Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2

Tel: 604.628.8306 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 Proficiency 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 certificate o 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 certificate IMM 5612 1/3

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2 9) Original translation and copy of National ID card 10) Original translation and copy of Marriage/ Divorce Certificate

Tel: 604.628.8306 Fax: 604.232.1110

11) Original translation and police clearance certificate 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 agreement 2) Original translation and copy of life insurance coverage 3) Original translation and copy of joint bank account information 4) Original translation and copy of joint assets information 5) Original translation and copy of utility bills under both names 6) Original translation and copy of any documents under both names

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

IMM 5612 2/3

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2 *If dependent child is over 18:

Tel: 604.628.8306 Fax: 604.232.1110

1) Original translation and police certificate o 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

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2 Principal Applicant 1 3 First Name 2 Last Name

Tel: 604.628.8306 Fax: 604.232.1110

Have you ever used any other name? Yes *If yes, Name No Client ID (can be found on study permit or work permit, 8 digits) Sex Eye color: Place of Birth Current country of residence Date and place of your last entry to Canada 6 8 10 Height Date of Birth Citizenship(s)

4 5 7 9 11 12

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

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2

Tel: 604.628.8306 Fax: 604.232.1110

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: Residential address

16

17 19 21

Telephone No. Fax no.

18 Alternate telephone no. 20 E-mail address

Do you have a valid passport/travel document No Yes *Passport/Travel document number *Country of issue *Issue date *Expiry date Do you have a national identity document No Yes *Document number *Country of issue *Issue date *Expiry date 0008G 2/7

22

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2 23 a. Highest level of education b. Number of years of education in total c. Current occupation d. Intended occupation a. Native language b. Are you able to communicate in English and/or French: Spouse/ Common-law partner 2 3 First Name 2 Last Name

Tel: 604.628.8306 Fax: 604.232.1110

24

Have you ever used any other name? No Yes *If yes, Name Client ID (can be found on study permit or work permit, 8 digits) Sex Eye color: Place of Birth Current country of residence Date and place of your last entry to Canada 6 8 10 Height Date of Birth Citizenship(s)

4 6 7 9 11 12

0008G 3/7

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2

Tel: 604.628.8306 Fax: 604.232.1110

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? Yes If yes, Fill in the form No Country Status Other From (yy/mm/dd) To (yy/mm/dd)

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 Yes No *If yes, provide the following details for your previous spouse/common-law partner Name Type of relationship From: To: Residential address

16

17 19

Telephone No. Fax no.

18 Alternate telephone no. 20 E-mail address

0008G 4/ 7

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2 21 Do you have a valid passport/travel document Yes No *Passport/Travel document number *Country of issue *Issue date *Expiry date 22 Do you have a national identity document No Yes *Document number *Country of issue *Issue date *Expiry date 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:

Tel: 604.628.8306 Fax: 604.232.1110

23

Dependant(S) 1 3 First Name Have you ever used any other name? No Yes *If yes, Name Client ID (can be found on study permit or work permit, 8 digits): 0008G 5/7 2 Last Name

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2 5 Sex 7 9 11 12 Eye color Place of Birth Relationship to principal applicant

Tel: 604.628.8306 Fax: 604.232.1110 6 8 10 Height Date of Birth Citizenship(s)

a. Will accompany principal applicant to Canada Yes No b. Reason why dependant is non-accompanying Current country of residence Country Status Other From (yy/mm/dd) To (yy/mm/dd)

13

14

Date and place of your last entry to Canada

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?) Yes If yes, Fill in the form No Country Status Other From (yy/mm/dd) To (yy/mm/dd)

0008G 6/7

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2

Tel: 604.628.8306 Fax: 604.232.1110

16) 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 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 Do you have a valid passport/travel document No Yes *Passport/Travel document number *Country of issue *Issue date *Expiry date: Do you have a national identity document No Yes *Document number *Country of issue *Issue date *Expiry date 20) a. Highest level of education b. Number of years of education in total c. Current occupation d. Intended occupation 21) a. Native language b. Are you able to communicate in English and/or French 0008G 7/7

18

19

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2 Applicant Your full name written in your native language or script Personal details of your father First name Last name Date of birth Town/City of birth Country of birth Date of death ,if deceased Personal details of your mother First name Last name Date of birth Town/City of birth Country of birth Date of death ,if deceased

Tel: 604.628.8306 Fax: 604.232.1110

1 2 A B C D E F 3 A B C D E F 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

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2 C

Tel: 604.628.8306 Fax: 604.232.1110

E F

J K

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)? NO YES been refused refugee status ,an immigrant or permanent resident visa or visitor or temporary resident visa ,to Canada or any other country? YES NO been refused admission to ,or ordered to leave , Canada or any other country? NO YES been involved in an act of genocide ,a war crime or in the commission of a crime against humanity? YES NO used ,planned or advocated the use of armed struggle or violence to reach political ,religious or social objectives? YES NO 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? NO YES Been member of an organization that is or was engaged in an activity that is part of a pattern of criminal activity? YES NO been detained, incarcerated or put in jail? NO YES Had any serious disease or physical or mental disorder? NO YES If your answer to any of these questions is YES, provide details below

Schedule A 2/8

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2 5 Give full details of all education you have had. From yy/mm To yy/mm Name of institution

Tel: 604.628.8306 Fax: 604.232.1110

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. From yy/mm To yy/mm Activity City or town and country Name of company Employer, 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. Activities and/or From To Name of Type of positions held within City and yy/mm yy/mm organization organization organization country

Schedule A 3/8

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2 8

Tel: 604.628.8306 Fax: 604.232.1110

List any government positions you have held. Do not use abbreviations. From yy/mm To yy/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 From To Branch of service , unit Rank(s) Dates and place of yy/mm yy/mm numbers and names of your any active combat commanding officers

