IMM
(05-2003)
English
5481
2.
1
Sponsors living in Quebec need not complete this form.
Do not complete this form if you are sponsoring:
PROTECTED WHEN COMPLETED - B
PAGE 1 OF 2
SPONSORSHIP EVALUATION
(for persons who want to sponsor their spouse, common-law partner, conjugal partner or
dependent children who have no dependent children of their own)
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 5481 F)
• a spouse, common-law partner or conjugal partner who has
dependent children who have dependent children of their own;
• a dependent child who has dependent children of his or her own.
Instead, you must fill in the Financial Evaluation form. This form is
accompanied by instructions. You can order a set through a Call
Centre or print it from our Web site at www.cic.gc.ca. The set
number is IMM 5482.
Read the instructions on how to complete the forms before you start
to fill in this form.
Family name
1. Your full name
Given name(s)
5. Are you currently employed?
No Yes
Provide employer's details below.
Name
Address
Country code Area code Number
()()
Phone
number
Occupation/
Position
Start date
Name of
supervisor
YearMonthDay
ii)
FAMILY MEMBERS AND PERSONS FINANCIALLY DEPENDENT ON YOU
A) Current undertaking
B) Previous undertakings
iii)
Number of persons included in previous undertakings you
signed as a sponsor and that are not yet in effect (persons
who have not yet become permanent residents).
Provide details on the back of this page.
Number of persons included in previous undertakings you
signed as a sponsor and that are still in effect.
Provide details on the back of this page.
Number of persons included in previous undertakings you
co-signed where these undertakings are still in effect.
Provide details on the back of this page.
i)
iv)
Number of persons included in previous undertakings you
co-signed where these undertakings are not yet in effect
(persons who have not yet become permanent residents).
Provide details on the back of this page.
Number of persons included in boxes 1 to 4 of Section C on
your Application to Sponsor and Undertaking (form IMM 1344A)
3.
Persons not included in 2. above
Your spouse or common-law partner. Provide details on the
back of this page.
A)
Other members of your family dependent on you financially,
whether they are living with you or not. Enter their number in
the box on the right and provide details on the back of this
page.
B)
4. Total number of persons in 1., 2. and 3. above
Add the number entered in the boxes on the right and write
the total here.
