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IMMIGRATION, REFUGEES AND CITIZENSHIP CANADA
IMMIGRATION, RÉFUGIÉS ET CITOYENNETÉ CANADAÂ
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If you are found ineligible to sponsor,Â
indicate whether you want to:
Is there a co-signer on this application?
(co-signer must be the spouse or common-law partner of the sponsor)
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c) (If you are in a conjugal relationship)
Provide the date on which you entered
into the relationship.
Given Name(s)Â Â (exactly as shown on your passport or travel document)
Have you ever used any other name (e.g. Nickname, maiden name, alias, etc.)?
b) UCI/Client ID
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a) Date on which you obtained
    this status (whichever is more
    recent).
 b) (If you are married or in a common-law relationship) Provide the dateÂ
     on which you were married or entered into the common-law relationship
Current mailing address
- All correspondence will go to this address unless you indicate your e-mail address below.
- Indicating an e-mail address will authorize all correspondence, including file and personal information, to be sent to the e-mail address you specify.
- If you wish to authorize the release of information from your application to a representative, indicate their e-mail and mailing address(es) in this section on the IMM5476 form.
Residential address
Same as mailing address?
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Are you a Canadian citizen living exclusively outside Canada? See "Who can sponsor" in the Guide for information on residency.
Immediately after my spouse, common-law or conjugal partner and dependent children become permanent residents, I intend to live in:
Sponsors who reside or intend to reside in Quebec need not complete Questions 8, 9, 10 or 15.Â
If you answer "No" to any questions from 1 to 4, you are not eligible to be a sponsor. You should NOT submit your application.
Do you reside in Canada and in no other country?Â
If you answered "NO", but are a Canadian citizen living exclusively outside Canada, you may still be eligible to sponsor.
In the five years preceding this application, did you become a permanent resident after being sponsored as a spouse, common-law orÂ
conjugal partner?
Have you submitted a previous application in respect of which a final decision has not been made for the person being sponsored and theirÂ
family members?
Are you an undischarged bankrupt under the Bankruptcy and Insolvency Act?
Yes
Yes
Did you co-sign an undertaking where the sponsored person or his or her family members received social assistance during theÂ
validity period of the undertaking?
Yes
Are you late in making a required payment on an immigration loan, a performance bond or any other amounts you agreed to payÂ
under Canadian immigration legislation, and have not made arrangements to defer payments?
Have you been convicted of a sexual offence or serious violent offence against anyone, or an offence causing bodily harm against someone whoÂ
is or was related to you, or an attempt to commit such an offence?Â
Are you in default of a court order to make support payments to your spouse, former spouse, common-law partner,Â
former common-law partner or child?
Yes
Are you the subject of an application to revoke your Canadian citizenship?
If you answered "Yes" to question 13, 16, 17, or 18 please provide details including date and place.
Given Name(s)Â Â (exactly as shown on your passport or travel document)
Have you ever used any other name (e.g. Nickname, maiden name, alias, etc.)?
b) UCI/Client ID
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a) Date on which you obtained
    this status (whichever is more
    recent).
d)Â (If you are married or in a common-law relationship) Provide the date on which you were married or entered into the common-lawÂ
     relationship
Yes
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Are you a Canadian citizen living exclusively outside Canada? See "Who can sponsor" in the Guide for information on residency.
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Immediately after my dependent children become permanent residents, I intend to live in:
Co-signers who reside or intend to reside in Quebec need not complete Questions 5, 6, 7, or 12.Â
If you answer "No" to questions 1 - 3, you are not eligible to be a co-signer. You should NOT submit your application.
Do you reside in Canada and in no other country?Â
If you answered "NO", but are a Canadian citizen living exclusively outside Canada, you may still be eligible to sponsor.
If you answer "Yes" to any question 4 to 12 you are not eligible to be a co-signer. See Who can sponsor in the Guide for information.
Are you an undischarged bankrupt under the Bankruptcy and Insolvency Act?
Did you co-sign an undertaking where the sponsored person or his or her family members received social assistance during theÂ
validity period of the undertaking?
Are you late in making a required payment on an immigration loan, a performance bond or any other amounts you agreed to payÂ
under Canadian immigration legislation, and have not made arrangements to defer payments?
Have you been convicted of a sexual offence or serious violent offence against anyone, or an offence causing bodily harm against someone whoÂ
is or was related to you, or an attempt to commit such an offence?Â
Are you in default of a court order to make support payments to your spouse, former spouse, common-law partner, former common-lawÂ
partner or child?
Are you the subject of an application to revoke your Canadian citizenship?
If you answered "Yes" to question 10, 13, 14, or 15 please provide details including date and place.
