Immigration & passport
Declaration from Non-Accompanying Parent or Guardian (IMM 5604)
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DECLARATION FROM NON-ACCOMPANYING PARENT OR GUARDIAN
(For a minor immigrating to Canada, IRCC form IMM 5604)
I, ______, of ______, DECLARE THAT:
I am the ______ of ______, born on ______ (the “child”). The child's name and date of birth are given as they appear on the child's passport or travel document.
I have no objection to the child immigrating to Canada with ______, the child's ______.
______
I have read and understood this declaration. By signing it, I confirm that I understand I may be permanently separated from the child.
I understand that if I wish to come to Canada myself, as a temporary resident or a permanent resident, I must meet every requirement of the Immigration and Refugee Protection Act and its Regulations in force when I apply.
I can be reached in an emergency at ______.
I am signing in front of the notary public named below, to whom I have shown my original ______. A photocopy of that document accompanies this declaration.
______________________________ | ______________________________ |
Signed at: ______ |
WITNESS (must be a notary public)
______________________________ | ______________________________ |
______________________________ | ______________________________ |