{ "form": "IMM5283", "language": "en", "sha256": "f32dba9271d48c27068affe0ea298fac9328b6e43f50da101f27015e5a0d6b55", "root": "IMM_5283", "fields": { "IMM_5283.page1.applicantBrithDate": { "value_type": "date", "numeric": false, "pictures": [ "date{YYYY-MM-DD}" ], "max_chars": 2000, "choices": {}, "caption": "Date of birth (YYYY-MM-DD)", "tooltip": "Enter the date as YYYY-MM-DD, or click the down arrow to open the calendar.", "kind": "field" }, "IMM_5283.page1.applicantCitizenship": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Citizenship", "tooltip": "", "kind": "field" }, "IMM_5283.page1.applicantGivenName": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Given name(s)", "tooltip": "", "kind": "field" }, "IMM_5283.page1.applicantName": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Family name", "tooltip": "", "kind": "field" }, "IMM_5283.page1.applicantStatus": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Status in Canada", "tooltip": "", "kind": "field" }, "IMM_5283.page1.interestChild": { "value_type": "integer", "numeric": false, "pictures": [], "max_chars": 2000, "choices": { "yes": "1", "no": "0" }, "caption": "Best interests of the child", "tooltip": "", "kind": "field" }, "IMM_5283.page1.livingWithBirthCountry": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Country or territory of birth", "tooltip": "", "kind": "field" }, "IMM_5283.page1.livingWithBirthDate": { "value_type": "date", "numeric": false, "pictures": [ "date{YYYY-MM-DD}" ], "max_chars": 2000, "choices": {}, "caption": "Date of birth (YYYY-MM-DD)", "tooltip": "Enter the date as YYYY-MM-DD, or click the down arrow to open the calendar.", "kind": "field" }, "IMM_5283.page1.livingWithCity": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "City or town", "tooltip": "", "kind": "field" }, "IMM_5283.page1.livingWithCountry": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Country or territory", "tooltip": "", "kind": "field" }, "IMM_5283.page1.livingWithGivenName": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Given name(s)", "tooltip": "", "kind": "field" }, "IMM_5283.page1.livingWithName": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Family name", "tooltip": "", "kind": "field" }, "IMM_5283.page1.livingWithProvince": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Province/State/District", "tooltip": "", "kind": "field" }, "IMM_5283.page1.livingWithRelationship": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Relationship to you", "tooltip": "", "kind": "field" }, "IMM_5283.page1.livingWithStreet": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Street and no.", "tooltip": "", "kind": "field" }, "IMM_5283.page1.medicalCondition": { "value_type": "integer", "numeric": false, "pictures": [], "max_chars": 2000, "choices": { "yes": "1", "no": "0" }, "caption": "You or a failed refugee claimant included in your application suffer from a medical condition that would result in a risk to life if you are returned to your home country or territory", "tooltip": "", "kind": "field" }, "IMM_5283.page1.orNoYes": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": { "no": "1", "yes": "2" }, "caption": "", "tooltip": "", "kind": "exclGroup" }, "IMM_5283.page1.questionANoYes": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": { "no": "1", "yes": "2" }, "caption": "", "tooltip": "", "kind": "exclGroup" }, "IMM_5283.page1.selectionLivingWithSex": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": { "female": "1", "male": "2", "other": "3" }, "caption": "", "tooltip": "", "kind": "exclGroup" }, "IMM_5283.page1.selectionNoYes": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": { "no": "1", "yes": "2" }, "caption": "", "tooltip": "", "kind": "exclGroup" }, "IMM_5283.page1.titleSection.IDNumber": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Client file no.", "tooltip": "", "kind": "field" }, "IMM_5283.page1.titleSection.fileNumber": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Client ID no.", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3BirthCountry1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Country or territory of birth", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3BirthCountry2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Country or territory of birth", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3BirthCountry3": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Country or territory of birth", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3BirthCountry4": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Country or territory of birth", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Birthdate1": { "value_type": "date", "numeric": false, "pictures": [ "date{YYYY-MM-DD}" ], "max_chars": 2000, "choices": {}, "caption": "Date of birth (YYYY-MM-DD)", "tooltip": "Enter the date as YYYY-MM-DD, or click the down arrow to open the