PROTECTED WHEN COMPLETED - B

DETAILS OF MILITARY SERVICEPAGE 1 OF 2

IMM 5546 (12-2016) E (DISPONIBLE EN FRANÇAIS - IMM 5546 F)

Family name Given name(s)

Date of birth (YYYY-MM-DD) Place of birth

Date completed (YYYY-MM-DD) Signature

START DATE (YYYY-MM-DD)

END DATE (YYYY-MM-DD)

CONSCRIPT OR VOLUNTEER

(CAREER) SERVICE?

YOUR RANK

(Indicate dates of promotion)

YOUR TITLE

YOUR DUTIES

(You must provide detailed descriptions including

involvement in arrests, combat, detention, interrogation and

support functions)

NAME/RANK - COMMANDING OFFICER

You must list: - Immediate supervising officer - Unit/Regimental commander - Operational Group/Corps

commander

NAME OF YOUR UNIT/ TYPE OF UNIT

(Artillery, infantry, special ops, etc.)

YOUR LOCATION (Base, city and

province/territory)

NO. OF PEOPLE YOU SUPERVISED

PAGE 2 OF 2

IMM 5546 (12-2016) E

START DATE (YYYY-MM-DD)

END DATE (YYYY-MM-DD)

CONSCRIPT OR VOLUNTEER

(CAREER) SERVICE?

YOUR RANK

(Indicate dates of promotion)

YOUR TITLE

YOUR DUTIES

(You must provide detailed descriptions including

involvement in arrests, combat, detention, interrogation and

support functions)

NAME/RANK - COMMANDING OFFICER

You must list: - Immediate supervising officer - Unit/Regimental commander - Operational Group/Corps

commander

NAME OF YOUR UNIT/ TYPE OF UNIT

(Artillery, infantry, special ops, etc.)

YOUR LOCATION (Base, city and

province/territory)

NO. OF PEOPLE YOU SUPERVISED

The information you provide on this form is collected under the authority of the Immigration and Refugee Protection Act and will be used for the purpose of assessing your application. This information will be retained in the Personal Information Bank CIC PPU 039 entitled "Details of Military Service". Under the provision of the Privacy Act and the Access to Information Act, individuals have the right to protection of the access to their personal information.