Right of Permanent Residence Fee Loan Application (IMM 5349)

Surname (Family Name) and Given Name(s): Print all names in full. Do not use initials. If you are using your maiden or birth name, print your name and add “(maiden)” after it.

Date of birth: Print your date of birth beginning with the day, followed by the month and year. If you are unsure of your date of birth, give your age as follows: 34 (age).

Social Insurance Number: Enter the nine digits of your Social Insurance Number, if you have one.

Telephone Number: Print your home and business telephone numbers and fax number (if you have one) including the area code.

Status in Canada: Provide a copy only of supporting documents such as your confirmation of permanent residence, Canadian citizenship card and/or notice of Convention refugee determination.

Print your complete home address, including the street address, your apartment or unit number, the city, province, and your postal code. Print your complete mailing address if it is different from your home address.

Each family member should be counted only once. For example, if you previously sponsored your spouse or common-law partner and your spouse or common-law partner is still dependent upon you count 1 for ‘Your spouse’ or ‘common-law partner’ but do not count your spouse or common-law partner again under ‘Previously sponsored relatives who are still dependent on you or your spouse or common-law partner for support (previous undertaking still valid).

Identify all of the persons in Canada and abroad who will be included in your application for permanent residence or sponsorship undertaking, including yourself (if applicable), for whom a RPRF loan is being requested. If additional space is required, attach a separate sheet of paper. Include only those persons who will be included in your application for permanent residence or sponsorship.

Insert the fee amount of $575 (for each person not exempted) in either column A (if the person lives in Canada) or column B (if the person lives outside of Canada). This will be used to determine the amount of the loan you are requesting.

Monthly Family Income: Provide the total monthly income for each area identified (if applicable). “Family” means yourself, your spouse or common-law partner and children living with you (where applicable). Where income originates from outside Canada, convert to the Canadian Dollar equivalent. It is important to provide proof of your income. Attach a copy of your Income Tax return and either:

1. a letter from your employer or
2. a copy of your pay stub.

If you are currently enrolled in a school, training or language program, provide a letter from the educational institution.

Monthly Family Debt Payments: Where applicable, provide the total monthly debt payment for each area identified. With regards to credit cards, estimate your total credit card usage (expenditures) for a year and then divide by twelve to obtain your monthly credit card debt payment. Provide loan details in the space provided.

Monthly Family Living Expenses: Where applicable, provide the total monthly living expenses for each area identified. In some cases (for example, groceries), it may not be possible to accurately identify monthly costs. Therefore, an estimate — as close to reality as possible — is acceptable.

Provide the amount of funds you expect to receive within the next two years as the result of such things as the sale of property.

If you or a member of your immediate family is on social assistance, complete this question by placing an “X” in the “YES” box and answer the other questions. It is important to remember that you must answer the questions specifically as they relate either to yourself, your spouse or common-law partner or other family members (especially if more than one person is in receipt of social assistance). Ensure that any amount of social assistance received is reflected in question 5 under “Monthly Family Income”.

Follow the instructions for question 7 above but specifically relating to Employment Insurance Benefits. Ensure that any amount of Employment Insurance Benefits received is reflected in question 5 under “Monthly Family Income”.

Loan applicant: Indicate all employers for the last 24 months.

Spouse or common-law partner and other immediate family members: An “immediate family member” is considered to be a son, daughter or adopted child. Indicate all employers for the last 24 months for your spouse or common-law partner and each immediate family member, as applicable.

Loan Applicant: Provide specific details relating to any such activity both past and present.

Spouse or common-law partner and other immediate family members: As in question 9 above, indicate all voluntary or other unpaid work for the last 24 months for each immediate family member.

Loan Applicant: If you are currently enrolled in a school, training or language program, provide specific details relating to any such program.

Spouse or common-law partner and other immediate family members: As in questions 9 and 10 above, provide specific details for the last 24 months for each family member.

Answer these questions as thoroughly as possible. If any of the questions are not applicable to your situation, indicate with a “n/a” (not applicable).

Read carefully, then sign and date the form in the space provided. Where applicable, your spouse or common-law partner should also sign and date the form in the space provided.