need more space and indicate the letter and/or number of the question you are answering.
1. Print all your names as they appear on the passport of identity document.
Write your relationship with the principal applicant (spouse, son, daughter, etc.)
Write if you are a male or female
Write your complete date of birth
Write your place of birth, including the town or city, and country
Write your native language (the language you learned at home in childhood and still understand)
Check the box to indicate which of Canada’s official languages (French or English) you use most frequently. If you do not use French or English, check the “Neither” box .
One of Canada’s objectives with respect to immigration is to support and assist the development of minority language communities in Canada.
Note: This question is not used for selection purposes.
Write your country of citizenship
Write your passport number
Write the expiry date of your passport
Write the name of the country which issued your passport
Write your marital status (married, divorced, etc.)
Check the appropriate box to indicate whether your family members will be accompanying you to Canada
Note: You must provide details about each of your family members and indicate whether they will be accompanying you to Canada. If you have more than three family members, photocopy the first page of the application before you start completing it. Make enough copies to fill in details about all your family members. Do not use initials.
2. Provide your current mailing address, telephone number, and fax number. All correspondence will be sent to this address.
Note: If you wish to authorize a Canadian representative to receive correspondence concerning your application, indicate their address in this box and on the form Use of a Representative (IMM 5476).
3. Provide your residential address if different from your mailing address.
4. Provide the name of your present job. Briefly describe your position.
5. Print the name and address of your present employer or school.
6. a) Provide details of your immigration status in the country in which you are applying — this may be temporary resident, student, worker, permanent resident or citizen.
b) Print the expiry date of your temporary status in the country where you are making your application.
7. Provide the full name and complete address of the educational institution you will be attending while in Canada. Attach an original letter of acceptance from the educational institution.
8. Provide the name of your course and its level. For example, Bachelor of Arts in History.
9. Provide the date your course in Canada will start and the date it will finish. (For example, for a four year program of study you would indicate 05/10/2002 until 30/04/2006.)
10. Provide the total cost of your education and living expenses while in Canada.
11. Provide details of funds available to you and your family members while in Canada. Indicate who will be paying your expenses. If you will be receiving any scholarships, bursaries or grants, place an “X” in the box “Other” and give details. Attach proof of funds available such as a bank statement, or a letter from the bank stating how much money you have in your bank account. The letter must indicate your name and account number.
12. Each question in this section must be answered for each applicant. Place an “X” in the yes or no box. If you answer “yes” to any of the questions from 12 c) to g), give the name of the person with an explanation in the space marked “related information”.
13. Print an “X” in the box which applies to you or any accompanying family member. Provide the name of the countries and length of stay for each accompanying member.
14. You must sign and date the application. Failure to do so will result in it being returned to you.
Complete this form 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.
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 also authorize CIC to share information from your case file to this person.
You are not obliged to hire a representative. We treat everyone equally, whether they use the services of a representative or not. If you choose to hire a representative, your application will not be given special attention nor can you expect faster processing or a more favourable outcome.
The representative you appoint is authorized to represent you only on matters related to the application you submit with this form. You can appoint only one representative for each application you submit.
There are two types of representatives:
Unpaid representatives
Paid representatives
If you want us to conduct business with a representative who is, or will be charging a fee to represent you, he or she 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.
Section B.
5. 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.
8. Your representative’s declaration
Your representative must sign to accept responsibility for conducting business on your behalf.
Section D.
10. Your declaration
By signing, you authorize us 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.
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 on our website and from Canadian embassies, high commissions and consulates abroad.
The person you designate will be able to obtain information on your case file, such as the status of your application. However, he or she will not be able to conduct business on your behalf with CIC.
You must notify us if your representative’s contact information changes or if you cancel the appointment of a representative.