Additional Family Information (imm 5406)




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Citizenship and
Citoyenneté et
Immigration Canada Immigration Canada 
IMMIGRATION Table of Contents
Appendix A - Document Checklist
Canada
Appendix B - Photo Specifications
Appendix C - Medical Instructions
Family Class
Sponsorship of 

parents, grandparents, 
adopted children and 
other relatives
Visa Office Specific 
Instructions
Moscow
Ce guide est également 
disponible en français
IMM 3075 E (07-2011)

Appendix A
Checklist 
Assemble all your documents as listed. Check () each applicable item on the checklist and attach the 
checklist to your document (a paper clip will do).
Important:

Copies of Documents: Send notarized photocopies (kserokopii) of all documents unless 
indicated otherwise. Retyped copies (as opposed to photocopies) are not acceptable.

Translations: If your documents are not in English or French, also include a notarized 
translation done by an official translator. Do not translate your own documents.
 
1.
IMMIGRATION FORMS
Check that they are complete and, where applicable, signed:
Additional Family Information (IMM 5406) - You and each of your family members 18 years of 

age or older must complete their own copy of this form.
Use of a Representative (IMM 5476) - If you want us to deal with a representative on your behalf, 

be sure you have completed and signed the form.
2.
IDENTITY AND CIVIL STATUS DOCUMENTS

Provide birth, marriage, final divorce, annulment or separation certificates for you and your spouse 
or common-law partner; provide death certificate for former spouse if applicable. 
Provide proof of name changes, if applicable, such as name change certificates or previous 
marriage certificates showing name change.
3.
CHILDREN'S INFORMATION

• Provide children’s birth certificates (which name their parents); adoption papers for adopted 
dependent children; proof of custody for children under age 18 and proof that the children may be 
removed from the jurisdiction of the court; if the children will not accompany you to Canada, 
provide proof that you have fulfilled any obligation stated in custody agreements. 
• If you or your spouse or common-law partner have children under age 18 who will accompany 
you to Canada, an original notarized Consent for Immigration signed by the other parent 
allowing children under 18 to immigrate with you to Canada is required (see end of Appendix 
A). This consent will not be returned to you.
• If you or your spouse or common-law partner have children under age 22 who will not 
accompany you to Canada, you must provide proof that you or your spouse or common-law 
partner have fulfilled any obligation stated in divorce agreements (original). You or your spouse 
or common-law partner should also submit an original notarized Separation Statement (see end 
of Appendix A). These proofs and statements will not be returned to you.
• Proof of continuous full time studies of all dependent children aged 22 or over: provide 
complete school records and transcripts since age 22, letters from school(s) indicating the 
number of hours of classes attended per day, and the number of days attended per week, and 
proof of full financial support by parents since the age of 22.
Sponsorship III - Parents, grandparents, adopted children... – Moscow
A - 1

4.
TRAVEL DOCUMENTS AND PASSPORTS

• Passports or travel documents, if available when you submit your application, for you, your 
spouse or common-law partner and dependent children. Include only copies of pages showing 
the passport number, date of issue and expiration, your photo, name, date and place of birth 
(notarization and translation not necessary). 
• If you live in a country different from your nationality, include a copy of your visa for the country in 
which you currently live. 
Note: You must hold a valid regular travel passport. Diplomatic, official, service or public affairs 
passports are not valid for immigration to Canada.
5.
PROOF OF RELATIONSHIP IN CANADA

• Proof of relationship to your sponsor in Canada, such as birth, marriage or adoption certificates.
• If your sponsor is a permanent resident of Canada: photocopy of his or her Record of Landing  
(IMM 1000), Confirmation of Permanent Residence or Permanent Resident Card.
• If your sponsor is a Canadian citizen: proof of Canadian citizenship, such as a photocopy of 
pages of a Canadian passport or Canadian citizenship card.
6.
POLICE CERTIFICATES AND CLEARANCES

Original police certificates or clearances from each country and each republic of the former USSR 
in which you and members of your family aged 18 years or over have lived six months or longer 
since reaching 18 years of age. You must attach the original police document(s) with notarized 
translations. Please consult our website at: www.cic.gc.ca/english/information/security/police-
cert/index.asp 
for 
specific and up-to-date information on how to obtain police certificates from any 
country.
 
7.
LABOUR RECORD

Your workbook and that of your spouse or common-law partner and children aged 18 or over (who is 
not the sponsor). Ensure that the photocopies and the translation into English or French are 
notarized. Reference letter(s) from your employer(s) not included in your workbooks are also 
required (originals with notarized translations).
8.
PROOF OF STUDIES

Proof of studies for you and each family member 18 years and over (if not the sponsor) such as 
diplomas or proof of incomplete and current studies.
9.
UNDERTAKING FORM

Photocopy of undertaking form (formulaire d’engagement) if your sponsor lives in the province of 
Quebec. Notarization is not necessary. Submit this form if it is available at the time you submit your 
application.
10.
PHOTO REQUIREMENTS

Supply six (6) recent photos for each member of your family and yourself. Follow the instructions in 
your guide (see Photos in section on completing the Application for Permanent Residence in 
Canada
) and in Appendix B: Photo Specifications.
Note: On the back of each photograph, write the name and date of birth of the person who appears 
in the photo as well as the date the photo was taken.
A - 2
Sponsorship III - Parents, grandparents, adopted children... – Moscow

