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IMMIGRATION

Canada

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Citizenship andImmigration Canada

Citoyenneté etImmigration Canada

IMM 5348E (07-2004)

Entrepreneur Counselling and Monitoring Guide, 1976 Immigration Act

Attachments:Appendices:

A Recommended supporting documentsB Citizenship and Immigration CentresC Call Centre and Web SiteD Provincial Immigration Contacts

Forms:Mail-in Card for Entrepreneurs (IMM 5215)Entrepreneur Monitoring Report, 1976 Immigration Act (IMM 5343)Application to Vary or Cancel Terms and Conditions of Landing - Entrepreneur (IMM 5344)

Table of Contents:Introduction. . . . . . . . . . . . . . . . . . . . . . . 3

How to complete the Mail-in Card for Entrepreneurs (IMM 5215) . . . . . . . . . . . 6

How to complete the Entrepreneur Monitoring Reports (IMM 5343) . . . . . . . 8

How to complete an Application to Vary or Cancel Terms and Conditions of Landing (IMM 5344) . . . . . . . . . . . . . . . . . . . . . . . 9

Self-compliance Checklist . . . . . . . . . . 10

Entrepreneur Counselling and Monitoring Guide – 1976 Immigration Act2

This booklet explains the entrepreneur monitoring process* which comes into effect after you have landed in Canada.

Please read this booklet carefully.

* Within six months of your landing.

Produced by Selection Branch and Information Management, Citizenship and Immigration Canada.

This is not a legal document; for legal information, please refer to the Immigration Act and Regulations.

Introduction

This guide is for entrepreneurs processed under the 1976 Immigration Act.

Canada welcomes successful business people seeking new opportunities and challenges. This document explains how you can meet the terms and conditions imposed on you as an entrepreneur under the Business Immigration Program.

What are the terms and conditions imposed upon my admission to Canada?

As an entrepreneur, you and your accompanying dependents must comply with the following terms and conditions imposed upon your permanent residence in Canada:

• Establish, purchase or make a substantial investment in a business or commercial venture that makes a significant contribution to the Canadian economy.

• Create or continue employment for one or more Canadian citizens or permanent residents, other than yourself and your dependants.

• Participate actively, and on an on-going basis, in the management of the business or commercial venture in Canada.

• At regular intervals, furnish evidence of efforts to comply with the terms and conditions imposed.

• Send the Mail-In Card (IMM 5215) to your local Citizenship and Immigration Centre within six months of becoming a permanent resident in Canada; and

• Report to the nearest Citizenship and Immigration Centre, or any other place specified by an Immigration Officer, at least once within each of the following periods:

• between six and twelve months from your date of becoming a permanent resident;

• between twelve and eighteen months from your date of becoming a permanent resident;

• between eighteen and twenty-four months from your date of becoming a permanent resident.

• Furnish evidence that the terms and conditions have been satisfied within a period of not more than two years after becoming a permanent resident.

How can I satisfy the reporting requirements imposed with my terms and conditions?

Remember that you must provide evidence of your efforts to comply with these terms and conditions. You do this by reporting your progress to the nearest Citizenship and Immigration Centre or any other place designated by an Immigration Officer. At any time during your monitoring, you may be asked to provide additional information or supporting documentation. Make sure that you respect the reporting deadlines which are outlined in your Acknowledgement of Terms and Conditions - Entrepreneurs - 1976 Immigration Act (IMM 5458).

Entrepreneur Counselling and Monitoring Guide – 1976 Immigration Act 3

Within six months of arriving in Canada, you must send your Mail-In Card to your local Citizenship and Immigration Centre. The card should be sent as soon as you have set up a residence in your province of destination. (Appendix B lists Citizenship and Immigration Centres.)

If you require further information, or want additional counselling, please note your specific request with your Mail-In Card.

This guide includes instructions on how to complete the Mail-In Card.

You will find Entrepreneur Monitoring Reports,1976 Immigration Act (IMM 5343) enclosed for each reporting period. Complete and mail each report, within the specified time, to the nearest Citizenship and Immigration Centre or any other place designated by an Immigration Officer. Include any additional information you wish considered.

Instructions on how to complete the Entrepreneur Monitoring Reports,1976 Immigration Act (IMM 5343) are provided in this guide.

How to set up your business: Programs and services accessible to entrepreneurs?

Now that you have arrived in Canada, you may want business information from organizations that specialize in providing guidance and counselling on business matters.

Provincial Immigration Contacts have established programs specifically designed to assist you in understanding the new business environment you are now entering. Provinces take an active role in providing information sessions and individual counselling interviews. Provincial representatives may also provide opinions to federal Immigration officials on your business, including whether it has made a significant contribution to the economy and other aspects of the entrepreneur's compliance with terms and conditions. (Appendix D lists Provincial Immigration Contacts.)

The Canada Web Site provides a single view into all of the Government of Canada’s information, services and products. Visit the Canada Web Site at www.gc.ca.