calendar.", "kind": "field" }, "IMM_5283.page2.question3Birthdate2": { "value_type": "date", "numeric": false, "pictures": [ "date{YYYY-MM-DD}" ], "max_chars": 2000, "choices": {}, "caption": "Date of birth (YYYY-MM-DD)", "tooltip": "Enter the date as YYYY-MM-DD, or click the down arrow to open the calendar.", "kind": "field" }, "IMM_5283.page2.question3Birthdate3": { "value_type": "date", "numeric": false, "pictures": [ "date{YYYY-MM-DD}" ], "max_chars": 2000, "choices": {}, "caption": "Date of birth (YYYY-MM-DD)", "tooltip": "Enter the date as YYYY-MM-DD, or click the down arrow to open the calendar.", "kind": "field" }, "IMM_5283.page2.question3Birthdate4": { "value_type": "date", "numeric": false, "pictures": [ "date{YYYY-MM-DD}" ], "max_chars": 2000, "choices": {}, "caption": "Date of birth (YYYY-MM-DD)", "tooltip": "Enter the date as YYYY-MM-DD, or click the down arrow to open the calendar.", "kind": "field" }, "IMM_5283.page2.question3City": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "City or town", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3City1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "City or town", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3City2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "City or town", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3City4": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "City or town", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3GivenName1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Given name(s)", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3GivenName2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Given name(s)", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3GivenName3": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Given name(s)", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3GivenName4": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Given name(s)", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Name1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Family name", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Name2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Family name", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Name3": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Family name", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Name4": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Family name", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Province": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Province", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Province1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Province", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Province2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Province", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Province4": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Province", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Relationship1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Relationship to you", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Relationship2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Relationship to you", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Relationship3": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Relationship to you", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Relationship4": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Relationship to you", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Street": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Street and no.", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Street1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Street and no.", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Street2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Street and no.", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Street4": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Street and no.", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question4BirthCountry": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Country or territory of birth", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question4Birthdate": { "value_type": "date", "numeric": false, "pictures": [ "date{YYYY-MM-DD}" ], "max_chars": 2000, "choices": {}, "caption": "Date of birth (YYYY-MM-DD)", "tooltip": "Enter the date as YYYY-MM-DD, or click the down arrow to open the calendar.", "kind": "field" }, "IMM_5283.page2.question4City": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "City or town", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question4GivenName": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Given name(s)", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question4Name": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Family name", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question4PostalCode": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Postal