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Citizenship and
              Immigration Canada
                                          Citoyennet et
                                          Immigration Canada
                                                                           /                                                               PROTECTED WHEN COMPLETED - B
                                                                                                                                                                          PAGE 1 OF 2

              SPOUSE/COMMON-LAW QUESTIONNAIRE
              For use in joint kit for Spouses or common-law partners in Canada
This document must be completed and included with your
application for permanent residence in Canada if you are being
sponsored by your spouse or common-law partner. Provide a
complete and precise response to each question. Failure to provide
this information could result in a refusal of your application. If more
space is needed, include additional pages.
On each additional page, you must indicate the title of this form
and specify the number or letter of the question you are
answering. Also ensure that your name is included on each
additional page.                                                                                7.                                                     /                          .
                        1.                                                                                          ,          /                       ,                  ,
 1.    When was the first time you met your sponsor in person?                             7.   Were there formal ceremonies to recognize/celebrate your
                        Day      Month     Year
                                                                                                relationship, e.g., engagement ceremony, traditional/customary
       Date                                                                                     marriage ceremony, commitment ceremony, partnership ceremony,
                                                                                                reception, etc?
                                                                                                                                             ,
       Where?                                                                                        No             Explain on a separate sheet of paper.

       Describe the circumstances of your first meeting.                                             Yes            For each ceremony attach a photograph and provide, on a
                                                                                                                    separate sheet of paper, the date, location, number of
                                                                                                                    attendees and indicate who performed the ceremony.
                                                                                                Did the following persons attend the ceremony?
                                                                                                a) Your parents? a)
                                                                                                          No             Explain on a separate sheet of paper.                ,
       Did anyone introduce you to your sponsor?                                                          Yes
           No
                                                                                                b) Your sponsor's parents?                 b)
           Yes         Who introduced you?
                                                                                                          No             Explain on a separate sheet of paper.                ,
                                                                                                          Yes
       2. ͓Ƿ?һ[
 2.    Did you and your sponsor go on outings and/or trips together?                            8.
                                                                                           8.   Are you or your sponsor pregnant?
           No          Explain on a separate sheet of paper.
                                                                                                     No
           Yes         Describe the types of outings/trips on a separate sheet of                                                                       ,
                       paper and attach photos, if any.                                              Yes            Attach a letter from the attending physician indicating the
        3.                                                                                                          anticipated date of birth.
 3.    Are you currently living with your sponsor?
                                                                    ,          ,                9.a)
                                                                                           9. a) Were you ever previously married or in a common-law relationship?
           No          Explain on a separate sheet of paper.
                       If you are living with someone other than your sponsor,                           No             ,                         ;                               ,
                       include their name and their relationship to you in your
                       explanation.                                                                      Yes            Provide the following details about your previous spouse
           Yes         Period of cohabitation.                                                                          or common-law partner. If you have been involved in
                                                                                                                        more than one relationship, use a seperate sheet of
                        Day     Month      Year            Day   Month    Year                                          paper to provide details.
                From                                  To         present
      4.                                                                                         Family name
 4.    Is your relationship known to your close friends and family?
           No          Explain on a separate sheet of paper.                                     Given name(s)
                                                                               ,
           Yes         On a separate sheet of paper, give their names,
                       relationship to you and the dates your sponsor met them.
  5.                                              .
 5.    Are you in a common-law relationship, i.e. have you and your
       sponsor lived together in a conjugal relationship for a period of at                                              Day       Month        Year
                                                                                                 Date of birth
       least one year? شyes,ҪPCļ,f
           No
                         ҊQ12                                                                    Address
           Yes       Provide written and documentary evidence of your                            No. and street
                     relationship, e.g., joint insurance policies, wills, anything
                     naming your partner as beneficiary, documents showing                       Town/City
                     travel together, identity documents showing same address,
                     documents showing joint ownership of possessions, joint
                     mortgage/loan, joint lease/rental agreement, joint bank                     Country
                     accounts/statements, etc.
  6.              ,            a) b),                           7
  6.    If you are married, answer a) and b) below. If not, proceed to                           Length of               Day       Month        Year        Day   Month       Year
        question 7.                                                                              relationship                                          To
        a) Was your marriage arranged? a)
                                                                                                                                                            Day   Month       Year
                 No                                                                              Date of divorce/ separation/death

