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FAMILY 2

The document contains a family information form for immigration purposes, listing siblings of the applicant along with their details such as name, relationship, date of birth, marital status, and occupation. It certifies that the information provided is complete and accurate, and acknowledges that it will be part of the applicant's immigration record. Additionally, it outlines the collection and use of personal information by Immigration, Refugees, and Citizenship Canada (IRCC).

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4 views

FAMILY 2

The document contains a family information form for immigration purposes, listing siblings of the applicant along with their details such as name, relationship, date of birth, marital status, and occupation. It certifies that the information provided is complete and accurate, and acknowledges that it will be part of the applicant's immigration record. Additionally, it outlines the collection and use of personal information by Immigration, Refugees, and Citizenship Canada (IRCC).

Uploaded by

onliwealthinfo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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SECTION C - BROTHERS AND SISTERS (Include ALL brothers and sisters, ALL half-brother and sister and stepbrother and sister.)
Will accompany
Relationship Date of birth Present address
Name you to Canada?
SEE NOTE 2 (YYYY-MM-DD) (if deceased: give city/town, country and date)
YES NO

DOHA AL MOSTAFA 1991-01-20


AKKAR - LEBANON
SISTER Country of birth:
Marital status: Present occupation:
LEBANON
Married HOUSEWIFE
ABDUL RAHMAN AL MOSTAFA 1993-04-10
AKKAR - LEBANON
BROTHER Country of birth:
Marital status: Present occupation:
LEBANON
Single SELF EMPLOYED
SOUMIA AL MOSTAFA 1995-02-19
AKKAR - LEBANON
SISTER Country of birth:
Marital status: Present occupation:
LEBANON
Married HOUSEWIFE
MOHAMAD AL MOSTAFA 1996-10-10
AKKAR - LEBANON
BROTHER Country of birth:
Marital status: Present occupation:
LEBANON
Married SELF EMPLOYED

Country of birth:
Marital status: Present occupation:

Country of birth:
Marital status: Present occupation:

Country of birth:
Marital status: Present occupation:

SECTION D - CERTIFICATION
I certify that the information contained in this document is complete, accurate and factual. I also realize that once this document has been completed and signed that it
will form part of my Immigration Record and will be used to verify my family details on future applications.

Signature: Date (YYYY-MM-DD) 2023-11-27

Personal information provided on this form is collected by Immigration, Refugees, and Citizenship Canada (IRCC) under the authority of the Immigration and Refugee Protection Act
(IRPA). The personal information provided will be used for the purpose of processing an application. The personal information provided may be disclosed to other federal
government institutions, law enforcement bodies, provincial/territorial governments, foreign governments for the purpose of validating identity, eligibility and admissibility. The
personal information may also be disclosed to medical practitioners for the purpose of validating identity and eligibility.

Personal information may also be used for other purposes including research, statistics, program and policy evaluation, internal audit, compliance, risk management, subsequent
program eligibility, and strategy development and reporting.

Failure to complete the form in full may result in a delay or the application not being processed. The Privacy Act gives individuals the right of access to, protection, and correction of
their personal information. If you are not satisfied with the manner in which IRCC handles your personal information, you may exercise your right to file a complaint to the Office of
the Privacy Commissioner of Canada. The collection, use, disclosure and retention of your personal information is further described in IRCC’s Personal Information Bank – IRCC
PPU 013, 051, 068.

IMM 5645 (01-2021) E

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