IMM 5669 — Schedule A — Background / Declaration
The background declaration form for permanent residence — covers complete personal history including addresses, education, employment, military service, and any criminal/immigration history.
What this form is for
The background declaration form for permanent residence — covers complete personal history including addresses, education, employment, military service, and any criminal/immigration history.
Who completes it
All Express Entry principal applicants + accompanying dependants 18+
Programs that use IMM 5669
Sections covered in the form
- Address history (last 10 years, every address)
- Education history (every institution, degree, dates)
- Employment / activity history (last 10 years, every employer + period of unemployment / study / parental leave)
- Military / paramilitary service history
- Membership in any organization
- Criminal record questions
- Prior immigration applications / refusals / removals
Common mistakes on IMM 5669
⚠ Most-watched-for errors
The errors below are the ones we most commonly see when reviewing files from prior representatives or self-prepared applications. Each one risks procedural fairness letters, refusals, or misrepresentation findings.
- Gaps in the 10-year address or employment history (must be continuous — no unexplained gaps)
- Omitting military service (mandatory or voluntary) — important for security-screening
- Omitting membership in any political party, religious organization, or labour union
- Failing to declare prior visa refusals from any country (not just Canada)
Halani's notes on IMM 5669
IMM 5669 is the security-screening foundation document. Inconsistencies between this and your other forms (passport stamps, employer letters, etc.) trigger procedural fairness letters.
Where to download IMM 5669
Always download the current version directly from canada.ca — older versions get rejected. The IRCC forms catalogue is at canada.ca/immigration-refugees-citizenship/services/application/application-forms-guides.
Filling IMM 5669? Get it right the first time.
Halani Immigration Services Inc. (RCIC-IRB R711322) prepares every IRCC form as part of a complete application package. Free 15-min review of your form package.
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