10) List all addresses where you have lived since your 18th birthday. Do not use P.O. Box addresses. From To Street and number City and Province, Country yy/mm yy/mm town State/ District

Schedule A 4/8

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2 Spouse/ Common-law partner Dependent child 18 years old or older 5 6 Your full name written in your native language or script Personal details of your father G First name H I J K L 7 G H I J K L 8 Last name Date of birth Town/City of birth Country of birth Date of death ,if deceased Personal details of your mother First name Last name Date of birth Town/City of birth Country of birth Date of death ,if deceased

Tel: 604.628.8306 Fax: 604.232.1110

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

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2

Tel: 604.628.8306 Fax: 604.232.1110

P Q

U V

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 been refused refugee status ,an immigrant or permanent resident visa or visitor or temporary resident visa ,to Canada or any other country? NO YES been refused admission to ,or ordered to leave , Canada or any other country? YES NO been involved in an act of genocide ,a war crime or in the commission of a crime against humanity? NO YES used ,planned or advocated the use of armed struggle or violence to reach political ,religious or social objectives? YES NO 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 Been member of an organization that is or was engaged in an activity that is part of a pattern of criminal activity? NO YES been detained, incarcerated or put in jail? YES NO Had any serious disease or physical or mental disorder? NO YES If your answer to any of these questions is YES, provide details below

Schedule A 6/8

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2

Tel: 604.628.8306 Fax: 604.232.1110

Give full details of all education you have had. From yy/mm To yy/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. From yy/mm To yy/mm Activity City or town and country Name of company Employer, 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. Activities and/or From To Name of Type of positions held within City and yy/mm yy/mm organization organization organization country

Schedule A 7/8

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2 8

Tel: 604.628.8306 Fax: 604.232.1110

List any government positions you have held. Do not use abbreviations. From yy/mm To yy/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 From To Branch of service , unit Rank(s) Dates and place of yy/mm yy/mm numbers and names of your any active combat commanding officers

10) List all addresses where you have lived since your 18th birthday. Do not use P.O. Box addresses. From To Street and number City and Province, Country yy/mm yy/mm town State/ District

Schedule A 8/8

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2 Principal Applicant 1) First Name 3) Date of Birth 2) Last Name

Tel: 604.628.8306 Fax: 604.232.1110

4) Do you have an offer of employment in Canada approved by Human Resource Development Canada? No Yes *If yes, employers name: Address: Occupation: 5) Are you currently working in Canada under a work permit? Yes No 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 you return to your home country following the completion of your degree, but you have satisfied the terms of this scholarship or award. Yes No 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 English or French? No Yes

Schedule 3

1/3

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2

Tel: 604.628.8306 Fax: 604.232.1110

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? Yes No *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 Your spouse or common law partner *If yes, please specify: You 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 Your spouse or common law partner *If yes, please specify You b. Relationship: Mother Daughter or son Sister or brother Niece or nephew

Grandmother or grandfather Granddaughter or grandson Aunt or uncle 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

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2

Tel: 604.628.8306 Fax: 604.232.1110

12) Starting with your current occupation, list your occupations within the 10 years preceding the date of your application. From To Occupation Years of Main duties (yyyy/mm) (yyyy/mm) Experience

Schedule 3 3/3

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2 Principal Applicant 1. Complete all names in English and in your native language. a) Please indicate your family information: Relationship Applicant Spouse or common-law partner Mother Father b) Please indicate your children information (if applicable) Relationship Name Date of Birth Place of Birth Name Date of Birth Place of Birth

Tel: 604.628.8306 Fax: 604.232.1110

Marital status

Address

Marital status

Address

c) Please indicate your sibling information (if applicable): Relationship Name Date of Birth Place of Birth Marital status Address

IMM5406 1/2

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2 Spouse/ Common-law partner 1. Complete all names in English and in your native language. a) Please indicate your family information: Relationship Applicant Spouse or common-law partner Mother Father b) Please indicate your children information (if applicable) Relationship Name Date of Birth Place of Birth Name Date of Birth Place of Birth

Tel: 604.628.8306 Fax: 604.232.1110

Marital status

Address

Marital status

Address

c) Please indicate your sibling information (if applicable): Relationship Name Date of Birth Place of Birth Marital status Address

IMM5406 2/2

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2 Principal applicant

Tel: 604.628.8306 Fax: 604.232.1110

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 To (mm/yy) (mm/yy)

Length

Destination (City and Country)

Purpose of travel

b) Spouse or common-law partner From To (mm/yy) (mm/yy)

Length

Destination (City and Country)

Purpose of travel

IMM5562 1/2

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2 c) Dependent child (18 years old or older) Name: From To Length Destination (mm/yy) (mm/yy) (City and Country)

Tel: 604.628.8306 Fax: 604.232.1110

Purpose of travel

d) Dependent child (18 years old or older) Name: From To Length Destination (mm/yy) (mm/yy) (City and Country)

Purpose of travel

e) Dependent child (18 years old or older) Name: From To Length Destination (mm/yy) (mm/yy) (City and Country)

Purpose of travel

IMM5562 2/2

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2

Tel: 604.628.8306 Fax: 604.232.1110

Common-law Relationship Please complete this section if you have a common-law partner. 1) Principal applicant a) First Name 2) Common-law partner a) First Name

b) Last 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. No Yes 6) Your common-law partner has a life insurance on him/herself which names you as beneficiary. Yes No

IMM 5409 1/2

Unit 3200, 8788 McKIM Way, Richmond, BC, Canada V6X 4E2

Tel: 604.628.8306 Fax: 604.232.1110

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