skilled worker

Unit 3200, 8788 McKIM Way, Tel: 604.628.8306Richmond, BC, Canada V6X 4E2 Fax: 604.232.1110

Federal Skilled Worker Document Checklist

Principal applicant and Spouse/ common-law partner:

1) Photocopy of passport (all pages with information and stamps)⃝ 2) Original Proof of Language Proficiency⃝

o General IELTS, TEF

o Results must not be older than 2 years

3) Original translation and employment letters (for the past 10 years)⃝o Please see attached sample work experience certificate

o Additional supporting documents: original translation and copies of work

contracts and pay stubs

4) Original translation and copy of education/ training certificates and transcripts ⃝o Post- secondary and above

5) Relatives in Canada (if applicable)⃝o Proof of status: copy of record of landing paper, PR card or Citizenship card

o Relationship to you: original translation and copy of birth certificate and/or

marriage certificateo Residency in Canada: copies of lease agreement, previous Notice of Assessment,

employment letter, utility bills, bank statements and etc

6) Original translation and copies of Bank account statements including cash flow for past 6 ⃝months

7) Original translation and copies of assets (properties, vehicles, stocks and etc.)⃝ 8) Birth Original translation and copies of birth certificate⃝

IMM 5612 1/3


9) Original translation and copy of National ID card⃝ 10) Original translation and copy of Marriage/ Divorce Certificate ⃝ 11) Original translation and police clearance certificate⃝

o from each country you have resided more than 6 months after your 18th birthday

12) 6 pieces of photo (35mm x 45mm- white background)⃝Common-law Relationship:

1) Original translation and copy of joint lease agreement⃝ 2) Original translation and copy of life insurance coverage ⃝ 3) Original translation and copy of joint bank account information⃝ 4) Original translation and copy of joint assets information ⃝ 5) Original translation and copy of utility bills under both names⃝ 6) Original translation and copy of any documents under both names⃝Dependent Children:

1) Photocopy of passport (all pages with information and stamps) ⃝⃝ 2) Original translation and copy of birth certificate⃝ 3) Original translation and copy of custody papers (if applicable)⃝ 4) Original translation and copy of National ID card⃝ 5) 6 pieces of photo (35 mm x 45 mm – white background)⃝

IMM 5612 2/3


*If dependent child is over 18:

1) Original translation and police certificate⃝o from each country you have resided more than 6 months after your 18th birthday

*If dependent child is over 22

1) Proof of Current Education Status ⃝o School records/ transcripts

o Letter from school indicating number of hours and days attended per week

o Proof of financial support by parents (money transfers, school tuition paid by

parents)

IMM 5612 3/3


Principal Applicant

1） First Name： 2）Last Name：

3）Have you ever used any other name?

No Yes *If yes, Name

4）Client ID (can be found on study permit or work permit, 8 digits)

5） Sex： 6）Height：

7）Eye color: 8）Date of Birth ：

9）Place of Birth： 10）Citizenship(s) ：

11）Current country of residence：

12）Date and place of your last entry to Canada：

13）Previous countries of residence (During the past five years have you lived in any

country other than your country of citizenship or your current country of residence for more

than six months?）No Yes If yes, Fill in the form：

Country Status Other From(yy/mm/dd)

To(yy/mm/dd)


0008G 1/7

14) a. Your current marital status：

b. (If you are married or in a common-law relationship）Provide the date on which you

were married or entered into the common-law relationship:

c. Provide the name of your current spouse/common-law partner：

15）Have you previously been married or in a common-law relationship： No Yes

*If yes, provide the following details for your previous spouse/common-law partner： Name： Type of relationship：

From: To:

16）Residential address：

17）Telephone No.： 18）Alternate telephone no.：

19）Fax no.： 20）E-mail address：

21）Do you have a valid passport/travel document？ No Yes

*Passport/Travel document number：

*Country of issue：


*Issue date：

*Expiry date：

22）Do you have a national identity document？ No Yes

*Document number：


*Issue date：

*Expiry date：

0008G 2/7

23）a. Highest level of education：

b. Number of years of education in total：

c. Current occupation：

d. Intended occupation：

24）a. Native language：

b. Are you able to communicate in English and/or French:

Spouse/ Common-law partner

2） First Name： 2）Last Name：



4）Client ID (can be found on study permit or work permit, 8 digits)