Code", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question4Province": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Province", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question4Relationship": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Relationship to you", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question4Street": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Street and no.", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5BirthCountry1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Country or territory of birth", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5BirthCountry2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Country or territory of birth", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5BirthCountry3": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Country or territory of birth", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Birthdate1": { "value_type": "date", "numeric": false, "pictures": [ "date{YYYY-MM-DD}" ], "max_chars": 2000, "choices": {}, "caption": "Date of birth (YYYY-MM-DD)", "tooltip": "Enter the date as YYYY-MM-DD, or click the down arrow to open the calendar.", "kind": "field" }, "IMM_5283.page2.question5Birthdate2": { "value_type": "date", "numeric": false, "pictures": [ "date{YYYY-MM-DD}" ], "max_chars": 2000, "choices": {}, "caption": "Date of birth (YYYY-MM-DD)", "tooltip": "Enter the date as YYYY-MM-DD, or click the down arrow to open the calendar.", "kind": "field" }, "IMM_5283.page2.question5Birthdate3": { "value_type": "date", "numeric": false, "pictures": [ "date{YYYY-MM-DD}" ], "max_chars": 2000, "choices": {}, "caption": "Date of birth (YYYY-MM-DD)", "tooltip": "Enter the date as YYYY-MM-DD, or click the down arrow to open the calendar.", "kind": "field" }, "IMM_5283.page2.question5City1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "City or town", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5City2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "City or town", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5City3": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "City or town", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Counrty1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Country or territory", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Counrty2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Country or territory", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Counrty3": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Country or territory", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5GivenName1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Given name(s)", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5GivenName2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Given name(s)", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5GivenName3": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Given name(s)", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Name1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Family name", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Name2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Family name", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Name3": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Family name", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Province1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Province/State/District", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Province2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Province/State/District", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Province3": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Province/State/District", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Relationship1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Relationship to you", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Relationship2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Relationship to you", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Relationship3": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Relationship to you", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Street1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Street and no.", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Street2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Street and no.", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Street3": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Street and