                 Yes          On a separate sheet of paper, describe how the
                                                                                                     /          /
                              marriage was arranged.            ,                                Divorce papers/separation papers/death certificate attached?                         /   /
        b) Was there a honeymoon?          b)                                                         Yes
                 No
                                                                                                      No                Explain on a separate sheet of paper.             ,
                 Yes

                                   This form is made available by Citizenship and Immigration Canada and is not to be sold to applicants.
IMM 5285 (03-2005) E                                                (DISPONIBLE EN FRAN?AIS - IMM 5285 F)
11.                                                            PAGE 2 OF 2
    9.b)                                             ,
  9. b) Were there any children from this marriage or common-law                             11. Has your sponsor ever submitted a sponsorship application for
                                                                                                 another person?
       relationship?
                                                              .               2                  (Verify with your sponsor before answering this question)
            No
                                 ,
                              Give the following details on each child. If there is                         No
            Yes
                              more than one child, attach a separate sheet of paper.
                                                                                                            Yes         Give details below.      o輚
       Family name
                                                                                                      Family name
       Given name(s)
                                                                                                      Given name(s)



            Male       OR        Female
                                                                                                                            Day   Month      Year
                                                                                                      Date of birth
                              Day    Month     Year
       Date of birth
                                                                                                      Relationship to
       Indicate where he or she currently lives                                                       sponsor
       Address
       No. and street                                                                        12. On a separate sheet of paper, provide any additional details of your
                                                                                                 current relationship that you believe would help to prove your
       Town/City                                                                                 relationship is genuine and continuing.
                                                                                                      12.                         ,
       Country
                                                                                                                                                    .
       Custody agreement attached (if applicable)
            Yes

            No              Explain on a separate sheet of paper.
        10.
   10. Was your sponsor ever previously married or in a common-law
       relationship?
            No                                                                                   Applicant's
            Yes              Provide the following details below:                                signature
                   a)
       a) Indicate the number of times your sponsor was in:                                                           Day    Month        Year
                                                                                                 Date
                 a previous                              b)
                 marriage                                             .           ,          ;
                 a previous                                                              ,
                 common-law relationship

       b) Give the following details for each of your sponsor's previous                         This section must be fully completed if an interpreter assisted you in the
          spouses or common-law partners. If your sponsor has been                               preparation of this form.
          involved in more than one relationship, use a separate sheet of
          paper to provide details.                                                              INTERPRETER DECLARATION

          Family name                                                                            I,

                                                                                                 solemnly declare that I have faithfully and accurately interpreted in
          Given name(s)
                                                                                                 the                                                                 language

                              Day    Month    Year
                                                                                                 the content of this application and any related forms to the persons
          Date of birth                                                                          concerned.

          Address                                                                                I have been informed by the person concerned, and I do verily believe, that
          No. and street                                                                         he/she completely understands the nature and effect of these forms, and I
                                                                                                 make this solemn declaration conscientiously believing it to be true and
          Town/City                                                                              knowing that it is of the same force and effect as if make under oath.

          Country

          Length of           Day    Month    Year            Day Month           Year
          relationship                                   To
                                                              Day     Month       Year
          Date of divorce/separation/death                                                       Interpreter's
             /          /                                                                        signature
          Divorce papers/death certificate attached?              /       /
              Yes                                                                                                     Day    Month        Year
                                                                                                 Date
              No            Explain on a separate sheet of paper.             ,




IMM 5285 (03-2005) E
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Imm5285 e.pdf (e)