Unit 3200, 8788 McKIM Way, Tel: 604.628.8306Richmond, BC, Canada V6X 4E2 Fax: 604.232.11107）Eye color: 8）Date of Birth ：




0008G 3/7

13）Previous countries of residence (During the past five years have you lived in any

country other than your country of citizenship or your current country of residence for more

than six months?）No Yes If yes, Fill in the form：


To(yy/mm/dd)


b. (If you are married or in a common-law relationship）Provide the date on which you

were married or entered into the common-law relationship:



15）Have you previously been married or in a common-law relationship： No Yes

*If yes, provide the following details for your previous spouse/common-law partner： Name： Type of relationship：

From: To:

16）Residential address：

17）Telephone No.： 18）Alternate telephone no.：

19）Fax no.： 20）E-mail address：

0008G 4/ 7

21）Do you have a valid passport/travel document？ No Yes

*Passport/Travel document number：


*Issue date：

*Expiry date：



*Document number：


*Issue date：

*Expiry date：

23）a. Highest level of education：




24）a. Native language：

b. Are you able to communicate in English and/or French:

Dependant(S)

1）First Name： 2）Last Name：



4）Client ID (can be found on study permit or work permit, 8 digits):

0008G 5/7


7）Eye color： 8）Date of Birth：


11）Relationship to principal applicant：


12）a. Will accompany principal applicant to Canada？No Yes

b. Reason why dependant is non-accompanying：



To(yy/mm/dd)


15）Previous countries of residence (During the past five years have you lived in any country

other than your country of citizenship or your current country of residence for more than six months?)

No Yes If yes, Fill in the form：


To(yy/mm/dd)

0008G 6/7


b. (If you are married or in a common-law relationship) Provide the date on which you were married or entered into the common-law relationship:



17）Have you previously been married or in a common-law relationship： No Yes *If yes, provide the following details for your previous spouse/common-law partner： Name：

Type of relationship： From To

18）Do you have a valid passport/travel document？ No Yes *Passport/Travel document number：


*Issue date：

*Expiry date:


*Document number：


*Issue date：

*Expiry date：

20) a. Highest level of education：




21) a. Native language：

b. Are you able to communicate in English and/or French：

0008G 7/7


Applicant

1） Your full name written in your native language or script：

2） Personal details of your father：A） First name：

B） Last name：

C） Date of birth：

D） Town/City of birth：

E） Country of birth：

F） Date of death ,if deceased：

3） Personal details of your mother：A） First name：

B） Last name：

C） Date of birth：

D） Town/City of birth：

E） Country of birth：

F） Date of death ,if deceased：

4） Have you ,or ,if you are the principal applicant ,any of your family members listed in

your application for permanent residence in Canada, ever ：A） been convicted of a crime or offence in Canada for which a pardon has not been

granted under the Criminal Records Act of Canada?YES NO

B） been convicted of ,or are you currently charged with ,on trial for ,or party to a

crime or offence ,or subject of any criminal proceedings in any other country?

YES NO


Schedule A 1/8

C） made previous claims for refugee protection in Canada or at a Canadian visa

office abroad ,in any other country or countries ,or with the United Nations High Commissioner for Refugees(UNHCR)?YES NO

D） been refused refugee status ,an immigrant or permanent resident visa or visitor

or temporary resident visa ,to Canada or any other country?YES NO

E） been refused admission to ,or ordered to leave , Canada or any other country?

YES NO

F） been involved in an act of genocide ,a war crime or in the commission of a

crime against humanity?YES NO

G） used ,planned or advocated the use of armed struggle or violence to reach

political ,religious or social objectives? YES NO

H） been associated with a group that used, uses ,advocated or advocates the use of

armed struggle or violence to reach political , religious or social objectives?YES NO

I） Been member of an organization that is or was engaged in an activity that is part

of a pattern of criminal activity? YES NO

J） been detained, incarcerated or put in jail?

YES NO

K） Had any serious disease or physical or mental disorder?

YES NO

If your answer to any of these questions is YES, provide details below：


Schedule A 2/8

5）Give full details of all education you have had.

Fromyy/mm

Toyy/mm

Name of institution City and country Type of certificate or diploma issued

6）Provide the details of your personal history since the age of 18, or the past 10 years,

whichever comes first.