no.", "tooltip": "", "kind": "field" }, "IMM_5283.page2.selectionLquestion3Sex2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": { "female": "1", "male": "4", "other": "3" }, "caption": "", "tooltip": "", "kind": "exclGroup" }, "IMM_5283.page2.selectionNoYes": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": { "no": "1", "yes": "2" }, "caption": "", "tooltip": "", "kind": "exclGroup" }, "IMM_5283.page2.selectionquestion3Sex": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": { "female": "1", "male": "2", "other": "3" }, "caption": "", "tooltip": "", "kind": "exclGroup" }, "IMM_5283.page2.selectionquestion3Sex1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": { "female": "1", "male": "2", "other": "3" }, "caption": "", "tooltip": "", "kind": "exclGroup" }, "IMM_5283.page2.selectionquestion3Sex4": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": { "female": "1", "male": "2", "other": "3" }, "caption": "", "tooltip": "", "kind": "exclGroup" }, "IMM_5283.page2.selectionquestion4Sex": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": { "female": "1", "male": "2", "other": "3" }, "caption": "", "tooltip": "", "kind": "exclGroup" }, "IMM_5283.page2.selectionquestion5Sex1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": { "female": "1", "male": "2", "other": "3" }, "caption": "", "tooltip": "", "kind": "exclGroup" }, "IMM_5283.page2.selectionquestion5Sex2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": { "female": "1", "male": "2", "other": "3" }, "caption": "", "tooltip": "", "kind": "exclGroup" }, "IMM_5283.page2.selectionquestion5Sex3": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": { "female": "1", "male": "2", "other": "3" }, "caption": "", "tooltip": "", "kind": "exclGroup" }, "IMM_5283.page3.answer10": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "", "tooltip": "10. If applicable, considering the best interest of the child, provide information on any child affected by this decision.", "kind": "field" }, "IMM_5283.page3.answer11": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "", "tooltip": "11. How have you established yourself in Canada?", "kind": "field" }, "IMM_5283.page3.answer7": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "", "tooltip": "7. Explain the humanitarian and compassionate reasons that prevent you from leaving Canada. Humanitarian and compassionate reasons can NOT include fear of \r persecution, torture or risk to life or cruel and unusual treatment or punishment in your country of origin.", "kind": "field" }, "IMM_5283.page3.answer8": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "", "tooltip": "8. If you are requesting an exemption because you or a family member are inadmissible, or do not meet any applicable criteria or obligation of the Immigration and Refugee Protection Act, you must:\r\t• clearly indicate in your application the specific exemption(s) you are requesting; and\r\t• provide all details related to this request, including the reasons why you should be granted an exemption on humanitarian and compassionate grounds.", "kind": "field" }, "IMM_5283.page3.answer9": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "", "tooltip": "9. If applicable, describe the circumstances of your family and other relationships that would support your humanitarian and compassionate application.", "kind": "field" }, "IMM_5283.page3.noYes": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": { "no": "1", "yes": "2" }, "caption": "", "tooltip": "", "kind": "exclGroup" }, "IMM_5283.page4.answer12": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "", "tooltip": "12. How do you support yourself financially in Canada?", "kind": "field" }, "IMM_5283.page4.answer13": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "", "tooltip": "13. Indicate any other information you want to have considered in your application.", "kind": "field" } }, "manual": [ "IMM_5283.page4.signatureBlock.currentDate", "IMM_5283.page4.signatureBlock.signature" ], "answers": { "form_for": { "path": null, "label": "Who is completing this separate H&C form?", "label_fr": "Pour qui ce formulaire distinct CH est-il rempli?", "type": "role", "when": {}, "any_when": {}, "required": true, "na_when_inactive": false }, "family_member_included": { "path": null, "label": "Is this family member included in the permanent residence application?", "label_fr": "Ce membre de la famille est-il inclus dans la demande de résidence permanente?", "type": "yes_no", "when": { "form_for": [ "family_member" ] }, "any_when": {}, "required": true, "na_when_inactive": false }, "different_grounds": { "path": null, "label": "Does this family member have different humanitarian and compassionate grounds?", "label_fr": "Ce membre de la famille a-t-il des motifs d’ordre humanitaire différents?", "type": "yes_no", "when": { "form_for": [ "family_member" ] }, "any_when": {}, "required": true, "na_when_inactive": false }, "identity_confirmed": { "path": null, "label": "Do the details you provide identify the person named for this questionnaire?", "label_fr": "Les renseignements fournis identifient-ils la personne nommée pour ce questionnaire?", "type": "yes_no", "when": {}, "any_when": {}, "required": true, "na_when_inactive": false }, "uci": { "path": "IMM_5283.page1.titleSection.fileNumber", "label": "Client