Family Sponsorship Form

Personal Information

Name(Required)

First Last

Phone(Required)

Email(Required)

Date of birth:(Required)

MM slash DD slash YYYY

Sex:(Required)

Current place of residence:(Required)

Are you a Canadian Permanent Resident?

Yes

Are you a Canadian Citizen?

Yes

Are you an undischarged bankrupt?

Yes

Please provide details:

Are you in receipt of any social assistance?

Yes

Please provide details:

Were you ever convicted of any criminal offence?

Yes

Please provide details:

Sponsor your spouse/fiancé/common-law/conjugal partner

If you wish to sponsor your spouse/fiancé/common-law/conjugal partner, please provide the following information:

What is his/her date of birth?

MM slash DD slash YYYY

What is the province of destination in Canada?

Does your spouse/fiancé/common-law/conjugal partner have any criminal record?

Yes

Please provide details:

Does your spouse/fiancé/common-law/conjugal partner suffer from any serious medical problem?

Yes

Please provide details:

Are you married to the person you wish to sponsor?

Yes

- What is the date of marriage?

MM slash DD slash YYYY

- What is the country of citizenship of your spouse?

What is the current country of residence of your spouse?

what is his/her legal status in that country?

Have you been living together for the last 12 months?

Yes

If yes, date at which cohabitation started:

MM slash DD slash YYYY

Have you been maintaining a conjugal relationship for the last 12 months but have been unable to continuously cohabit through the whole period?

Yes

Please provide details regarding what has prevented you from living together:

If not married, are you planning on getting married in the near future?

Yes

If yes, when do you expect the marriage to take place?

MM slash DD slash YYYY

Sponsor your child

If you wish to sponsor your child, please provide the following information:

What is your child’s date of birth?

MM slash DD slash YYYY

Did you declare your child on your own immigration application?

Yes

If no, please provide explanation.:

If yes, did the child complete a medical examination at that time?

Yes

If no medical examination was completed, please explain.:

Does your child have any criminal record?

Yes

Please provide details if any:

Does your child suffer from any serious medical problem?

Yes

Please provide details if any:

Sponsor your parents

If you wish to sponsor your parents, kindly provide the following information:

Please indicate your total income as declared on line 150 of your Notice of Assessment for each of the three taxation years immediately preceding this date:

Please indicate your spouse’s total income as declared on line 150 of his/her Notice of Assessment for each of the three taxation years immediately preceding this date:

How many children do you have?

How old are they?

Are you sponsoring both your mother and father?

Yes

Do your parents have a dependent child who will be included in their application?

Yes

If yes, what is the date of birth of the dependent child?

MM slash DD slash YYYY

Do your parents, and accompanying dependent child, have any criminal record?

Yes

Please provide details if any:

Do your parents, and accompanying dependent child suffer from any serious medical problem?

Yes

Please provide details if any:

How did you hear from us?

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Family Class Sponsorship Evaluation Form