Fromyy/mm

Toyy/mm

Activity City or townand country

Name of companyEmployer, school,

Facility

7）what organizations have you supported, been a member of or been associated with? Include

any political, social, youth or student organization, trade unions and professional associations. Do not use abbreviations. Indicate the city and country where you were a member.


Fromyy/mm

Toyy/mm

Name of organization

Type of organization

Activities and/or positions held within

organizationCity and country

Schedule A 3/8

8）List any government positions you have held. Do not use abbreviations.

Fromyy/mm

Toyy/mm

Country and level of jurisdiction

Department/Branch Activities and/or positions held

9) Provide below details of military service for each of the countries in whose armed forces you served.

Name of country：

Fromyy/mm

Toyy/mm

Branch of service , unit numbers and names of your commanding officers

Rank(s) Dates and place of any active combat

10) List all addresses where you have lived since your 18th birthday. Do not use P.O. Box addresses.


Fromyy/mm

Toyy/mm

Street and number City and town

Province, State/ District

Country

Schedule A 4/8

Spouse/ Common-law partnerDependent child 18 years old or older

5） Your full name written in your native language or script：

6） Personal details of your father：G） First name：

H） Last name：

I） Date of birth：

J） Town/City of birth：

K） Country of birth：

L） Date of death ,if deceased：

7） Personal details of your mother：G） First name：

H） Last name：

I） Date of birth：

J） Town/City of birth：

K） Country of birth：

L） Date of death ,if deceased：


8） Have you ,or ,if you are the principal applicant ,any of your family members listed in

your application for permanent residence in Canada, ever ：L） been convicted of a crime or offence in Canada for which a pardon has not been

granted under the Criminal Records Act of Canada?YES NO

M） been convicted of ,or are you currently charged with ,on trial for ,or party to a

crime or offence ,or subject of any criminal proceedings in any other country?

YES NO

Schedule A 5/8

N） made previous claims for refugee protection in Canada or at a Canadian visa

office abroad ,in any other country or countries ,or with the United Nations High Commissioner for Refugees(UNHCR)?YES NO

O） been refused refugee status ,an immigrant or permanent resident visa or visitor

or temporary resident visa ,to Canada or any other country?YES NO

P） been refused admission to ,or ordered to leave , Canada or any other country?

YES NO

Q） been involved in an act of genocide ,a war crime or in the commission of a

crime against humanity?YES NO

R） used ,planned or advocated the use of armed struggle or violence to reach

political ,religious or social objectives? YES NO

S） been associated with a group that used, uses ,advocated or advocates the use of

armed struggle or violence to reach political , religious or social objectives?YES NO


T） Been member of an organization that is or was engaged in an activity that is part

of a pattern of criminal activity? YES NO

U） been detained, incarcerated or put in jail?

YES NO

V） Had any serious disease or physical or mental disorder?

YES NO

If your answer to any of these questions is YES, provide details below：

Schedule A 6/8

5）Give full details of all education you have had.

Fromyy/mm

Toyy/mm

Name of institution City and country Type of certificate or diploma issued

6）Provide the details of your personal history since the age of 18, or the past 10 years,

whichever comes first.

Fromyy/mm

Toyy/mm

Activity City or townand country

Name of companyEmployer, school,

Facility


7）what organizations have you supported, been a member of or been associated with? Include

any political, social, youth or student organization, trade unions and professional associations. Do not use abbreviations. Indicate the city and country where you were a member.

Fromyy/mm

Toyy/mm

Name of organization

Type of organization

Activities and/or positions held within

organizationCity and country

Schedule A 7/8

8）List any government positions you have held. Do not use abbreviations.

Fromyy/mm

Toyy/mm

Country and level of jurisdiction

Department/Branch Activities and/or positions held

9) Provide below details of military service for each of the countries in whose armed forces you served.

Name of country：

Fromyy/mm

Toyy/mm

Branch of service , unit numbers and names of your commanding officers

Rank(s) Dates and place of any active combat


10) List all addresses where you have lived since your 18th birthday. Do not use P.O. Box addresses.

