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DOCUMENT CHECKLIST PERMANENT RESIDENCE - QUEBEC SELECTED SELF-EMPLOYED (Immigly)

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IMM 5784 (06-2019) E
PAGE 1 OF 4
DOCUMENT CHECKLIST
PERMANENT RESIDENCE - QUEBEC SELECTED SELF-EMPLOYED AND
FEDERAL SELF-EMPLOYED PERSONS
This document is available in PDF format only. You need to mail this form and other documents with your application. Please
make sure you print this document, complete it and include it in your application as the cover page.
The checklist of required documents is subject to change. Applicants are advised to refer to the CIC website
periodically while preparing their submission to ensure that they have included all forms and documents listed on the
most up-to-date checklist.
Gather your documents in order of the checklist and check R each item. Attach small items such as photos and certified
cheques with a paper clip, otherwise leave documents unbound. Place all documents in a sealed envelope. If your documents
are not in English or French, you must include the English or French translation with a certified copy of the original document,
and an affidavit from the person who completed the translation (if the translation is not provided by a member in good standing
of a provincial or territorial organization of translators and interpreters in Canada). Do not send any additional documents when
submitting your application to the Centralized Intake Office (CIO).
Note: If you are unable to provide any of the requested documentation, include with your application, a written
explanation with full details as to why that documentation is unavailable and any documentation that would
support your claim. If your application lacks any of the documents without a reasonable explanation, it will be returned to
you or in certain circumstances could result in the refusal of your application.
IMPORTANT NOTICE: Answer all questions and sign all forms where applicable. Please note that by signing these documents,
you are certifying that all information provided therein, whether prepared by you or not, is complete and true in all respects.
If you or someone acting on your behalf directly or indirectly submits false documents or misrepresents facts relating to your
application for a permanent resident visa:
• your application may be refused;
• the circumstances of your refusal will be entered into Canada's global immigration database; and
• you and your family members could become inadmissible to Canada for five years under section 40(2) of the
Immigration and Refugee Protection Act.
The officer will base their decision on the documents on file at the time of the assessment. In the following circumstances, it is
your responsibility to notify the office processing your case and provide the relevant supporting documentation if there are
changes in the following:
• family status (e.g. marriage or common-law union, divorce, annulment, legal separation, birth, adoption, death of the
principal applicant or any accompanying family member, including grandchildren born to dependent children);
• mailing address/e-mail address/contact information.
Any changes which we have not been informed of will delay processing or may result in the refusal of the application or the
exclusion of a family member.
If you are applying in the Federal Self-employed class (SE), you must submit the forms and documents with a checkbox in the
SE column.
If you are applying in the Quebec Selected Self-Employed class (QC), you must submit the forms and documents with a
checkbox in the QC column.
This form is made available by Immigration, Refugees and Citizenship Canada and is not to be sold to applicants.
(AUSSI DISPONIBLE EN FRANÇAIS - IMM 5784 F)
IMM 5784 (06-2019) E
PAGE 2 OF 4
Do not submit originals unless otherwise stated as documents submitted will not be returned.
You must keep a copy of the completed forms and all documents before sending them to the CIO.
FORMS LIST
Format SE QC
1
Generic Application Form to Canada (IMM 0008)
Completed and signed by the principal applicant.
Original
2
Schedule A: Background/Declaration (IMM 5669)
Completed, dated and signed by everyone in the following list:
• the principal applicant
• spouse or common-law partner (whether they are accompanying or not)
• each dependent child over the age of 18 years (whether they are accompanying or not)
Provide your detailed personal history from the last 10 years or since the age of 18, if you are less than 28 years of age. Do not
leave any sections blank, or gaps in time. You must write "n/a" in any sections that are not applicable to your situation. Include
all:
• jobs,
• periods of unemployment,
• study,
• vacations, or
• being a homemaker.
Do not use abbreviations. Do not use general words such as "employee", "working", "manager." Specify your activity such as
retail salesperson, architect, financial manager, etc.
Note: If this section is not accurately completed, it will cause delays in the processing of your application.
Original
3
Additional Dependants/Declaration (IMM 0008DEP) (if applicable)
Completed, dated and signed by the principal applicant if the applicant has more than five dependants (whether they are
accompanying or not).
Original
4
Supplementary Information - Your Travels (IMM 5562)
Completed by the principal applicant.
Original
5
Schedule 5: Declaration of Intent to Reside in Quebec: Economic Classes
Completed by principal applicants destined to Quebec.
Original
6
Schedule 6A: Business Immigrants - Self-employed persons
Completed and signed by the principal applicant if you are applying in the Federal self-employed class or as a Quebec
selected self-employed applicant.
Original
7
Additional Family Information (IMM 5406)
Completed, dated and signed by everyone in the following list:
• the principal applicant
• spouse or common-law partner (whether they are accompanying or not)
• each dependent child over the age of 18 years (whether they are accompanying or not)
Original
8
Use of a Representative (IMM 5476)
Complete, date, sign and include this form in your application if you have a paid or unpaid representative.
Original
DOCUMENTS LIST
If you are applying in the Federal Self-employed Class and you wish to claim points for any of the following selection factors: education, language proficiency,
experience and adaptability, or you wish to prove your intent and ability to be self-employed in Canada, submit the documents listed in numbers 9 to 12, if
applicable. This does not apply to those applying in the Quebec Selected Self-employed Class.
9
Education
Proof of your earned educational credential(s) or full-time (or full-time equivalent) studies. Proof may include certificates,
diplomas, degrees, transcripts, etc.
