加拿大移民资料IMM5406E.pdf

Citizenship and é et PROTECTED PLETED - B
Immigration Canada Immigration Canada
PAGE 1 OF 1
ADDITIONAL FAMILY INFORMATION
Complete ALL names in English and in your native language (for example, Arabic, Cyrillic, Chinese, mercial/telegraphic code, Korean, or Japanese
characters). If additional space is required attach a separate sheet.
BEFORE YOU START, READ THE INSTRUCTION GUIDE. TYPE or PRINT in black ink.
SECTION A
Marital
Name Relationship Date of birth Place of birth Present address
Day Month Year status
Applicant
Spouse or
common-law
partner
SEE NOTE 1
Mother
Father
NOTE 1: If no spouse mon-law partner is listed in Section A, read and sign below.
I certify that I do not have a spouse or mon-law partner, ex-spouse, or mon-law partner.
Day Month Year
Signature Date
SECTION B CHILDREN (Include ALL sons and daughters, including ALL adopted and step-children, regardless of age or place of residence)
Relationship Marital
Name Date of birth Place of birth Present address
SEE NOTE 2 status
Day Month Year
NOTE 2: If no children are listed in Section B, read and sign below.
I certify that I do not have any children, either natural or adopted.
Day Month Year
Signature Date
SECTION C BROTHERS AND SISTERS (Including half - and step-brothers and sisters)
Marital
Name Relationship Date of birth Place of birth Present address
s