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Get Canada IMM 5645E 2010

IMM 5645 09-2010 E DISPONIBLE EN FRAN AIS - IMM 5645 F BROTHERS AND SISTERS Include ALL brothers and sisters ALL half-brother and sister and stepbrother and sister. CERTIFICATION I certify that the information contained on this document is complete accurate and factual. I also realize that once this document has been completed and signed that it will form part of my Immigration Record and will be used to verify my family details on future applications. 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 as a temporary resident. Citizenship and Immigration Canada Citoyennet et PROTECTED WHEN COMPLETED - B PAGE 1 OF 2 FAMILY INFORMATION Type of application Visitor Worker Student Other Complete ALL names in English and in your native language for example Arabic Cyrillic Chinese Chinese commercial/telegraphic code Korean or Japanese characters. 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 as a temporary resident. It will be stored in Personal Information Bank CIC PPU 055 Visitor Case File. It is protected and accessible under the Privacy Act and the Access to Information Act. Include ALL family members even if they are not accompanying you. If you need more space for any section print out an additional page containing the appropriate section complete and submit it with your application* BEFORE YOU START READ THE INSTRUCTION GUIDE TYPE OR PRINT IN BLACK INK. SECTION A Date of birth Present address Will If deceased give city and date accompany Relationship M D Y Full name Marital status you to Canada SEE NOTE 1 Country Present occupation YES NO of birth APPLICANT SPOUSE OR COMMON-LAW PARTNER MOTHER FATHER NOTE 1 If no spouse or common-law partner is listed in Section A read and sign below. Year I certify that I do not have a spouse or a common-law partner. Signature Month Day Date CHILDREN Include ALL sons and daughters including ALL adopted and step-children regardless of age or place of residence NOTE 2 If no children are listed in Section B read and sign below. It will be stored in Personal Information Bank CIC PPU 055 Visitor Case File. It is protected and accessible under the Privacy Act and the Access to Information Act. Include ALL family members even if they are not accompanying you. If you need more space for any section print out an additional page containing the appropriate section complete and submit it with your application* BEFORE YOU START READ THE INSTRUCTION GUIDE TYPE OR PRINT IN BLACK INK. SECTION A Date of birth Present address Will If deceased give city and date accompany Relationship M D Y Full name Marital status you to Canada SEE NOTE 1 Country Present occupation YES NO of birth APPLICANT SPOUSE OR COMMON-LAW PARTNER MOTHER FATHER NOTE 1 If no spouse or common-law partner is listed in Section A read and sign below. .

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