FAMILY INFO 5707 Complete ALL names in English and in your native language. Include ALL family members even if they are not accompanying you. APPLICANT Name in English: Name in your native language: Marital status: Annulled marriage Common-law Divorced Legally separated Married-physically present Married-not physically present Single Widowed Date of birth: Country of birth: Present address: Present occupation: SPOUSE OR COMMON-LAW PARTNER Name in English: Name in your native language: Marital status: Annulled marriage Common-law Divorced Legally separated Married-physically present Married-not physically present Single Widowed Date of birth: Country of birth: Present address: Present occupation: Will accompany you to Canada? YES NO YOUR PARENT1 ( MOTHER ) Name in English: Name in your native language: Marital status: Annulled marriage Common-law Divorced Legally separated Married Single Widowed Date of birth: Country of birth: Deceased or not? YES NO Present address: Present occupation: Will accompany you to Canada? YES NO YOUR PARENT2 ( FATHER ) Name in English: Name in your native language: Marital status: Annulled marriage Common-law Divorced Legally separated Married Single Widowed Date of birth: Country of birth: Deceased or not? YES NO Present address: Present occupation: Will accompany you to Canada? YES NO CHILDREN Do you have any natural, adopted or step-children?* YES NO Note: Children include: married children, adopted children, children of your spouse(step-children) or common-law partner, any of your children who have been adopted by others, any of your children who are in the custody of an ex-spouse, former common-law partner or other guardian. Click ‘ADD’ button and write the personal details. BROTHERS AND SISTERS Do you have any natural, adopted or step-siblings?* YES NO Note: Siblings include full, half, step, or adopted brothers and sisters. Click ‘ADD’ button and write the personal details.
