IMM 5406 Additional Family Information

ADDITIONAL FAMILY INFORMATION

The principal applicant, their spouse or common-law partner (if applicable), and all dependent children 18 years of age or older must complete their own copy of this form. Complete ALL names in English and in your native language (for example, Arabic, Cyrillic, Chinese, Chinese commercial/telegraphic code, Korean, or Japanese characters). If additional space is required attach a separate sheet. If a section does not apply, write "Not applicable".

BEFORE YOU START, READ THE INSTRUCTION GUIDE. TYPE or PRINT in black ink

SECTION A

Family Details

Name	Relationship	Marital status	Present address	Date of birth (YYYY-MM-DD)	Country or territory of birth	E-mail address

SECTION B

CHILDREN (Include ALL sons and daughters, including ALL adopted and step-children, regardless of age or place of residence)

Name	Relationship	Date of birth (YYYY-MM-DD)	Present address	Marital status	Country or territory of birth	E-mail address

SECTION C

BROTHERS AND SISTERS (Including half - and step-brothers and sisters)

Name	Relationship	Date of birth (YYYY-MM-DD)	Present address	Marital status	Country or territory of birth	E-mail address

SECTION D

CERTIFICATION

I certify that the information contained on this document is complete, accurate and factual. I also realize that once this document has been completed and signed that it will form part of my Immigration Record and will be used to verify my family details on future applications

Signature

Date