Copies
IMM 5784 (06-2019) E
PAGE 3 OF 4
DOCUMENTS LIST (continued)
Format SE QC
10
Language proficiency test results
Your language proficiency test results (no older than two years at the time of application) from one of the following designated
testing agencies:
• IELTS (General Training test only) for English; or
• CELPIP (General test only) for English; and/or
• TEF for French.
Note: If you have proficiency in both English and French and you wish to claim points for both languages, you must submit test
results for each language.
Original
11
Relevant experience
Proof of your relevant experience during the five years before application submission in one of the following two areas:
• Cultural activities (self-employment or participation at a world class level);
• Athletics (self-employment or participation at a world class level).
Note: The onus is on you to produce documentation to support your experience in one of these areas.
Copies
12
Adaptability
If applicable, submit the following proof:
• Proof of your spouse or common-law partner's earned educational credential(s) or full-time (or full-time equivalent) studies;
• Proof of your spouse or common-law partner's studies in Canada under a study permit, if program was full-time and of at
least two years' duration at a post-secondary institution;
• Proof of your spouse or common-law partner's work in Canada under a work permit, if work was full-time and of at least one
year;
• Proof of your or your accompanying spouse or common-law partner's familial relationship to a Canadian citizen or
permanent resident living in Canada. The family member must be your parent, grandparent, child, grandchild, sibling, aunt/
uncle or niece/nephew, or that of your spouse or common-law partner.
Copies
13
Travel documents and passports
Copy of the pages of your passport or travel documents for you, your spouse or common-law partner and your dependent
children, showing:
• the passport number,
• date of issue and expiry,
• the photo, name, date and place of birth,
• pages showing any amendments in name, date of birth, expiration, etc.
You must hold a valid regular passport. Diplomatic, official, service or public affairs passports are not valid for immigration to
Canada.
If you live in a country or territory other than your country or territory of nationality, include a photocopy of your visa for the
country or territory in which you currently live.
Copies
14
Certificat de Sélection du Québec (CSQ) if you are applying as a Quebec selected business applicant
Original
15
Police Certificates and Clearances
You must get a police certificate from each country or territory where you have lived for six or more months in a row since the
age of 18. You are strongly encouraged to submit your police certificates with your application to the CIO. If you are unable to
obtain all the necessary police certificates, you may still send your application to the CIO without them. However, we strongly
recommend that you take steps to obtain your police certificates now to avoid future delays. You must be ready to submit them
when requested by an officer.
Note: Police certificates are generally considered to be valid for one year from date of issue; therefore depending on the
processing time of your application, you may be requested to submit new certificates.
Originals
IMM 5784 (06-2019) E
PAGE 4 OF 4
DOCUMENTS LIST (continued) Format SE QC
16
Identity and Civil Status Documents
You must provide the following documents for you and your spouse or common-law partner:
• Birth certificates;
• Legal documents showing name or date of birth changes (if applicable);
• Marriage certificate(s), final divorce or annulment certificate(s). If married more than once, include certificates from each
marriage and divorce or annulment you, your spouse or common-law partner have had;
• Death certificate for former spouse(s) or common-law partner(s) (if applicable);
• National IDs, family/household registry/book (if applicable);
• If you have a common-law partner, complete and include the Statutory Declaration of Common-Law Union
(IMM 5409 – original) and provide evidence that you have cohabitated with your partner for a period of at least 12
continuous months. Provide the following documents listing both your names, for example:
• copies of joint bank account statements,
• copies of leases,
• utility bills, etc.
Copies,
unless
otherwise
stated
17
Children's Information (if applicable)
• Children's birth certificates (which name their parents);
• Adoption papers issued by recognized national authorities showing the legal, approved adoption of adopted dependent
children;
• Proof of full custody for children under the age of 18 and proof that the children may be removed from the jurisdiction of the
court;
•
If the other parent of your children is not accompanying you to Canada, you must submit a signed Statutory Declaration from
Non-Accompanying Parent/Guardian for Minors Immigrating to Canada (IMM 5604 - original). You must submit one form for
each child and a copy of the non-accompanying parent's photo ID showing their signature;
If your child's age was locked in before August 1
st
2014, also submit:
• Proof of continuous full-time studies of all dependent children aged 22 or over, including:
• complete school records/transcripts since attaining age 22;
• letters from the schools indicating the number of hours of classes attended per day, and the number of days attended
per week;
• proof of full financial support by parents since reaching age 22.
Copies,
unless
otherwise
stated
18
Photo Requirements
Include two (2) photos for each member of your family, whether accompanying or not, and yourself. Follow the instructions
provided in the section How to Complete the Forms of the application guide and in Appendix B: Photo Specifications.
Photos must have been taken within six (6) months before application submission.
On the back of one (1) of the photographs, write the name and date of birth of the person who appears in the photo as well
as the date the photo was taken. Leave the other photograph blank.
Original
19
Fee payment in an acceptable format
If we are unable to process your payment, your application will be returned to you.
Do not enclose cash.
Consult "Step 3, Pay the Fee" section of the instruction guide for more information about fee payment.
Original
20
Mailing Your Application
Mail to the CIO in Sydney, Nova Scotia:
• this document checklist,
• your complete application,
• supporting documents required in this checklist, and
• include 2 self-addressed mailing labels:
• one in English or French and
• one in the official language of your country or territory of residence.
Please consult " Step 4, Mail the application" section of the instruction guide for the CIO address and specific instructions on
mailing your application.
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Completed 2 August 2021

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