Fillable APPLICATION TO SPONSOR AND UNDERTAKING (Transam International Inc.)

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APPLICATION TO SPONSOR AND UNDERTAKING (Transam International Inc.)

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Yes
FOR OFFICE USE ONLY
APPLICATION TO SPONSOR
AND UNDERTAKING
PAGE 1 OF 5
REFER TO INSTRUCTIONS FOR HELP IN COMPLETING THIS FORM
Citizenship and
Immigration Canada
Citoyenneté et
Immigration Canada
This form is made available by Citizenship and Immigration Canada and is not to be sold to applicants.
(DISPONIBLE EN FRANÇAIS - IMM 1344 A F)
IMM 1344 A (05-2003) E
11. If you are a permanent resident or a naturalized Canadian citizen,
give the name of the country where your application for permanent
residence was processed
Full name at the time you became a permanent resident
Family name
Given name(s)
Record of landing/confirmation of
permanent residence number
BAR CODE LABEL
ÉTIQUETTE DE CODE À BARRES
- B
PROTECTED WHEN COMPLETED
PA ID no.
Kit identifier
Receipt no.
CO-SIGNER
FOR OFFICE USE ONLY
ID number
B
Family name
Your full name
Family name
before marriage,
if applicable
Given name(s)
4. Your country
of birth
3. Your date
of birth
Male Female
2. Your sex
5. Your mailing address
6. Your residential address, if different from your mailing address
7. Your telephone number
At home
At work
Country code Area code Number
()()
Other
YearMonthDay
()()
()()
Facsimile number
()()
Family name
1. Full name
Family name
before marriage,
if applicable
Given name(s)
4. Country
of birth
3. Date
of birth
Male Female
2. Sex
YearMonthDay
5. Telephone number
At home
At work
Country code Area code Number
()()
Facsimile number
()()
()()
Name of previous
spouse or partner
Period of marriage or common-law relationship
toFrom
7. Has the co-signer previously been married or in a common-law
relationship with someone other than the sponsor?
No Yes
Give details below.
YearMonthDayYearMonthDay
Spouse
6. Relationship to the sponsor
Common-law
partner
Date of marriage
Date relationship
began
YearMonthDay
YearMonthDay
10. Are you a
No Yes
No Yes
Permanent resident?
Canadian citizen?
Became a citizen on
YearMonthDay
Became a permanent resident on
YearMonthDay
9. Have you previously been married, in a common-law or conjugal
relationship?
Type of relationship
Spouse
Common-law
partner
Name of previous
spouse or partner
No Yes
Give details below.
toFrom
YearMonthDayYearMonthDay
Conjugal
partner
8. a)Your marital status
Never
married
Married
Date of
marriage
Common-law
Widowed
Legally
separated
Annulled
marriage
Divorced
YearMonthDay
Date relationship
started
YearMonthDay
b)Do you have a conjugal partner?
No
Date relationship
started
YearMonthDay
SPONSOR
To withdraw your sponsorship.
All processing fees less $75
will be repaid
To proceed with the application
for permanent residence
FOR OFFICE USE ONLY
ID number
Your language
for correspondance
English French
A
1. If you are found ineligible to sponsor, indicate whether you want
Fillable Form
IMM 1344 A (05-2003) E
1. Person you are sponsoring (principal applicant)
PAGE 2 OF 5
PERSON BEING SPONSORED AND HIS OR HER
FAMILY MEMBERS
C
No Yes
8. Is the co-signer a
No Yes
Permanent resident?
Canadian citizen?