ID / UCI, if known", "label_fr": "Identificateur de client / IUC, si connu", "type": "uci", "when": {}, "any_when": {}, "required": false, "na_when_inactive": false }, "file_number": { "path": "IMM_5283.page1.titleSection.IDNumber", "label": "Client file number, if known", "label_fr": "Numéro de dossier, si connu", "type": "text", "when": {}, "any_when": {}, "required": false, "na_when_inactive": false }, "refugee_rejected_abandoned": { "path": "IMM_5283.page1.selectionNoYes", "label": "Was your refugee claim rejected by the RPD/RAD, or did you abandon a claim?", "label_fr": "Votre demande d’asile a-t-elle été rejetée par la SPR/SAR, ou l’avez-vous abandonnée?", "type": "yes_no", "when": {}, "any_when": {}, "required": true, "na_when_inactive": false }, "rejected_recent": { "path": "IMM_5283.page1.questionANoYes", "label": "Was the claim rejected or abandoned within the last 12 months?", "label_fr": "La demande a-t-elle été rejetée ou abandonnée au cours des 12 derniers mois?", "type": "yes_no", "when": { "refugee_rejected_abandoned": [ "yes" ] }, "any_when": {}, "required": true, "na_when_inactive": false }, "withdrawn_recent": { "path": "IMM_5283.page1.orNoYes", "label": "Did you withdraw your refugee claim during an RPD hearing within the last 12 months?", "label_fr": "Avez-vous retiré votre demande d’asile pendant une audience de la SPR au cours des 12 derniers mois?", "type": "yes_no", "when": {}, "any_when": {}, "required": true, "na_when_inactive": false }, "exception_child": { "path": "IMM_5283.page1.interestChild", "label": "Are you requesting the child-interest exception described on this form?", "label_fr": "Demandez-vous l’exception relative à l’intérêt de l’enfant décrite dans ce formulaire?", "type": "yes_no", "when": {}, "any_when": { "rejected_recent": [ "yes" ], "withdrawn_recent": [ "yes" ] }, "required": true, "na_when_inactive": false }, "exception_medical": { "path": "IMM_5283.page1.medicalCondition", "label": "Are you requesting the medical-risk exception described on this form?", "label_fr": "Demandez-vous l’exception relative au risque médical décrite dans ce formulaire?", "type": "yes_no", "when": {}, "any_when": { "rejected_recent": [ "yes" ], "withdrawn_recent": [ "yes" ] }, "required": true, "na_when_inactive": false }, "family_name": { "path": "IMM_5283.page1.applicantName", "label": "Passport family name", "label_fr": "Nom de famille dans le passeport", "type": "text", "when": {}, "any_when": {}, "required": true, "na_when_inactive": false }, "given_names": { "path": "IMM_5283.page1.applicantGivenName", "label": "Passport given names, if any", "label_fr": "Prénoms dans le passeport, le cas échéant", "type": "text", "when": {}, "any_when": {}, "required": false, "na_when_inactive": false }, "dob": { "path": "IMM_5283.page1.applicantBrithDate", "label": "Date of birth", "label_fr": "Date de naissance", "type": "date", "when": {}, "any_when": {}, "required": true, "na_when_inactive": false }, "citizenship": { "path": "IMM_5283.page1.applicantCitizenship", "label": "Country or countries of citizenship", "label_fr": "Pays de citoyenneté", "type": "text", "when": {}, "any_when": {}, "required": true, "na_when_inactive": false }, "status": { "path": "IMM_5283.page1.applicantStatus", "label": "Current status in Canada", "label_fr": "Statut actuel au Canada", "type": "text", "when": {}, "any_when": {}, "required": true, "na_when_inactive": false }, "has_before_household": { "path": null, "label": "Before coming to Canada, were you living with someone?", "label_fr": "Avant de venir au Canada, viviez-vous avec quelqu’un?", "type": "yes_no", "when": {}, "any_when": {}, "required": true, "na_when_inactive": false }, "has_canada_family": { "path": null, "label": "Do you have immediate family living in Canada to list in question 3?", "label_fr": "Avez-vous de la famille immédiate au Canada à mentionner à la question 3?", "type": "yes_no", "when": {}, "any_when": {}, "required": true, "na_when_inactive": false }, "living_with_someone": { "path": "IMM_5283.page2.selectionNoYes", "label": "Are you living with someone in Canada?", "label_fr": "Vivez-vous avec quelqu’un au Canada?", "type": "yes_no", "when": {}, "any_when": {}, "required": true, "na_when_inactive": false }, "has_abroad_family": { "path": null, "label": "Do you have immediate family living outside Canada to list in question 5?", "label_fr": "Avez-vous de la famille immédiate hors du Canada à mentionner à la question 5?", "type": "yes_no", "when": {}, "any_when": {}, "required": true, "na_when_inactive": false }, "removal_order": { "path": "IMM_5283.page3.noYes", "label": "Are you currently subject to a removal order?", "label_fr": "Faites-vous actuellement l’objet d’une mesure de renvoi?", "type": "yes_no", "when": {}, "any_when": {}, "required": true, "na_when_inactive": false }, "removal_details": { "path": null, "label": "If subject to a removal order, provide its details for