Outside_Family Info. Form

Family Information IMM5707

For Applicant Outside Canada
NOTE: This form will be submitted to government, please read carefully before add your information or sign your signature

Complete ALL names in English according to your Passport
Type of application*

VisitorWorkerStudentOther
【Applicant- Your Info】
Applicant Full Name*
Marital Status *
Date of Birth*

YearMonthDay
Date
Country of birth*
Present full address*
Please insert your address in one single line. No Enter
Present occupation*
【Spouse/ Common-law partner】

If applicant does not have spouse or common-law partner, please sign below and skip this part
Spouse Full Name
Marital Status
Date of Birth

YearMonthDay
Date
Country of birth
Present full address (if deceased: give city/town, country and date)
Please insert your address in one single line. No Enter
Present occupation
Will accompany you to Canada ?

YesNo
IMPORTANT: Please sign here only when you DO NOT have a spouse or a common law partner

Clear
【PARENTS】
Mother Full Name
Marital Status
Date of Birth

YearMonthDay
Date
Country of birth
Present full address (if deceased: give city/town, country and date)
Please insert your address in one single line. No Enter
Present occupation
Will accompany you to Canada ?

YesNo
Father Full Name
Marital Status
Date of Birth

YearMonthDay
Date
Country of birth
Present full address (if deceased: give city/town, country and date)
Please insert your address in one single line. No Enter
Present occupation
Will accompany you to Canada ?

YesNo
【CHILDREN】-include ALL son/daughter, stepson/stepdaughter or adopted

If applicant does not have children, please sign below and skip this section
Full Name 《1》
Marital Status
Relationship
Daughter or Son
Date of Birth

YearMonthDay
Date
Country of birth
Present full address (if deceased: give city/town, country and date)
Please insert your address in one single line. No Enter
Present occupation
Will accompany you to Canada ?

YesNo
Full Name 《2》
Marital Status
Relationship
Daughter or Son
Date of Birth

YearMonthDay
Date
Country of birth
Present full address (if deceased: give city/town, country and date)
Please insert your address in one single line. No Enter
Present occupation
Will accompany you to Canada ?

YesNo
Full Name 《3》
Marital Status
Relationship
Daughter or Son
Date of Birth

YearMonthDay
Date
Country of birth
Present full address (if deceased: give city/town, country and date)
Please insert your address in one single line. No Enter
Present occupation
Will accompany you to Canada ?

YesNo
Full Name 《4》
Marital Status
Relationship
Daughter or Son
Date of Birth

YearMonthDay
Date
Country of birth
Present full address (if deceased: give city/town, country and date)
Please insert your address in one single line. No Enter
Present occupation
Will accompany you to Canada ?

YesNo
IMPORTANT: Please sign only when you DO NOT have any natural, adopted nor step children

Clear
【BROTHERS/ SISTERS】- include ALL brothers/sisters, ALL Half-brother/ half-sister, ALL Stepbrother/ Stepsister
Full Name 《1》
Marital Status
Relationship
Brother or Sister
Date of Birth

YearMonthDay
Date
Country of birth
Present full address (if deceased: give city/town, country and date)
Please insert your address in one single line. No Enter
Present occupation
Will accompany you to Canada ?

YesNo
Full Name 《2》
Marital Status
Relationship
Brother or Sister
Date of Birth

YearMonthDay
Date
Country of birth
Present full address (if deceased: give city/town, country and date)
Please insert your address in one single line. No Enter
Present occupation
Will accompany you to Canada ?

YesNo
Full Name 《3》
Marital Status
Relationship
Brother or Sister
Date of Birth

YearMonthDay
Date
Country of birth
Present full address (if deceased: give city/town, country and date)
Please insert your address in one single line. No Enter
Present occupation
Will accompany you to Canada ?

YesNo
Full Name 《4》
Marital Status
Relationship
Date of Birth

YearMonthDay
Date
Country of birth
Present full address (if deceased: give city/town, country and date)
Please insert your address in one single line. No Enter
Present occupation
Will accompany you to Canada ?

YesNo
Full Name 《5》
Marital Status
Relationship
Date of Birth

YearMonthDay
Date
Country of birth
Present full address (if deceased: give city/town, country and date)
Please insert your address in one single line. No Enter
Present occupation
Will accompany you to Canada ?

YesNo
Full Name 《6》
Marital Status
Relationship
Date of Birth

YearMonthDay
Date
Country of birth
Present full address (if deceased: give city/town, country and date)
Please insert your address in one single line. No Enter
Present occupation
Will accompany you to Canada ?

YesNo
Full Name 《7》
Marital Status
Relationship
Date of Birth

YearMonthDay
Date
Country of birth
Present full address (if deceased: give city/town, country and date)
Please insert your address in one single line. No Enter
Present occupation
Will accompany you to Canada ?

YesNo
(SAME AS PASSPORT!!) I certify the information will be used to verify my family details on future application. *

Clear
Today's Date (YYYY MM DD)*

YearMonthDay
Date
Department
Should be Empty:

Family Information IMM5707

【Applicant- Your Info】

【Spouse/ Common-law partner】

【PARENTS】

【CHILDREN】-include ALL son/daughter, stepson/stepdaughter or adopted

【BROTHERS/ SISTERS】- include ALL brothers/sisters, ALL Half-brother/ half-sister, ALL Stepbrother/ Stepsister