The Business Development Bank of Canada (BDC) is a financial institution wholly owned by the Government of Canada. BDC plays a leadership role in delivering financial and consulting services

STEP 1The first report period (0 - 6 months)

STEP 2Entrepreneur monitoring report periods (6 - 12, 12 - 18 and 18 - 24 months)

Provincial Business Contacts

Government of Canada

Business Development Bank of Canada

4 Entrepreneur Counselling and Monitoring Guide – 1976 Immigration Act

to Canadian small business, with a particular focus on the emerging and export sectors of the economy. Visit their Web Site at www.bdc.ca.

Industry Canada has information products, programs and expertise which may assist you in your business goals. Visit their Web Site at www.ic.gc.ca.

Local Chambers of Commerce in your area of residence may provide you with guidance and counselling specific to your local business environment.

I have met my terms and conditions; How can I have them cancelled?

If, at any time within two years from your date of landing, you believe you have fully satisfied your terms and conditions:

• Complete an Application to Cancel Conditions - Entrepreneur (IMM 5344);

• Complete the appropriate Monitoring Report;

• Provide supporting documents; and

• Mail this information to your local Citizenship and Immigration Centre or any other place designated by the Immigration Officer.

An Immigration Officer will review your application. If necessary, they will interview you and/or request additional documents and possibly do a site visit. You will be advised of the officer's decision.

What if I am unable to meet these terms and conditions?You are required to establish a business which satisfies the imposed terms and conditions within the two-year period of your becoming a permanent resident in Canada. If you do not meet these terms and conditions, enforcement action could lead to you and your dependents being removed from Canada.

If you are experiencing difficulties meeting your terms and conditions, contact your local Citizenship and Immigration Centre as well as your provincial immigration contact. You must clearly show that a genuine effort has been made to satisfy your terms and conditions.

Industry Canada

Local Chambers of Commerce


http://www.bdc.ca

http://www.ic.gc.ca

How to complete the Mail-in Card for Entrepreneurs (IMM 5215)

Front

Back

THE NAME AND ADDRESS OF A PERSON WHOM WE MAY CONTACT TO OBTAIN YOURNEW ADDRESSLE NOM ET L'ADRESSE D'UNE PERSONNE QUE NOUS POUVONS CONTACTER POUROBTENIR VOTRE NOUVELLE ADRESSE

IF YOU PLAN TO MOVE IN THE NEXT SIX MONTHS, PLEASE STATE YOUR FUTURE ADDRESS SI VOUS AVEZ L'INTENTION DE DÉMÉNAGER DANS LES SIX PROCHAINS MOIS, VEUILLEZ INDIQUER VOTRE ADRESSE FUTURE

First name - Prénom Last name - Nom de famille

Street no. and name - N° et nom de la rue

City, province and postal code - Ville, province et code postal



MAIL-IN CARD FOR ENTREPRENEURSFICHE DE RAPPORT DE L'ENTREPRENEUR

PLEASE COMPLETE THIS CARD AND MAIL IT WITHIN 6 MONTHS FROM YOURDATE OF LANDING IN CANADA TO YOUR LOCAL CITIZENSHIP ANDIMMIGRATION CENTRE. (It is recommended that you mail in your card once youhave established a residence in Canada.) ONCE YOU HAVE MAILED THE CARDWITHIN 6 MONTHS OF YOUR DATE OF LANDING, YOU WILL HAVE SATISFIEDTHE FIRST REPORTING REQUIREMENT.

PLEASE PRINTTo be completed by the entrepreneur only

DATE OF BIRTHDATE DE NAISSANCE

RECORD OF LANDING NO. (from bottom lower right corner of your IMM 1000) N° DE FICHE RELATIVE AU DROIT D'ÉTABLISSEMENT (voir le coin inférieur droit du formulaire IMM 1000)

W

DATE OF LANDINGDATE D'ÉTABLISSEMENT

NAME OF YOUR BUSINESS, if establishedNOM DE VOTRE ENTREPRISE, si elle estétablie

IMM 5215 (07-2004) B(OVER - VERSO)

VEUILLEZ ÉCRIRE EN CARACTÈRES D'IMPRIMERIEÀ l'usage de l'entrepreneur seulement

1 2 3 4

5 6

7a

PROTECTED WHEN COMPLETEDPROTÉGÉ UNE FOIS REMPLI - ACitizenship and

Immigration CanadaCitoyenneté etImmigration Canada

D - J M Y - AD - J M Y - A

YOUR NAME AS RECORDED ON YOUR IMMIGRANT VISAVOTRE NOM, TEL QU'INDIQUÉ SUR VOTRE VISA D'IMMIGRANTFirst name - Prénom Last name - Nom de famille

YOUR CURRENT ADDRESS - VOTRE ADRESSE ACTUELLE

7b

Area codeInd. rég.

-( )

Telephone no.N° de téléphone

OROU

City, province and postal codeVille, province et code postal

Street no. and nameN° et nom de la rue


Area codeInd. rég.