an attached explanation (question 6)", "label_fr": "Si vous faites l’objet d’une mesure de renvoi, fournissez les précisions pour une explication jointe (question 6)", "type": "attachment", "when": { "removal_order": [ "yes" ] }, "any_when": {}, "required": true, "na_when_inactive": false }, "hardship_exemptions": { "path": "IMM_5283.page3.answer7", "label": "Question 7 — Explain all H&C exemptions requested and the hardship if they are refused", "label_fr": "Question 7 — Expliquez toutes les dispenses CH demandées et les difficultés en cas de refus", "type": "narrative", "when": {}, "any_when": {}, "required": true, "na_when_inactive": false }, "inadmissibility_applies": { "path": null, "label": "Are you requesting an exemption for inadmissibility or another unmet requirement?", "label_fr": "Demandez-vous une dispense pour une interdiction de territoire ou une autre exigence non respectée?", "type": "yes_no", "when": {}, "any_when": {}, "required": true, "na_when_inactive": false }, "inadmissibility": { "path": "IMM_5283.page3.answer8", "label": "Question 8 — Explain the specific exemptions requested, inadmissibility and supporting reasons", "label_fr": "Question 8 — Expliquez les dispenses demandées, l’interdiction de territoire et les motifs", "type": "narrative", "when": { "inadmissibility_applies": [ "yes" ] }, "any_when": {}, "required": true, "na_when_inactive": true }, "family_ties_applies": { "path": null, "label": "Do family ties or relationships support this application?", "label_fr": "Des liens familiaux ou relations appuient-ils cette demande?", "type": "yes_no", "when": {}, "any_when": {}, "required": true, "na_when_inactive": false }, "family_ties": { "path": "IMM_5283.page3.answer9", "label": "Question 9 — Describe family ties and relationships supporting this application", "label_fr": "Question 9 — Décrivez les liens familiaux et relations à l’appui de cette demande", "type": "narrative", "when": { "family_ties_applies": [ "yes" ] }, "any_when": {}, "required": true, "na_when_inactive": true }, "children_affected": { "path": null, "label": "Would any child be directly affected by this decision?", "label_fr": "Un enfant serait-il directement touché par cette décision?", "type": "yes_no", "when": {}, "any_when": {}, "required": true, "na_when_inactive": false }, "child_impact": { "path": "IMM_5283.page3.answer10", "label": "Question 10 — Explain how each affected child would be impacted and their best interests", "label_fr": "Question 10 — Expliquez les conséquences pour chaque enfant concerné et son intérêt supérieur", "type": "narrative", "when": { "children_affected": [ "yes" ] }, "any_when": {}, "required": true, "na_when_inactive": true }, "establishment": { "path": "IMM_5283.page3.answer11", "label": "Question 11 — Explain how you have established yourself in Canada", "label_fr": "Question 11 — Expliquez votre établissement au Canada", "type": "narrative", "when": {}, "any_when": {}, "required": true, "na_when_inactive": false }, "means_of_support": { "path": "IMM_5283.page4.answer12", "label": "Question 12 — Explain how you support yourself financially in Canada", "label_fr": "Question 12 — Expliquez comment vous subvenez à vos besoins au Canada", "type": "narrative", "when": {}, "any_when": {}, "required": true, "na_when_inactive": false }, "has_additional_information": { "path": null, "label": "Do you have additional information for question 13?", "label_fr": "Avez-vous d’autres renseignements pour la question 13?", "type": "yes_no", "when": {}, "any_when": {}, "required": true, "na_when_inactive": false }, "additional_information": { "path": "IMM_5283.page4.answer13", "label": "Question 13 — Provide all other information you want considered", "label_fr": "Question 13 — Fournissez tout autre renseignement que vous souhaitez faire examiner", "type": "narrative", "when": { "has_additional_information": [ "yes" ] }, "any_when": {}, "required": true, "na_when_inactive": true }, "before_household": { "path": null, "label": "Question 2 — Person you lived with before coming to Canada", "label_fr": "Question 2 — Personne avec qui vous viviez avant de venir au Canada", "type": "table", "when": { "has_before_household": [ "yes" ] }, "any_when": {}, "required": true, "na_when_inactive": true, "rows": [ { "family_name": "IMM_5283.page1.livingWithName", "given_names": "IMM_5283.page1.livingWithGivenName", "sex": "IMM_5283.page1.selectionLivingWithSex", "relationship": "IMM_5283.page1.livingWithRelationship", "birth_country": "IMM_5283.page1.livingWithBirthCountry", "dob": "IMM_5283.page1.livingWithBirthDate", "street": "IMM_5283.page1.livingWithStreet", "city": "IMM_5283.page1.livingWithCity", "province": "IMM_5283.page1.livingWithProvince", "country": "IMM_5283.page1.livingWithCountry" } ], "capacity": 1, "columns": [ { "id": "family_name", "label": "Family name", "label_fr": "Nom de famille", "type": "text", "required": true }, { "id": "given_names", "label": "Given