Schedule 1: Application for Permanent Residence Under the Temporary Public Policy to Facilitate the Issuance of Permanent Residence Visas to Certain Colombian, Haitian, and Venezuelan Nationals with Family in Canada (IMM 5989)

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Schedule 1 (IMM 5989)

This form must be completed and uploaded by:

  • you, the principal applicant

Section A – Applicant Information

  1. Enter your full family name (surname or last name) as shown on your passport, travel document or identity document.
  2. Enter all of your given name(s) (first, second or more) as shown on your passport, travel document or identity document. Do not use initials.

    Note: If you do not have a family name on your passport or travel document, enter all given names in the family name field and leave the given name field blank.

    If you do not have a given name on your passport or travel document, leave the given name field blank.

  3. Enter your passport/travel document number, if you do not know the number, leave this space blank.
  4. Enter date of birth. If you do not know the complete date of birth, use “01” to fill in the spaces for the unknown year, month or day. Include a letter of explanation saying why you could not include the complete date.
  5. Enter your country or territory of birth.
  6. Indicate your country of citizenship.
  7. Enter your current country of residence.
  8. Enter your telephone number, including the country code, area/regional code.
  9. Select your current marital status.
  10. If you have an email address, enter it here (for example, name@provider.net).

    Note: By indicating your email address, you are hereby authorizing IRCC to send you correspondence, including personal information, to this specific email address.

  11. Enter your current residential address (where you live) by typing the following information:
    • Apartment (Apt.) or unit number, if applicable
    • Street number (no.), if applicable. It is the number on your house or apartment building.
    • Street name, if applicable
    • City or Town
    • Province or State
    • Country
    • Postal code or zip code

Section B – Requirements of the Public Policy

Answer each question by checking the appropriate box.

If you answered “Yes” to question 3, you must provide the name of your anchor, describe the relationship with you and provide documentation to demonstrate the relationship between you and your anchor.

Section C – Pre-arrival Facilitations

Answer yes or no by checking the appropriate box.

Section D and E – Consent and Declaration

Carefully read section D, sign Section E to provide your consent and upload the form to your online application.

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