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IN-CANADA APPLICATION FOR PERMANENT RESIDENT STATUS
This form is made available by Citizenship and Immigration Canada and is not to be sold to applicants.
(DISPONIBLE EN FRANÇAIS - IMM 5002 F)
IMM 5002 (06-2008) E
Your full name (print your name as it appears on your passport, or on
your travel document or other valid identity document. Do not use initials
print names in full.)
All other names (include birth name, maiden, previous married name(s),
aliases and nicknames)
Last time you
How many years of formal education do you have?
What is your highest level of completed education?
Country of issue
Date of issue
How many family members (including yourself) are included
in this application for permanent residence in Canada?
8. Country of last permanent residence (This is the country where you last
lived on a legal permanent basis. It is not a country where you had a
temporary status, such as foreign student or worker.)
10. Your current marital status
If you are married or in a common-law
relationship, provide the date on which
you were married or entered into the
13. Your mailing address
14. Your residential address, if different from your mailing address
15. Your telephone numbers
Your place of birth
5. Colour of your eyes
Your date of birth