names, if any", "label_fr": "Prénoms, le cas échéant", "type": "text", "required": false }, { "id": "sex", "label": "Gender shown on the form: F, M or X", "label_fr": "Genre indiqué dans le formulaire : F, M ou X", "type": "sex", "required": true }, { "id": "relationship", "label": "Relationship to you", "label_fr": "Lien avec vous", "type": "text", "required": true }, { "id": "birth_country", "label": "Country of birth", "label_fr": "Pays de naissance", "type": "text", "required": true }, { "id": "dob", "label": "Date of birth", "label_fr": "Date de naissance", "type": "date", "required": true }, { "id": "street", "label": "Street number/name and apartment", "label_fr": "Numéro, rue et appartement", "type": "text", "required": true }, { "id": "city", "label": "City/town", "label_fr": "Ville", "type": "text", "required": true }, { "id": "province", "label": "Province/state/district", "label_fr": "Province/État/district", "type": "text", "required": true }, { "id": "country", "label": "Country", "label_fr": "Pays", "type": "text", "required": true } ] }, "canada_family": { "path": null, "label": "Question 3 — Immediate family living in Canada", "label_fr": "Question 3 — Famille immédiate au Canada", "type": "table", "when": { "has_canada_family": [ "yes" ] }, "any_when": {}, "required": true, "na_when_inactive": true, "rows": [ { "family_name": "IMM_5283.page2.question3Name1", "given_names": "IMM_5283.page2.question3GivenName1", "sex": "IMM_5283.page2.selectionquestion3Sex1", "relationship": "IMM_5283.page2.question3Relationship1", "birth_country": "IMM_5283.page2.question3BirthCountry1", "dob": "IMM_5283.page2.question3Birthdate1", "street": "IMM_5283.page2.question3Street1", "province": "IMM_5283.page2.question3Province1", "city": "IMM_5283.page2.question3City1" }, { "family_name": "IMM_5283.page2.question3Name2", "given_names": "IMM_5283.page2.question3GivenName2", "sex": "IMM_5283.page2.selectionLquestion3Sex2", "relationship": "IMM_5283.page2.question3Relationship2", "birth_country": "IMM_5283.page2.question3BirthCountry2", "dob": "IMM_5283.page2.question3Birthdate2", "street": "IMM_5283.page2.question3Street2", "province": "IMM_5283.page2.question3Province2", "city": "IMM_5283.page2.question3City2" }, { "family_name": "IMM_5283.page2.question3Name3", "given_names": "IMM_5283.page2.question3GivenName3", "sex": "IMM_5283.page2.selectionquestion3Sex", "relationship": "IMM_5283.page2.question3Relationship3", "birth_country": "IMM_5283.page2.question3BirthCountry3", "dob": "IMM_5283.page2.question3Birthdate3", "street": "IMM_5283.page2.question3Street", "province": "IMM_5283.page2.question3Province", "city": "IMM_5283.page2.question3City" }, { "family_name": "IMM_5283.page2.question3Name4", "given_names": "IMM_5283.page2.question3GivenName4", "sex": "IMM_5283.page2.selectionquestion3Sex4", "relationship": "IMM_5283.page2.question3Relationship4", "birth_country": "IMM_5283.page2.question3BirthCountry4", "dob": "IMM_5283.page2.question3Birthdate4", "street": "IMM_5283.page2.question3Street4", "province": "IMM_5283.page2.question3Province4", "city": "IMM_5283.page2.question3City4" } ], "capacity": 4, "columns": [ { "id": "family_name", "label": "Family name", "label_fr": "Nom de famille", "type": "text", "required": true }, { "id": "given_names", "label": "Given names, if any", "label_fr": "Prénoms, le cas échéant", "type": "text", "required": false }, { "id": "sex", "label": "Gender shown on the form: F, M or X", "label_fr": "Genre indiqué dans le formulaire : F, M ou X", "type": "sex", "required": true }, { "id": "relationship", "label": "Relationship to you", "label_fr": "Lien avec vous", "type": "text", "required": true }, { "id": "birth_country", "label": "Country of birth", "label_fr": "Pays de naissance", "type": "text", "required": true }, { "id": "dob", "label": "Date of birth", "label_fr": "Date de naissance", "type": "date", "required": true }, { "id": "street", "label": "Street number/name and apartment", "label_fr": "Numéro, rue et appartement", "type": "text", "required": true }, { "id": "province", "label": "Province/state/district", "label_fr": "Province/État/district", "type": "text", "required": true }, { "id": "city", "label": "City/town", "label_fr": "Ville", "type": "text", "required": true } ] }, "current_household": { "path": null, "label": "Question 4 — Person you live with in Canada", "label_fr": "Question 4 — Personne avec qui vous vivez au Canada", "type": "table", "when": { "living_with_someone": [ "yes" ] }, "any_when": {}, "required": true, "na_when_inactive": true, "rows": [ { "family_name": "IMM_5283.page2.question4Name", "given_names": "IMM_5283.page2.question4GivenName", "sex": "IMM_5283.page2.selectionquestion4Sex", "relationship": "IMM_5283.page2.question4Relationship", "birth_country": "IMM_5283.page2.question4BirthCountry", "dob": "IMM_5283.page2.question4Birthdate", "street": "IMM_5283.page2.question4Street", "city": "IMM_5283.page2.question4City", "province": "IMM_5283.page2.question4Province", "postal_code": "IMM_5283.page2.question4PostalCode" } ], "capacity": 