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IMM5669Immigration, Refugees and Citizenship Canada

IMM 5669 — Schedule A — Background/Declaration

Schedule A (IMM 5669) captures the applicant's personal history (addresses, education, employment, travel) for IRCC background screening on most permanent residence applications.

Unofficial backup — may not be the latest version

This is an archived copy of a document originally published by the Government of Canada. It is provided here as a convenience mirror. The official source may have been updated since we last archived it. Always verify with the official source before filing.

View official source on canada.ca
Form code
IMM5669
Department
IRCC
Archived on
May 5, 2026
File size
646.2 KB

IMM5669.en.pdf

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