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I undertake to provide for the basic requirements of the sponsored person and his or her family members who accompany him or her to Canada, if they are not self-supporting. I promise to provide food, clothing, shelter, fuel, utilities, household supplies, personal requirements, and other goods and services, including dental care, eye care, and other health needs not provided by public health care. I understand that the money, goods or services provided by me must be sufficient for the sponsored people to live in Canada.
I promise that the sponsored person and his or her family members will not need to apply for social assistance.
I make these promises so that the sponsored person and his or her family members listed on this undertaking can be admitted to Canada as permanent residents. I understand that the sponsored person and his or her family members will be admitted solely on the basis of their relationship to me (as sponsor) and that they do not need to have the financial means to become established in Canada.
I understand that the validity period of this undertaking begins on the day on which the sponsored person enters Canada if that person enters Canada with a temporary resident permit or, if already in Canada, on the day on which the sponsored person obtains a temporary resident permit following an application to remain in Canada as a permanent resident, and in any other case on the day on which the sponsored person becomes a permanent resident. The length of the undertaking will vary according to the relationship of the sponsored person and his or her family members to me (as sponsor) and their age and it ends:
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A. if the sponsored person is my spouse, common-law partner, or conjugal partner, on the last day of the period of 3 years following the day on which they become a               Â
    permanent resident;
B. if the sponsored person or family member is a dependent child of the sponsor or of the sponsor's spouse, common-law partner or conjugal partner and is less than                                             Â
    22 years of age when they become a permanent resident, on the earlier of
    • the last day of the period of 10 years following the day on which they become a permanent resident, or
    • the day on which they reach 25 years of age,
C. if the sponsored person or family member is a dependent child of the sponsor or of the sponsor's spouse, common-law partner or conjugal partner and is 22 years ofÂ
    age or older when they become a permanent resident, on the last day of the period of 3 years following the day on which they become a permanent resident;
D. if the sponsored person is a parent or grandparent of the sponsor, or a family member accompanying the parent or grandparent of the sponsor, on the last day ofÂ
    the period of 20 years following the day on which they become a permanent resident; and
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E. if the sponsored person is a person other than a person referred to in A to D above, on the last day of the period of 10 years following the day on which they becomeÂ
    a permanent resident.
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I understand that the undertaking remains in effect no matter what may change in my life. For example, if I am divorced, change jobs, become unemployed,and/or go back to school, I will still be responsible to the sponsored person and his or her family members I am sponsoring or for whom I am co-signing.Â
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I understand that, pursuant to section 135 of the Regulations to the Immigration and Refugee Protection Act, if I breach any of my sponsorship obligations I will be in default. I also understand that I will be in default if a government makes a payment that I have promised to repay in this undertaking. For example, if I fail to provide for the basic requirements of the sponsored person and his or her family members and they receive social assistance during the validity period of the undertaking, I will be in default. I understand that I will continue to be in default until the amount of benefits received are repaid in full or repaid to the satisfaction of the government concerned.
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I understand that all social assistance paid to the sponsored person or his or her family members becomes a debt owed by me to Her Majesty in right of Canada and Her Majesty in right of the province concerned. As a result, the Minister and the province concerned have a right to take enforcement action against me (as sponsor or co-signer) alone, or against both of us.Â
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The Minister and the province concerned may choose not to take enforcement action to recover money from me if the default is the result of abuse or in other circumstances. The decision not to act at a particular time does not cancel the debt. The Minister and the province concerned may recover the debt when circumstances have changed.
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I understand that I will not be allowed to sign or co-sign an additional application to sponsor another person under the Immigration and Refugee Protection Act and its Regulations if I am in default of any sponsorship undertaking. This holds true for both this undertaking and any past undertakings where I have not satisfactorily paid back my debts. As a co-signer, I understand that I am jointly and severally or solidarily bound with the sponsor to perform the obligations of the sponsorship undertaking and am liable with the sponsor for any breach of those obligations. If the sponsor and, if applicable, the co-signer do not provide support as required, the sponsored person can take legal action.
As sponsor or co-signer, I promise to provide the sponsored person and his or her family members' basic requirements for a period that begins the day on which the sponsored person enters Canada with a temporary resident permit or, if already in Canada on the day on which the sponsored person obtains a temporary resident permit following an application to remain in Canada as a permanent resident, and in any other case on the day on which the sponsored person becomes a permanent resident and ends:
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A. if the sponsored person is the spouse, common-law partner, or conjugal partner of the sponsor, on the last day of the period of 3 years following the day on which they become a permanent resident;
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B. if the sponsored person or family member is a dependent child of the sponsor or of the sponsor's spouse, common-law partner or conjugal partner and is less than 22 years of age when they become a permanent resident, on the earlier of
    •  the last day of the period of 10 years following the day on which they become a permanent resident, or
    •  the day on which they reach 25 years of age;
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C. if the sponsored person or family member is a dependent child of the sponsor or of the sponsor's spouse, common-law partner or conjugal partner and is 22 years of age or older when they become a permanent resident, on the last day of the period of 3 years following the day on which they become a permanent resident;
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D. if the sponsored person is a parent or grandparent of the sponsor, or a family member accompanying the parent or grandparent of the sponsor, on the last day of the period of 20 years following the day on which they become a permanent resident;Â and
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E. if the sponsored person is a person other than a person referred to in A to D above, on the last day of the period of 10 years following the day on which they become a permanent resident.