9. If the co-signer is a permanent resident or a naturalized Canadian
citizen, give the name of the country where his or her application
for permanent residence was processed
Full name at the time the co-signer became a permanent resident
Became a citizen on
YearMonthDay
Became a permanent resident on
YearMonthDay
Family name
Given name(s)
Country
of birth
YearMonthDay
Date of birth
Family name
Given name(s)
Record of landing/confirmation of
permanent residence number
Family name
Given name(s)
Country
of birth
Other (specify)
Length of undertaking
ID number
Dependent child
Relationship to principal applicant
A
B C
YearMonthDay
Date of birth
Marital status
Male Female
Sex
Family name
Given name(s)
Country
of birth
Other (specify)
Length of undertaking
ID number
Dependent child
Relationship to principal applicant
A
B C
YearMonthDay
Date of birth
Marital status
Male Female
Sex
Other (specify)
Length of undertaking
ID number
Dependent child
Relationship to principal applicant
A
B C
2. Accompanying spouse or common-law partner of principal applicant
Other (specify)
Length of undertaking
ID number
Relationship to principal applicant
Spouse
Common-law partner
Marital status
Family name
Given name(s)
Country
of birth
Male Female
Sex
YearMonthDay
Date of birth
Country of nationality or of habitual residence,
if different from country of birth
3. Accompanying dependent children of persons in 1 and/or 2
Family name
Given name(s)
Country
of birth
YearMonthDay
Date of birth
Marital status
Male Female
Sex
Other (specify)
Length of undertaking
ID number
Dependent child
Relationship to sponsor
A
B C
Marital status
Male Female
Sex
Spouse
Common-law partner
Conjugal partner
IMM 1344 A (05-2003) E
3. Accompanying dependent children of persons in 1 and/or 2
(continued)
PAGE 3 OF 5
Family name
Given name(s)
Country
of birth
Other (specify)
Length of undertaking
Dependent child
Relationship to principal applicant
A
B C
YearMonthDay
Date of birth
Marital status
Male Female
Sex
ID number
4. Non-accompanying dependants
Family name
Given name(s)
Country
of birth
Other (specify)
Relationship to principal applicant
YearMonthDay
Date of birth
Marital status
Dependent child
A B C
Spouse Common-law partner
Male Female
Sex
ID number
ID number
Other (specify)
Dependent child
Relationship to principal applicant
A B C
ADOPTION
D
Child's country of residence/source country for adoption
Child to be adopted abroad
Child to be adopted in Canada
1. Check one of the following boxes:
Child already adopted abroad
Adoption order issued on
YearMonthDay
Family name
Given name(s)
Country
of birth
YearMonthDay
Date of birth
Marital status
Male Female
Sex
Family name
Given name(s)
Country
of birth
YearMonthDay
Date of birth
Marital status
Male Female
Sex
ID number
Other (specify)
Dependent child
Relationship to principal applicant
A B C
Family name
Given name(s)
Country
of birth
YearMonthDay
Date of birth
Marital status
Male Female
Sex
ID number
Other (specify)
Dependent child
Relationship to principal applicant
A B C
6. a) Address where the person you are sponsoring lives
Country code Area code Number
()()
Home
telephone
number
5. Have you submitted a previous sponsorship application in respect
of which a final decision has not been made for any of the persons
named in this section?
No
Yes
You cannot submit this application. If you
do, it will be returned to you unassessed.
7. Mailing address, if different from above
b) If the above address is not in the country of nationality of the
person you are sponsoring, has that person been lawfully
admitted for a period of at least one year in the country where
he or she is living?
Yes
No
IMM 1344 A (05-2003) E
I undertake to provide for the basic requirements of the sponsored person
and his or her family members who accompany him or her to Canada, if they
are not self-supporting. I promise to provide food, clothing, shelter, fuel,
utilities, household supplies, personal requirements, and other goods and
services, including dental care, eye care, and other health needs not provided
by public health care. I understand that the money, goods or services
provided by me must be sufficient for the sponsored people to live in Canada.
I promise that the sponsored person and his or her family members will not
need to apply for social assistance.
PAGE 4 OF 5
Immediately after my spouse, common-law or conjugal partner and
dependent children become permanent residents, I intend to live in:
RESIDENCY DECLARATION
F
a Canadian province or
territory other than Quebec
the province of Quebec
UNDERTAKING
G
Complete this section only if you are a Canadian citizen living exclusively
outside Canada. See Who can sponsor in the Guide for information on
residency.