  • 1. Citizenship and Immigration Canada Citoyennet et Immigration Canada / PROTECTED WHEN COMPLETED - B PAGE 1 OF 2 SPOUSE/COMMON-LAW QUESTIONNAIRE For use in joint kit for Spouses or common-law partners in Canada This document must be completed and included with your application for permanent residence in Canada if you are being sponsored by your spouse or common-law partner. Provide a complete and precise response to each question. Failure to provide this information could result in a refusal of your application. If more space is needed, include additional pages. On each additional page, you must indicate the title of this form and specify the number or letter of the question you are answering. Also ensure that your name is included on each additional page. 7. / . 1. , / , , 1. When was the first time you met your sponsor in person? 7. Were there formal ceremonies to recognize/celebrate your Day Month Year relationship, e.g., engagement ceremony, traditional/customary Date marriage ceremony, commitment ceremony, partnership ceremony, reception, etc? , Where? No Explain on a separate sheet of paper. Describe the circumstances of your first meeting. Yes For each ceremony attach a photograph and provide, on a separate sheet of paper, the date, location, number of attendees and indicate who performed the ceremony. Did the following persons attend the ceremony? a) Your parents? a) No Explain on a separate sheet of paper. , Did anyone introduce you to your sponsor? Yes No b) Your sponsor's parents? b) Yes Who introduced you? No Explain on a separate sheet of paper. , Yes 2. ͓Ƿ?һ[ 2. Did you and your sponsor go on outings and/or trips together? 8. 8. Are you or your sponsor pregnant? No Explain on a separate sheet of paper. No Yes Describe the types of outings/trips on a separate sheet of , paper and attach photos, if any. Yes Attach a letter from the attending physician indicating the 3. anticipated date of birth. 3. Are you currently living with your sponsor? , , 9.a) 9. a) Were you ever previously married or in a common-law relationship? No Explain on a separate sheet of paper. If you are living with someone other than your sponsor, No , ; , include their name and their relationship to you in your explanation. Yes Provide the following details about your previous spouse Yes Period of cohabitation. or common-law partner. If you have been involved in more than one relationship, use a seperate sheet of Day Month Year Day Month Year paper to provide details. From To present 4. Family name 4. Is your relationship known to your close friends and family? No Explain on a separate sheet of paper. Given name(s) , Yes On a separate sheet of paper, give their names, relationship to you and the dates your sponsor met them. 5. . 5. Are you in a common-law relationship, i.e. have you and your sponsor lived together in a conjugal relationship for a period of at Day Month Year Date of birth least one year? شyes,ҪPCļ,f No ҊQ12 Address Yes Provide written and documentary evidence of your No. and street relationship, e.g., joint insurance policies, wills, anything naming your partner as beneficiary, documents showing Town/City travel together, identity documents showing same address, documents showing joint ownership of possessions, joint mortgage/loan, joint lease/rental agreement, joint bank Country accounts/statements, etc. 6. , a) b), 7 6. If you are married, answer a) and b) below. If not, proceed to Length of Day Month Year Day Month Year question 7. relationship To a) Was your marriage arranged? a) Day Month Year No Date of divorce/ separation/death Yes On a separate sheet of paper, describe how the / / marriage was arranged. , Divorce papers/separation papers/death certificate attached? / / b) Was there a honeymoon? b) Yes No No Explain on a separate sheet of paper. , Yes This form is made available by Citizenship and Immigration Canada and is not to be sold to applicants. IMM 5285 (03-2005) E (DISPONIBLE EN FRAN?AIS - IMM 5285 F)
  • 2. 11. PAGE 2 OF 2 9.b) , 9. b) Were there any children from this marriage or common-law 11. Has your sponsor ever submitted a sponsorship application for another person? relationship? . 2 (Verify with your sponsor before answering this question) No , Give the following details on each child. If there is No Yes more than one child, attach a separate sheet of paper. Yes Give details below. o輚 Family name Family name Given name(s) Given name(s) Male OR Female Day Month Year Date of birth Day Month Year Date of birth Relationship to Indicate where he or she currently lives sponsor Address No. and street 12. On a separate sheet of paper, provide any additional details of your current relationship that you believe would help to prove your Town/City relationship is genuine and continuing. 12. , Country . Custody agreement attached (if applicable) Yes No Explain on a separate sheet of paper. 10. 10. Was your sponsor ever previously married or in a common-law relationship? No Applicant's Yes Provide the following details below: signature a) a) Indicate the number of times your sponsor was in: Day Month Year Date a previous b) marriage . , ; a previous , common-law relationship b) Give the following details for each of your sponsor's previous This section must be fully completed if an interpreter assisted you in the spouses or common-law partners. If your sponsor has been preparation of this form. involved in more than one relationship, use a separate sheet of paper to provide details. INTERPRETER DECLARATION Family name I, solemnly declare that I have faithfully and accurately interpreted in Given name(s) the language Day Month Year the content of this application and any related forms to the persons Date of birth concerned. Address I have been informed by the person concerned, and I do verily believe, that No. and street he/she completely understands the nature and effect of these forms, and I make this solemn declaration conscientiously believing it to be true and Town/City knowing that it is of the same force and effect as if make under oath. Country Length of Day Month Year Day Month Year relationship To Day Month Year Date of divorce/separation/death Interpreter's / / signature Divorce papers/death certificate attached? / / Yes Day Month Year Date No Explain on a separate sheet of paper. , IMM 5285 (03-2005) E