{ "form": "IMM5283", "language": "fr", "sha256": "9a2ecb9a8f2df556135f6a35320635f34fec770c4186edf0a5d1cae8405ee918", "root": "IMM_5283", "fields": { "IMM_5283.page1.applicantBirthDate": { "value_type": "date", "numeric": false, "pictures": [ "date{YYYY-MM-DD}" ], "max_chars": 2000, "choices": {}, "caption": "Date de naissance (AAAA-MM-JJ)", "tooltip": "Entrez la date sous la forme AAAA-MM-JJ, ou cliquez sur la flèche pour ouvrir le calendrier.", "kind": "field" }, "IMM_5283.page1.applicantCitizenship": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Citoyenneté", "tooltip": "", "kind": "field" }, "IMM_5283.page1.applicantGivenName": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Prénom(s)", "tooltip": "", "kind": "field" }, "IMM_5283.page1.applicantName": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Nom de famille", "tooltip": "", "kind": "field" }, "IMM_5283.page1.applicantStatus": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Statut au Canada", "tooltip": "", "kind": "field" }, "IMM_5283.page1.interestChild": { "value_type": "integer", "numeric": false, "pictures": [], "max_chars": 2000, "choices": { "yes": "1", "no": "0" }, "caption": "Intérêt supérieur de l'enfant", "tooltip": "", "kind": "field" }, "IMM_5283.page1.livingWithBirthCountry": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Pays ou territoire de naissance", "tooltip": "", "kind": "field" }, "IMM_5283.page1.livingWithBirthDate": { "value_type": "date", "numeric": false, "pictures": [ "date{YYYY-MM-DD}" ], "max_chars": 2000, "choices": {}, "caption": "Date de naissance (AAAA-MM-JJ)", "tooltip": "Entrez la date sous la forme AAAA-MM-JJ, ou cliquez sur la flèche pour ouvrir le calendrier.", "kind": "field" }, "IMM_5283.page1.livingWithCity": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Ville ou village", "tooltip": "", "kind": "field" }, "IMM_5283.page1.livingWithCountry": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Pays ou territoire", "tooltip": "", "kind": "field" }, "IMM_5283.page1.livingWithGivenName": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Prénom(s)", "tooltip": "", "kind": "field" }, "IMM_5283.page1.livingWithName": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Nom de famille", "tooltip": "", "kind": "field" }, "IMM_5283.page1.livingWithProvince": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Province/État/District", "tooltip": "", "kind": "field" }, "IMM_5283.page1.livingWithRelationship": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Lien de parenté", "tooltip": "", "kind": "field" }, "IMM_5283.page1.livingWithStreet": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "N° et rue", "tooltip": "", "kind": "field" }, "IMM_5283.page1.medicalCondition": { "value_type": "integer", "numeric": false, "pictures": [], "max_chars": 2000, "choices": { "yes": "1", "no": "0" }, "caption": "Vous, ou un demandeur d'asile débouté compris dans votre demande, souffrez d'un problème de santé qui mettrait votre vie en danger si vous étiez renvoyé dans votre pays ou territoire d'origine", "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": "N° de dossier du client", "tooltip": "", "kind": "field" }, "IMM_5283.page1.titleSection.fileNumber": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "N° d'identité du client", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3BirthCountry1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Pays ou territoire de naissance", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3BirthCountry2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Pays ou territoire de naissance", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3BirthCountry3": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Pays ou territoire de naissance", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3BirthCountry4": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Pays ou territoire de naissance", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3BirthDate": { "value_type": "date", "numeric": false, "pictures": [ "date{YYYY-MM-DD}" ], "max_chars": 2000, "choices": {}, "caption": "Date de naissance (AAAA-MM-JJ)", "tooltip": "Entrez la date sous la forme AAAA-MM-JJ, ou cliquez sur la flèche pour ouvrir le calendrier.", "kind": "field" }, "IMM_5283.page2.question3BirthDate1": { "value_type": "date", "numeric": false, "pictures": [ "date{YYYY-MM-DD}" ], "max_chars": 2000, "choices": {}, "caption": "Date de naissance (AAAA-MM-JJ)", "tooltip": "Entrez la date sous la forme AAAA-MM-JJ, ou cliquez sur la flèche pour ouvrir le calendrier.", "kind": "field" }, "IMM_5283.page2.question3BirthDate2": { "value_type": "date", "numeric": false, "pictures": [ "date{YYYY-MM-DD}" ], "max_chars": 2000, "choices": {}, "caption": "Date de naissance (AAAA-MM-JJ)", "tooltip": "Entrez la date sous la forme AAAA-MM-JJ, ou cliquez sur la flèche pour ouvrir le calendrier.", "kind": "field" }, "IMM_5283.page2.question3BirthDate4": { "value_type": "date", "numeric": false, "pictures": [ "date{YYYY-MM-DD}" ], "max_chars": 2000, "choices": {}, "caption": "Date de naissance (AAAA-MM-JJ)", "tooltip": "Entrez la date sous la forme AAAA-MM-JJ, ou cliquez sur la flèche pour ouvrir le calendrier.", "kind": "field" }, "IMM_5283.page2.question3City": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Ville ou village", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3City1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Ville ou village", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3City2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Ville ou village", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3City4": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Ville ou village", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3GivenName1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Prénom(s)", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3GivenName2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Prénom(s)", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3GivenName3": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Prénom(s)", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3GivenName4": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Prénom(s)", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Name1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Nom de famille", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Name2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Nom de famille", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Name3": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Nom de famille", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Name4": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Nom de famille", "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": "Lien de parenté", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Relationship2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Lien de parenté", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Relationship3": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Lien de parenté", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Relationship4": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Lien de parenté", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Street": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "N° et rue", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Street1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "N° et rue", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Street2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "N° et rue", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question3Street4": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "N° et rue", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question4BirthCountry": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Pays