I make these promises so that the sponsored person and his or her family
members listed on this undertaking can be admitted to Canada as permanent
residents. I understand that the sponsored person and his or her family
members will be admitted solely on the basis of their relationship to me (as
sponsor) and that they do not need to have the financial means to become
established in Canada.
I understand that the validity period of this undertaking begins the day on
which the sponsored person enters Canada with a temporary resident permit
or, if already in Canada on the day on which the sponsored person obtains a
temporary resident permit following an application to remain in Canada as a
permanent resident, and in any other case on the day on which the sponsored
person becomes a permanent resident. The length of the undertaking will
vary according to the relationship of the sponsored person and his or her
family members to me (as sponsor) and their age and it ends:
A. if the sponsored person is my spouse, common-law partner, or
conjugal partner, on the last day of the period of 3 years following the
day on which they become a permanent resident;
B. if the sponsored person or family member is a dependent child of the
sponsor or of the sponsor's spouse, common-law partner or conjugal
partner and is less than 22 years of age when they become a permanent
resident, on the earlier of
• the last day of the period of 10 years following the day on which they
become a permanent resident, or
• the day on which they reach 25 years of age,
C. if the sponsored person or family member is a dependent child of the
sponsor or of the sponsor's spouse, common-law partner or conjugal
partner and is 22 years of age or older when they become a permanent
resident, on the last day of the period of 3 years following the day on
which they become a permanent resident; and
D. if the sponsored person or family member is a person other than a
person referred to above, on the last day of the period of 10 years
following the day on which they become a permanent resident.
I understand that the undertaking remains in effect no matter what may
change in my life. For example, if I am divorced, change jobs, become
unemployed, and/or go back to school, I will still be responsible to the
sponsored person and his or her family members I am sponsoring or for
whom I am co-signing.
I understand that, pursuant to section 135 of the Regulations to the
Immigration and Refugee Protection Act, if I breach any of my sponsorship
obligations I will be in default. I also understand that I will be in default if a
government makes a payment that I have promised to repay in this
undertaking. For example, if I fail to provide for the basic requirements of the
sponsored person and his or her family members and they receive social
assistance during the validity period of the undertaking, I will be in default. I
understand that I will continue to be in default until the amount of benefits
received are repaid in full or repaid to the satisfaction of the government
concerned.
I understand that all social assistance paid to the sponsored person or his or
her family members becomes a debt owed by me to Her Majesty in right of
Canada and Her Majesty in right of the province concerned. As a result, the
Minister and the province concerned have a right to take enforcement action
against me (as sponsor or co-signer) alone, or against both of us.
The Minister and the province concerned may choose not to take
enforcement action to recover money from me if the default is the result of
abuse or in other circumstances. The decision not to act at a particular time
does not cancel the debt. The Minister and the province concerned may
recover the debt when circumstances have changed.
I understand that I will not be allowed to sign or co-sign an additional
application to sponsor another person under the Immigration and Refugee
Protection Act and its Regulations if I am in default of any sponsorship
undertaking. This holds true for both this undertaking and any past
undertakings where I have not satisfactorily paid back my debts.
If you answer "NO" to any questions 1 to 4, you are not
eligible to be a sponsor (or co-signer, if applicable). You
should NOT submit your application.
1.
2.
3.
4.
If you answer "YES" to any questions 5 to 13, you are
not eligible to be a sponsor (or co-signer, if applicable).
You should not submit your application.
See Who can sponsor in the Guide for information.
5.
6.
7.
8.
9.
10.
11.
12.
13.
If your answer to questions 14 to 16 is YES, see your
guide for circumstances under which processing may be
suspended.
14.
15.
16.
Are you 18 years of age or older?
Are you a Canadian citizen or permanent resident?
Are you sponsoring a member of the family class or
a member of the spouse or common-law partner in
Canada class?
Do you reside in Canada and in no other country?
If you answered "NO", but are a Canadian citizen
living exclusively outside Canada, you may still be
eligible to sponsor. See Who can sponsor in the
Guide for information on residency.
Are you in receipt of social assistance for a reason
other than disability?