( ) -

VEUILLEZ REMPLIR CETTE FICHE ET LA FAIRE PARVENIR AU CENTRE DE LACITOYENNETÉ ET DE L'IMMIGRATION DE VOTRE RÉGION, DANS LES SIXMOIS SUIVANT VOTRE ADMISSION AU CANADA. (Nous vous recommandons deposter cette fiche lorsque vous serez installé au Canada.) LORSQUE VOUS AUREZPOSTÉ CETTE FICHE, VOUS VOUS SEREZ CONFORMÉ À LA PREMIÈREEXIGENCE, SOIT ENTRER EN CONTACT AVEC L'IMMIGRATION DANS LES SIXMOIS SUIVANT VOTRE ADMISSION.

IMM 5215 (07-2004) B

RECORD OF LANDING NO. OF YOUR ACCOMPANYING DEPENDANTSN° DE FICHE RELATIVE AU DROIT D'ÉTABLISSEMENT DES PERSONNES À CHARGE VOUS ACCOMPAGNANT

VOUS DEVEZ CONTACTER LE CENTRE DE LA CITOYENNETÉ ET DEL'IMMIGRATION DE VOTRE RÉGION (OU TOUT AUTRE ENDROITINDIQUÉ PAR L'AGENT D'IMMIGRATION) DANS LES SIX À 12 MOIS,ET ENSUITE, LES 12 À 18 MOIS ET LES 18 À 24 MOIS SUIVANTVOTRE ADMISSION, AFIN DE PROUVER QUE VOUS VOUSEFFORCEZ DE SATISFAIRE AUX CONDITIONS DE VOTREADMISSION.

Les renseignements que vous fournissez dans ce formulaire sontrecueillis en vertu du Règlement sur l'immigration pour vérifier que vousvous conformez aux conditions auxquelles est assujettie votre admissionau Canada. Ils seront versés dans les fichiers de renseignementspersonnels CIC PPU 042 et CIC PPU 010. Ils sont protégés etaccessibles en vertu de la Loi sur la protection des renseignementspersonnels.

YOUR SIGNATUREVOTRE SIGNATURE

DATE

PLEASE LIST ANY OTHER NAMES THAT YOU HAVE USEDVEUILLEZ ÉNUMÉRER LES AUTRE NOMS QUE VOUS AVEZ UTILISÉS

AFTER COMPLETING, MAIL THIS CARD TO YOURLOCAL CITIZENSHIP AND IMMIGRATION CENTRE.

YOU MUST CONTACT YOUR LOCAL CITIZENSHIP ANDIMMIGRATION CENTRE (OR ANY OTHER PLACE DESIGNATED BYTHE IMMIGRATION OFFICER) BETWEEN 6 AND 12, 12 AND 18, AND18 AND 24 MONTHS FROM YOUR DATE OF LANDING IN ORDER TOSHOW PROOF OF YOUR EFFORTS TO COMPLY WITH THE TERMSAND CONDITIONS IMPOSED ON YOUR LANDING.

The information you provide on this form is collected under the authority ofthe Immigration Regulations for the purpose of ensuring you havecomplied with the terms and conditions imposed upon your admission toCanada. This information will be stored in Personal Information BanksCIC PPU 042 and CIC PPU 010 and you have the right of access to it andto its protection under the Privacy Act.

8

10

POSTEZ CETTE FICHE DÛMENT REMPLIE AUCENTRE DE LA CITOYENNETÉ ET DE L'IMMIGRATIONDE VOTRE RÉGION.

D - J M Y - A

I WANT SERVICE INJE VEUX ÊTRE SERVI(E) EN

11

ENGLISHANGLAIS

FRENCHFRANÇAIS

OROU

9

W

W

W

W


These instructions will help you complete this form. You will find a sample of the Mail-in Card for Entrepreneurs (IMM 5215) on page 6.

Please read the instructions carefully. Please print with ink using block letters when completing the Mail-in Card for Entrepreneurs (IMM 5215).

1. Your name as recorded on your immigrant visa: Provide your first name followed by your family or last name. Print all names in full. Do not use initials.

2. Date of birth: Provide the required information.

3. Record of landing: This document number is recorded in Box 39 on your Immigrant Visa. It starts with a “W” followed by a series of 9 digits.

4. Date of landing: This date is recorded in Box 45 on your Immigrant Visa.

5. Your current address: Print the complete address of where you are living in Canada. If applicable, include your apartment or unit number. Include your telephone number.

6. Name of your business, if established: Print the name and address of your established business. Include your business telephone and fax numbers.

7. a) If you plan to move in the next six months, please state your future address: Provide requested information if available.

b) The name, address and telephone number of a person whom we may contact to obtain your new address.

8. Please list any other names that you have used.

9. Record of landing of accompanying dependants: Insert the “W” number of all accompanying dependants.

10. Your signature:As the entrepreneur, you must sign and date this section.

11. