Intake form · IMM 0008, IMM 5669, IMM 5406

Permanent Residence (PR) Intake Form

Start your Canada PR application through Express Entry or a provincial nominee program. Share your details and we'll prepare your IMM 0008 and Schedule A.

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This is an information form only. Fill in whatever you know to the best of your knowledge. Every question is optional, so skip anything you're unsure about. We'll call or message you for the rest.

Your contact details

Full name *

Email *

Mobile number with country code *

Section 1 · Personal

Personal details

Other names used (maiden name, nickname, alias)

Sex

Date of birth

Place of birth (city and country)

Section 2 · Marital status

Marital status

Current marital status

Date of marriage or start of common-law relationship

Spouse or partner's first name

Spouse or partner's last name

Section 3 · Passport

Passport

Passport number

Country that issued the passport

Passport issue date

Passport expiry date

Section 4 · Contact

Contact information

Current address where documents can be mailed (with postal code)

Section 5 · Program

Your PR program

PR program

Express Entry profile number or CRS score

Province where you plan to live

Section 6 · Education

Education

Highest level of education

Your highest education

Row 1

From

Program / field of study

School name

City and country

Section 7 · Employment

Personal history (last 10 years, IMM 5669)

List everything with no gaps. If you were unemployed, studying or at home for a period, add a row for that too.

Current occupation

Jobs, studies and gaps (start with the most recent, include unemployed periods)

Row 1

From

Job title / activity

Employer or school

City and country

Hours per week

Row 2

From

Job title / activity

Employer or school

City and country

Hours per week

Row 3

From

Job title / activity

Employer or school

City and country

Hours per week

Row 4

From

Job title / activity

Employer or school

City and country

Hours per week

Section 8 · Addresses

Address history (last 10 years)

Every home address, most recent first

Row 1

From

Street address

City / province

Country

Row 2

From

Street address

City / province

Country

Row 3

From

Street address

City / province

Country

Section 9 · Memberships

Memberships and government positions

Political, social, youth, student or professional organizations you belonged to

Row 1

From

Organization

Activities / position

City and country

Government positions held (civil servant, judge, police, etc.)

Military or police service (dates, branch, rank, country)

Section 10 · Travel

Travel history (last 10 years)

Trips outside your country of residence

Row 1

From

Country / city

Purpose

Row 2

From

Country / city

Purpose

Row 3

From

Country / city

Purpose

Section 11 · Canada history

Entry to Canada

Date you first entered Canada

Place of first entry (airport or border)

Date of your most recent entry to Canada

Place of most recent entry

Section 12 · Background

Background information

In the last 2 years, have you or a family member had tuberculosis or been in close contact with someone who has?

Do you have any physical or mental condition that needs social or health services?

Have you ever stayed beyond your permitted time, studied or worked without permission in Canada?

Have you ever been refused a visa or permit, denied entry, or ordered to leave any country?

Have you applied to enter or stay in Canada before?

Have you ever committed, been arrested, charged or convicted of any offence in any country?

Have you served in any military, militia, civil defence or police unit?

Have you been a member of a political party or group that used violence?

If you answered yes to any question above, explain briefly

Section 13 · Family

Family information (IMM 5406)

IRCC asks for every family member, even if they are not coming with you or have passed away (write 'deceased' and the year).

Spouse or common-law partner

Row 1

Full name

Relationship

Date of birth

Country of birth

Marital status

Present address

Occupation

Coming with you? (yes/no)

Parents (mother and father)

Row 1

Full name

Relationship

Date of birth

Country of birth

Marital status

Present address

Occupation

Row 2

Full name

Relationship

Date of birth

Country of birth

Marital status

Present address

Occupation

Children (include all, even adult or not coming)

Row 1

Full name

Relationship

Date of birth

Country of birth

Marital status

Present address

Occupation

Coming with you? (yes/no)

Row 2

Full name

Relationship

Date of birth

Country of birth

Marital status

Present address

Occupation

Coming with you? (yes/no)

Brothers and sisters (include half and step siblings)

Row 1

Full name

Relationship

Date of birth

Country of birth

Marital status

Present address

Occupation

Row 2

Full name

Relationship

Date of birth

Country of birth

Marital status

Present address

Occupation

Relatives living in Canada and their status

Section 14 · Other

Anything else

Anything else we should know