Are you an undischarged bankrupt as defined in the
Bankruptcy and Insolvency Act?
Have persons you previously sponsored or their
family members received social assistance during
the validity period of the undertaking?
Did you co-sign an undertaking where the
sponsored person or his or her family members
received social assistance during the validity period
of the undertaking?
Have you been ordered to leave Canada?
Are you late in making a required payment on an
immigration loan, a performance bond or any other
amounts you agreed to pay under Canadian
immigration legislation, and have not made
arrangements to defer payments?
Are you currently detained in a jail, prison,
penitentiary or reformatory?
In the five years preceding your application, have
you been convicted of a sexual offence or an
offence against the person in relation to one of your
family members?
Were you ordered by a court to make support
payments to your spouse or child and have
neglected to do so?
Are you the subject of an application to revoke your
citizenship for which a decision has not been made
yet?
Are you the subject of a report on inadmissibility?
Have you been charged with an offence under an
Act of Parliament punishable by a maximum term of
imprisonment of at least 10 years?
If yes, give the following details:
ELIGIBILITY ASSESSMENT
E
SPONSOR
YES NO
CO-SIGNER
YES NO
Place
Date
Charge
YearMonthDay
IMM 1344 A (05-2003) E
Signature of
Immigration Officer
Amount
YearDay Month YearDay Month
$
# of person
Income requirements
Remarks
PAGE 5 OF 5
OFFICIAL USE ONLY
Lock-in date
Date
signed
Visa office
Cost
recovery code
See attached
Paid
Information provided on the Application to Sponsor and Undertaking is collected under the authority of the Immigration and Refugee Protection Act. It is required for the
purpose of determining your ability to sponsor the person(s) named in this application or to co-sign this application as the sponsor's spouse or common-law partner. It
may be used to enforce the undertaking you have signed or co-signed and may be provided to provincial authorities pursuant to federal/provincial information
exchange agreements. It will be stored in Personal Information Bank CIC PPU 013 and is protected and accessible under the provisions of the Privacy Act and the
Access to Information Act. Instructions for obtaining information are provided in InfoSource, a copy of which is located in all Citizenship and Immigration offices.
SA's available for
SA's required for
Not met
Met
Loan
Deferred N/ARPRF
R133(4)
R133(1)(d)
R133(1)(h)
R133(1)(e)
R133(1)(i)
R133(1)(f)
R133(1)(j)
R133(1)(g)(i) R133(1)(g)(ii)
R10(1)(a) R132(4) R133(1)(a) R133(1)(b) R133(1)(c)
R133(1)(k)
SIGNATURE(S)
J
City/
Town
Province
Sponsor's signature
Date
Signature of sponsor's
spouse or common-law
partner (if co-signer)
Date
AUTHORITY TO DISCLOSE PERSONAL
INFORMATION
H
By submitting this form, you consent to the release to the Canadian
government authorities of all records and information any government
authority, including police, judicial and state authorities in all countries in
which you have lived may possess on your behalf. This information will be
used to assist in evaluating your ability to sponsor or to co-sign.
DECLARATION
I
APPLIES TO RESIDENTS OF ALL PROVINCES/TERRITORIES, EXCEPT
QUEBEC:
•
APPLIES TO RESIDENTS OF ALL PROVINCES/TERRITORIES:
•
•
•
I agree to the terms outlined in Section G, Undertaking.
I declare that the information given on this form and any attached
documents is complete, correct and fully discloses everything
concerning my eligibility to sponsor or co-sign.
I understand that false or misleading statements may lead to the refusal
of the application for permanent residence of the person I am
sponsoring (or for whom I am a co-signer). I understand that giving false
or misleading information may be grounds for my prosecution and the
removal of the person I am sponsoring and his or her family members
from Canada.
I understand all the above statements, having asked for and obtained an
explanation on every point that was not clear to me.
YearMonthDay
YearMonthDay
Eligibility requirements
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APPLICATION TO SPONSOR AND UNDERTAKING (Transam International Inc.)

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Completed 26 December 2020

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