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Basic requirements include food, shelter, clothing, fuel, utilities, household supplies, personal requirements and health care not provided by public health, including dental care and eye care.
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I promise that financial obligations or other personal circumstances over the applicable period referred to above will not prevent me from honouring this agreement and the sponsorship undertaking I signed or co-signed;
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I promise that the sponsored person and his or her family members will not need to apply for social assistance benefits; and
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I promise to respond promptly to requests for help from the sponsored person and his or her family members by giving money, buying items or providing services for their living expenses.
As the person to be sponsored, I promise to make every reasonable effort to provide for my own basic requirements as well as those of my accompanying family members;
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I promise to ask the sponsor and co-signer (if applicable) for help if I or my family members are having difficulty supporting themselves or meeting their own basic requirements.
Elderly parents or grandparents who are sponsored are not expected to look for a job to care for themselves.
Sponsored persons and/or their family members who are being abused or assaulted by their sponsors should seek safety away from their sponsors even if this means that they will have to apply for social assistance benefits. A sponsor cannot force Immigration, Refugees and Citizenship Canada to remove you from Canada.
An undertaking is unconditional and may not be terminated. Under no circumstances does the granting of Canadian citizenship, divorce, separation or relationship breakdown, financial deterioration or moving to another province cancel the undertaking.
APPLIES TO SPONSORS AND CO-SIGNERS WHO RESIDE (OR INTEND TO RESIDE) IN ALL PROVINCES/TERRITORIES, EXCEPT QUEBEC:
•      I agree to the terms outlined in the Undertaking section
•      I agree to the terms outlined in the Sponsorship Agreement section
APPLIES TO SPONSORS AND CO-SIGNERS WHO RESIDE (OR INTEND TO RESIDE) IN ALL PROVINCES/TERRITORIES:
•      I declare that the information given on this form and any attached documents is complete, correct and fully discloses everything concerning my eligibility to
     sponsor or co-sign.
•      I understand that any false or misleading information may lead to the refusal of the application for permanent residence of the person I am sponsoring (or for
     whom I am co-signer). I understand that giving false or misleading information may be grounds for my prosecution and the removal of the person I am
     sponsoring and his or her family members from Canada.
 •      I understand all the above statements, having asked for and obtained an explanation on every point that was not clear to me.
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APPLIES TO SPONSORED APPLICANTS FOR PERMANENT RESIDENCE WHO RESIDE (OR INTEND TO RESIDE) IN ALL PROVINCES/TERRITORIES, EXCEPT QUEBEC:
•      I agree to the terms outlined in the Sponsorship Agreement section
•      I understand the above statement, having asked for and obtained an explanation on any point that was not clear to me.Â
IMPORTANT NOTE:
This application must be signed and dated before it is submitted.
Do not forget to include: fees (if applicable), and any other documents required for processing. Review application guide and kit for more information and verify you have completed all of the required documents as per the document checklist.
“The information you provide on this form as well as on any accompanying documents is collected under the authority of the Immigration and Refugee Protection Act. It is required for the purpose of determining your ability to sponsor the person(s) named in this application or to co-sign this application as the sponsor's spouse or common-law partner. It may be used to enforce the undertaking you have signed or co-signed and may be provided to provincial authorities pursuant to federal/provincial information exchange agreements. By submitting this form, you consent to the release to the Canadian government authorities of all records and information any government authority, including police, judicial and state authorities in all countries in which you have lived, may possess on your behalf. You further consent to criminal background checks with appropriate law enforcement authorities. Information may also be disclosed to foreign governments, law enforcement bodies and detaining authorities with respect to the administration and enforcement of immigration legislation where such sharing of information may not put the individual and or his/her family at risk. It will be stored in a Personal Information Bank (CIC PPU 013) at IRCC. In accordance with the Privacy Act and the Access to Information Act, individuals have a right to protection of and access to their personal information. Details on these matters are available at the Infosource website (http://infosource.gc.ca) and through the Immigration, Refugees and Citizenship Canada Call Centre. Infosource is also available at public libraries across Canada.â€