Fromyy/mm

Toyy/mm

Street and number City and town

Province, State/ District

Country

Schedule A 8/8

Principal Applicant

1) First Name： 2) Last Name：

3) Date of Birth：

4) Do you have an offer of employment in Canada approved by Human Resource Development Canada? No Yes *If yes, employer’s name: Address: Occupation:

5) Are you currently working in Canada under a work permit? No Yes

6) a. You are a recipient of a Government of Canada scholarship or award that requires that you


return to your home country following the completion of your degree. No Yes

b. You are a recipient of a Government of Canada scholarship or award that requires that youreturn to your home country following the completion of your degree, but you have satisfiedthe terms of this scholarship or award.

No Yes

7) a. Which is your first Canadian official language? English French

b. Have you taken a test from a designated testing agency to assess your proficiency in Englishor French? No Yes

Schedule 3 1/3

8) Have you or, if applicable, your accompanying spouse or common-law partner previously completed a program of full time study of at least two years at a post- secondary institution in Canada?No Yes *If yes, please specify: You Your spouse or common-law partner 9) Have you or, if applicable, your accompanying spouse or common law partner, previously worked full time in Canada?No Yes *If yes, please specify: You Your spouse or common law partner

10) a. Do you or, if applicable, your accompanying spouse or common law partner, have a relative living in Canada who is a citizen or a permanent resident of Canada?No Yes *If yes, please specify You Your spouse or common law partner b. Relationship:


Mother Grandmother or grandfather

Daughter or son Granddaughter or grandson

Sister or brother Aunt or uncle

Niece or nephew Spouse or common-law partner

11) a. Indicate the total amount of assets, in Canadian Dollars b. Indicate the total amount of liabilities, in Canadian Dollars c. Indicate the total amount of unencumbered transferable and available funds that you have in Canadian dollars

Schedule 3 2/3

12) Starting with your current occupation, list your occupations within the 10 years preceding the date of your application.

From(yyyy/mm)

To(yyyy/mm)

Occupation Years of Experience

Main duties


Schedule 3 3/3

Principal Applicant

1. Complete all names in English and in your native language.a) Please indicate your family information:

Relationship Name Date of Birth

Place of Birth

Marital status Address

Applicant

Spouse or common-law partnerMother

Father

b) Please indicate your children information (if applicable)


Place of Birth



c) Please indicate your sibling information (if applicable):


Place of Birth


IMM5406 1/2

Spouse/ Common-law partner

1. Complete all names in English and in your native language.a) Please indicate your family information:


Place of Birth


Applicant

Spouse or common-law partnerMother

Father

b) Please indicate your children information (if applicable)


Place of Birth



c) Please indicate your sibling information (if applicable):


Place of Birth


IMM5406 2/2

Principal applicant

1. List all trips you, and if applicable, your family members have taken outside your country of origin or of residence in the last ten years (or since your 18th birthday if this was less than ten years ago). Include all trips: tourism, business, training, etc.

a) Principal applicant:From

(mm/yy)To

(mm/yy)Length Destination

(City and Country)Purpose of travel


b) Spouse or common-law partnerFrom

(mm/yy)To



IMM5562 1/2

c) Dependent child (18 years old or older) Name: From

(mm/yy)To



d) Dependent child (18 years old or older) Name: From

(mm/yy)To




e) Dependent child (18 years old or older) Name: From

(mm/yy)To



IMM5562 2/2

Common-law Relationship

Please complete this section if you have a common-law partner.

1) Principal applicant

a) First Name： b) Last Name：

2) Common-law partner

a) First Name： b) Last Name：

3) Your common-law partner and you have cohabited in a conjugal relationship for continuous year(s) from (yyyy/mm/dd) to (yyyy/mm/dd)

4. Your common-law partner and you:a) Have jointly signed a residential lease, mortgage or purchase agreement relating to a residence in which we both live.


Yes No b) Jointly own property other than our residence.

Yes No c) Have joint bank, trust, credit union or charge card accounts.

Yes No d) Have declared our common-law union under the Canadian Income Tax Act.

Yes No

5) You have life insurance on yourself which your common-law partner as beneficiary.Yes No

6) Your common-law partner has a life insurance on him/herself which names you as beneficiary.

Yes No

IMM 5409 1/2

7) If none of the above sections apply what other documentary evidence do you have that would indicate your relationship as a common-law partner?


IMM 5409 2/2

skilled worker

Documents

sex eye color

national identity document

valid passport travel document

temporary resident visa

made previous claims

permanent resident visa

family members listed

jurisdiction department branch activities