Mailing your application
Place all of your documents in a sealed envelope and mail them to:
The Embassy of Canada
Visa Section
23 Starokonyushenny Pereulok
Moscow 119002
Russia
Sponsorship III - Parents, grandparents, adopted children... – Moscow
A - 3

DECLARATION
I, the undersigned, _____________________________________________________________________
authorize my son (daughter) _____________________________________________________________
to immigrate to Canada to live permanently with his(her) father(mother) __________________________
____________________________________________________________________________________
I understand and accept that this will not oblige the Government of Canada to grant me admission to Canada 
in the future, either as a visitor or as an immigrant, unless I satisfy all the requirements of the Canadian 
Immigration and Refugee Protection Act and Regulations in effect at that time.
If this condition is not satisfied, I understand and accept that this may result in a permanent separation from 
my son (daughter).
Declared at ____________________________________ on ___________________________
Signature: _____________________________________
N.B.: This declaration must be witnessed either by a Notary Public.
Below is the translation into Russian 
✄ -------------------------------------------------------------------------------------------------------------- 
Перевод на английский язык выше 

ЗАЯВЛЕНИЕ 
Я, нижеподписавшийся, _______________________________________________________, 
разрешаю моей сыну (дочери) ___________________________________________________ 
иммигрировать в Канаду на постоянное жительство с его (ее) матерью (отцом) _________ 
_____________________________________________________________________________. 
Я  понимаю  и  признаю,  что  правительство  Канады  не  будет  обязано  дать  мне  в  будущем 
разрешение на гостевую поездку или постоянное жительство, если я не буду соответствовать 
всем требованиям Канадского Закона об Иммиграции и защите беженцев и действующим на 
тот момент нормам. 
Если это условие не будет выполнено, я понимаю, что это может повлечь постоянную разлуку 
с моим сыном (дочерью). 
Заявлено в _______________________________ Дата _____________________________ 
Ваша подпись ____________________________ 
Примечание: это заявление должно быть заверено государственным нотариусом. Нотариус 
может перепечатать текст заявления на своем бланке или на отдельном листе. 

DECLARATION
I, the undersigned, _____________________________________________________________________
understand and accept that if I am admitted to Canada as a permanent resident, this will not oblige the 
Government of Canada to grant admission to my spouse or my children whose names appear below: 
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
unless they satisfy all the requirements of the Canadian Immigration and Refugee Protection Act and 
Regulations in effect at that time.  If this condition is not fully satisfied, I understand and accept that this 
may result in a permanent separation from my spouse and children. 
Declared at ____________________________________ on ___________________________
Signature: _____________________________________
N.B.: This declaration must be witnessed either by a Notary Public.
Below is the translation into Russian 
✄ -------------------------------------------------------------------------------------------------------------- 
Перевод на английский язык выше 
ЗАЯВЛЕНИЕ 
Я, нижеподписавшийся, __________________________________________________________
понимаю  и  признаю,  что  если  я  получу  разрешение  на  постоянное  место  жительства  в
Канаде,  это  не  будет  означать  обязательства  правительства  Канады  дать  разрешение  на
въезд 
моей(му) 
супруге(у) 
и 
детям, 
чьи 
имена 
указаны 
ниже,
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
если они не будут соответствовать всем требованиям Канадского Закона об Иммиграции и
защите  беженцев
  и  действующим  на  тот  момент  нормам.  Если  это  условие  не  будет
полностью выполнено, я понимаю и согласен с тем, что это может привести к постоянной
разлуке с супругой(ом) и детьми. 
 
Заявлено в  _______________________________  Дата  ________________________________
(где) 
 
Ваша подпись  _____________________   
 
Примечание: это заявление должно быть заверено государственным. Нотариус может 
перепечатать текст заявления на своем бланке или на отдельном листе.
 


Appendix B
Photo Specifications
Notes to the applicant
TAKE THIS WITH YOU TO THE PHOTOGRAPHER

Immigration photos are not the same as passport photos.

Make sure that you provide the correct number of photos specified in this guide.
Notes to the photographer
The photos must:

show a full front view of the person’s head and shoulders showing full face centered in the 
middle of the photograph;

have a plain white background;

be identical (black and white or colour) produced from the same untouched negative, or 
exposed simultaneously by a split-image or multi-lens camera.
The photos must:

measure between 25 mm and 30 mm (1” and 1 1/5”) from chin to crown;

have a 35 mm x 45 mm (1 3/8” x 1 3/4”) finished size.
1

2

Appendix C
Medical Instructions
Everyone included in your application, whether accompanying you or not, will be required to undergo a 
medical exam with a physician shown on the list of designated doctors. If you are divorced or separated, a 
minor child is considered your dependent child, even if he or she usually lives with the other parent and is 
not accompanying you to Canada.
Medical instructions and the list of doctors designated by the Canadian Immigration Medical Service will 
be provided by the Embassy of Canada in Moscow once your application has been reviewed or after an 
interview, if required.
You will be responsible for the cost of the medical exam for all of your family members.
 
C - 1
Family Class Application – Moscow

Document Outline

  • Appendix A Checklist
  • Mailing your application
  • Appendix B Photo Specifications
  • Appendix C Medical Instructions


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