Preferred language

Correspondence: Check the box to indicate in which language, French and English, you prefer to receive correspondence.

Interview: Indicate which language you would prefer to use if you are invited for an interview.

Visa Office requested for the processing of your application: You must select and write the name of the Visa Office which serves:

• your country of nationality; or
• the country in which you are residing, provided that you have been lawfully admitted to that country for at least one year.

Important: Do not select the CIO in Sydney. If you do, your application will be returned to you and you will need to reapply.

Do not select a visa office that does not serve a country as described above. If you do, your application will be returned to you by the visa office and you will have to reapply.

The following questions must be answered by the Principal Applicant.

Write your full last name (surname/family name) as it appears on your passport or on the official documents that you will use to obtain your passport.

Write all of your given names (first, second or more) as they appear on your passport or official documents. Do not use initials.

Write your country of citizenship. If you are a citizen of more than one country, give details on a separate sheet of paper.

Write your country of residence.

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.

Check the box if you were married or in a common-law relationship in the past.

If you check “No”, go to the next question.
If you check “Yes”, write:

• the name of your former spouse or common-law partner;
• his or her date of birth;
• the type of relationship (check one box);
• the period of that relationship.

Education

• Write the number of years of formal education that you have completed;
• Check the box to indicate your highest level of completed education.

If you have not completed secondary school, check the “No secondary” box.

Write your mailing address, complete with the postal code. This is the address to which correspondence regarding your application will be mailed.

Write your address in English and, if applicable, also in the native script of your country of residence. Attach another page if necessary.

Write your telephone numbers, including your:

• home number; and
• any other phone number where you can regularly be contacted.

Write your e-mail address (if applicable).

Note: By indicating your e-mail address, you authorize Citizenship and Immigration Canada to transmit your file and personal information to that specific e-mail address.

Write your passport details, including the:

• passport number
• country which issued the passport, and
• expiry date of the passport.

Note: For the principal applicant only: if you have a valid passport or travel document, include a photocopy of the bio-data page (the page which contains your name, date and place of birth, passport number, and photo)in your submission to CIO. Do not send your passport.

Write your identity card number if applicable.

Identity (identification) cards are issued by national, provincial, municipal or other governments, or by a recognized international agency such as the Red Cross, as a means of identification. If you have such a card, print the number in the space provided. Photocopy both sides of the card and attach the photocopy to your application. If you do not have an identity card, write “N/A”.

Provide personal details about your family members, whether they intend to accompany you to Canada or not (for more information on family members, including age requirements, refer to Family members.

You must also provide details on family members whose location is unknown (including those missing or presumed dead).

Important: You must list all family members, whether they wish to be considered in your application for permanent residence at this time or not. You will not be able to sponsor family members at a later date if they are not listed on your application.

Write your full last name (surname/family name) as it appears on your passport or on the official documents that you will use to obtain your passport.

Write all of your given names (first, second or more) as they appear on your passport or official documents. Do not use initials.

Write any other name(s) that you have used in the past, or that you have been known by, other than the one listed above.

Other names can include:

• previous married name,
• aliases
• birth name,
• nicknames,
• community names, etc.

Write your date of birth.

Write your current country of residence.

Write your status in that country.

Write your father’s personal details including his:

• last name (surname/family name)
• given name(s)
• date of birth
• town or city of birth
• country of birth
• date of death (if applicable)

Write your mother’s personal details including her:

• last name (surname/family name)
• given name(s)
• date of birth
• town or city of birth
• country of birth
• date of death (if applicable).

Answer each question of the section by checking the appropriate box.

If you answered “yes” to one or more of these questions, you must write an explanation of what happen in the space provided. If you need more space, attach a separate sheet of paper.

Education

Write the number of years of formal education you have which you have completed at each of the levels indicated.

Write the details about each educational institution you attended, including:

• the period of time that you attended the institution,
• the name of the institution,
• the city and country, and
• the type of certificate or diploma issued.

If no diploma was issued, write “N/A”. If you need more space, attach a separate sheet of paper.

Provide details of your personal history since the age of 18.

Start with the most recent information. Under “Activity”, write your occupation or job title if you were working. If you were not working, provide information on what you were doing (for example: unemployed, studying, travelling, in detention, etc.).

Note: Please ensure that you do not leave any gaps.

Failure to account for all time periods will result in a delay in the processing of your application.

Write the names of all membership or association with organizations you are or were a member of, including:

• political organizations;
• social organizations;
• youth or student organizations;
• trade unions; and
• professional organizations.

If you were not a member of an association or organization, do not write “not applicable”. Rather, write: “I have never been a member of an organization or association”.

Note: Do not use abbreviations. Write the city and country where you were a member.

Write any government positions you have held in the past such as:

• Civil servant;
• Judge;
• Police officer;
• etc.

Include

• 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
• activities that you performed and/or positions that you held.

Note: Do not use abbreviations.

Read all of the statements in both sections carefully. Sign and date in the boxes provided. By signing, you certify that you fully understand the questions asked, and that the information you have provided is complete, truthful, and correct. If you do not sign and date, the application will be returned to you.

Note: The bottom section of schedule 1 should not be completed at this time.

Write your full last name (surname/family name) as it appears on your passport or on the official documents that you will use to obtain your passport.

Write all of your given names (first, second or more) as they appear on your passport or official documents. Do not use initials.

Check the appropriate box to indicate in which of Canada’s official languages, English or French, you are able to most comfortably express yourself.

One of Canada’s objectives with respect to immigration is to support and assist the development of minority language communities in Canada. Your answer will help us to determine in which official language, you are most likely to request government services (for example in healthcare or education).

Language

Check the appropriate box to indicate whether or not you have taken an approved test or tests to assess your proficiency in English or French.

See: “Ability in English and/or French” to help you determine your ability in English and French.

Study in Canada

If applicable, check the box to indicate whether you or your accompanying spouse or common-law partner, have completed a program of full-time study (of at least two years) at a post-secondary institution in Canada in the past.

Work in Canada

If applicable, check the box to indicate whether you or your accompanying spouse or common-law partner, have worked full-time in Canada in the past.

Funds

Indicate the amount (in Canadian dollars) of unencumbered, transferable and available funds that you have. This amount can include the value of any property that you own, but should not include jewellery, cars or other personal assets.

Your work experience

Starting with your current occupation, list all of the occupations that you have had in the 10 years preceding the date of your application. For each occupation;

• include the appropriate National Occupational Classification (NOC) code,
• check the box that corresponds to the number of years of continuous full-time or equivalent part-time experience, and
• write a description of your main duties.

Note: List only occupations that fall in Skill Type 0 or Skill Levels A or B of the NOC.

See: “National Occupational Classification”

Write the personal details for:

• yourself,
• your spouse or common-law partner, (if applicable)
• your mother and
• your father.

Note: If you do not have a spouse or a common-law partner, sign the declaration at the end of Section A.

Write the personal details for your children. It is very important that you list all of your children (even if they are already permanent residents or citizens of Canada). This includes:

• married children,
• adopted children,
• children of your spouse(step-children) or common-law partner,
• any of your children who have been adopted by others,
• any of your children who are in the custody of an ex-spouse, former common-law partner or other guardian.

You must answer all questions. If any sections do not apply to you, answer “N/A”.

Note: if you do not have any children, sign the declaration at the end of Section B.

Write personal details about your:

• brother(s),
• sister(s),
• half-brother(s) and half-sister(s),
• step-brother(s) and step-sister(s).