1, "columns": [ { "id": "family_name", "label": "Family name", "label_fr": "Nom de famille", "type": "text", "required": true }, { "id": "given_names", "label": "Given names, if any", "label_fr": "Prénoms, le cas échéant", "type": "text", "required": false }, { "id": "sex", "label": "Gender shown on the form: F, M or X", "label_fr": "Genre indiqué dans le formulaire : F, M ou X", "type": "sex", "required": true }, { "id": "relationship", "label": "Relationship to you", "label_fr": "Lien avec vous", "type": "text", "required": true }, { "id": "birth_country", "label": "Country of birth", "label_fr": "Pays de naissance", "type": "text", "required": true }, { "id": "dob", "label": "Date of birth", "label_fr": "Date de naissance", "type": "date", "required": true }, { "id": "street", "label": "Street number/name and apartment", "label_fr": "Numéro, rue et appartement", "type": "text", "required": true }, { "id": "city", "label": "City/town", "label_fr": "Ville", "type": "text", "required": true }, { "id": "province", "label": "Province/state/district", "label_fr": "Province/État/district", "type": "text", "required": true }, { "id": "postal_code", "label": "Postal code", "label_fr": "Code postal", "type": "text", "required": false } ] }, "abroad_family": { "path": null, "label": "Question 5 — Immediate family outside Canada", "label_fr": "Question 5 — Famille immédiate hors du Canada", "type": "table", "when": { "has_abroad_family": [ "yes" ] }, "any_when": {}, "required": true, "na_when_inactive": true, "rows": [ { "family_name": "IMM_5283.page2.question5Name1", "given_names": "IMM_5283.page2.question5GivenName1", "sex": "IMM_5283.page2.selectionquestion5Sex1", "relationship": "IMM_5283.page2.question5Relationship1", "birth_country": "IMM_5283.page2.question5BirthCountry1", "dob": "IMM_5283.page2.question5Birthdate1", "street": "IMM_5283.page2.question5Street1", "city": "IMM_5283.page2.question5City1", "province": "IMM_5283.page2.question5Province1", "country": "IMM_5283.page2.question5Counrty1" }, { "family_name": "IMM_5283.page2.question5Name2", "given_names": "IMM_5283.page2.question5GivenName2", "sex": "IMM_5283.page2.selectionquestion5Sex2", "relationship": "IMM_5283.page2.question5Relationship2", "birth_country": "IMM_5283.page2.question5BirthCountry2", "dob": "IMM_5283.page2.question5Birthdate2", "street": "IMM_5283.page2.question5Street2", "city": "IMM_5283.page2.question5City2", "province": "IMM_5283.page2.question5Province2", "country": "IMM_5283.page2.question5Counrty2" }, { "family_name": "IMM_5283.page2.question5Name3", "given_names": "IMM_5283.page2.question5GivenName3", "sex": "IMM_5283.page2.selectionquestion5Sex3", "relationship": "IMM_5283.page2.question5Relationship3", "birth_country": "IMM_5283.page2.question5BirthCountry3", "dob": "IMM_5283.page2.question5Birthdate3", "street": "IMM_5283.page2.question5Street3", "city": "IMM_5283.page2.question5City3", "province": "IMM_5283.page2.question5Province3", "country": "IMM_5283.page2.question5Counrty3" } ], "capacity": 3, "columns": [ { "id": "family_name", "label": "Family name", "label_fr": "Nom de famille", "type": "text", "required": true }, { "id": "given_names", "label": "Given names, if any", "label_fr": "Prénoms, le cas échéant", "type": "text", "required": false }, { "id": "sex", "label": "Gender shown on the form: F, M or X", "label_fr": "Genre indiqué dans le formulaire : F, M ou X", "type": "sex", "required": true }, { "id": "relationship", "label": "Relationship to you", "label_fr": "Lien avec vous", "type": "text", "required": true }, { "id": "birth_country", "label": "Country of birth", "label_fr": "Pays de naissance", "type": "text", "required": true }, { "id": "dob", "label": "Date of birth", "label_fr": "Date de naissance", "type": "date", "required": true }, { "id": "street", "label": "Street number/name and apartment", "label_fr": "Numéro, rue et appartement", "type": "text", "required": true }, { "id": "city", "label": "City/town", "label_fr": "Ville", "type": "text", "required": true }, { "id": "province", "label": "Province/state/district", "label_fr": "Province/État/district", "type": "text", "required": true }, { "id": "country", "label": "Country", "label_fr": "Pays", "type": "text", "required": true } ] } }, "rules": { "preservation": "Incremental datasets and empty saved-form checksum only; original scripts and permissions preserved.", "limits": "max_chars is the explicit template limit where present, otherwise the existing 2000-character draft writer limit; visual fit requires Adobe review.", "continuations": "No truncation. Include full omitted content, applicant name/date of birth and question number in manual continuation review.", "eligibility": "Record explicit template declarations only; no automated H&C eligibility decision." } }