ou territoire de naissance", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question4BirthDate": { "value_type": "date", "numeric": false, "pictures": [ "date{YYYY-MM-DD}" ], "max_chars": 2000, "choices": {}, "caption": "Date de naissance (AAAA-MM-JJ)", "tooltip": "Entrez la date sous la forme AAAA-MM-JJ, ou cliquez sur la flèche pour ouvrir le calendrier.", "kind": "field" }, "IMM_5283.page2.question4City": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Ville ou village", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question4GivenName": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Prénom(s)", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question4Name": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Nom de famille", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question4PostalCode": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Code postal", "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": "Lien de parenté", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question4Street": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "N° et rue", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5BirthCountry1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Pays ou territoire de naissance", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5BirthCountry2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Pays ou territoire de naissance", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5BirthCountry3": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Pays ou territoire de naissance", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5BirthDate1": { "value_type": "date", "numeric": false, "pictures": [ "date{YYYY-MM-DD}" ], "max_chars": 2000, "choices": {}, "caption": "Date de naissance (AAAA-MM-JJ)", "tooltip": "Entrez la date sous la forme AAAA-MM-JJ, ou cliquez sur la flèche pour ouvrir le calendrier.", "kind": "field" }, "IMM_5283.page2.question5BirthDate2": { "value_type": "date", "numeric": false, "pictures": [ "date{YYYY-MM-DD}" ], "max_chars": 2000, "choices": {}, "caption": "Date de naissance (AAAA-MM-JJ)", "tooltip": "Entrez la date sous la forme AAAA-MM-JJ, ou cliquez sur la flèche pour ouvrir le calendrier.", "kind": "field" }, "IMM_5283.page2.question5BirthDate3": { "value_type": "date", "numeric": false, "pictures": [ "date{YYYY-MM-DD}" ], "max_chars": 2000, "choices": {}, "caption": "Date de naissance (AAAA-MM-JJ)", "tooltip": "Entrez la date sous la forme AAAA-MM-JJ, ou cliquez sur la flèche pour ouvrir le calendrier.", "kind": "field" }, "IMM_5283.page2.question5City1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Ville ou village", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5City2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Ville ou village", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5City3": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Ville ou village", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Counrty1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Pays ou territoire", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Counrty2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Pays ou territoire", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Counrty3": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Pays ou territoire", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5GivenName1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Prénom(s)", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5GivenName2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Prénom(s)", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5GivenName3": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Prénom(s)", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Name1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Nom de famille", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Name2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Nom de famille", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Name3": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Nom de famille", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Province1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Province/État/District", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Province2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Province/État/District", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Province3": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Province/État/District", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Relationship1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Lien de parenté", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Relationship2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Lien de parenté", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Relationship3": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "Lien de parenté", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Street1": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "N° et rue", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Street2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "N° et rue", "tooltip": "", "kind": "field" }, "IMM_5283.page2.question5Street3": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "N° et rue", "tooltip": "", "kind": "field" }, "IMM_5283.page2.selectionLquestion3Sex2": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": { "female": "1", "male": "2", "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": "2", "male": "1", "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. S'il y a lieu, et considérant l'intérêt supérieur d'un enfant, donnez les renseignement à propos de tout enfant affecté par cette décision.", "kind": "field" }, "IMM_5283.page3.answer11": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "", "tooltip": "11. De quelle manière vous êtes-vous établi au Canada?", "kind": "field" }, "IMM_5283.page3.answer7": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "", "tooltip": "7. Expliquez les raisons humanitaires qui vous empêchent de quitter le Canada. Les raisons d'ordre humanitaires ne peuvent pas inclure la crainte de persécution, le \r danger de torture ou de risque à votre vie ou de traitement et punition cruelle dans votre pays d'origine.", "kind": "field" }, "IMM_5283.page3.answer8": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "", "tooltip": "8. Si vous demandez une dispense parce que vous ou un membre de votre famille êtes interdits de territoire ou ne respectez pas les critères ou les obligations \r applicables de la Loi sur l'immigration et la protection des réfugiés, vous devez :\r\t• indiquer clairement sur votre demande, les dispenses précises que vous demandez;\r\t• fournir tous les renseignements relatifs à la demande, y compris les raisons pour lesquelles une dispense devrait vous être accordée pour circonstance\r\t d'ordre humanitaire.", "kind": "field" }, "IMM_5283.page3.answer9": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "", "tooltip": "9. S'il y a lieu, expliquez les circonstances familiales et les autres relations qui pourraient supporter votre demande de considérations d'ordre humanitaire.", "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. Comment subvenez-vous à vos besoin au Canada?", "kind": "field" }, "IMM_5283.page4.answer13": { "value_type": "text", "numeric": false, "pictures": [], "max_chars": 2000, "choices": {}, "caption": "", "tooltip": "13. Indiquez toute autre information que vous désirez prise en compte dans le cadre de votre demande.", "kind": "field" } }, "manual": [ "IMM_5283.page4.signatureBlock.dateSigned", "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.applicantBirthDate", "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.question3BirthDate", "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." } }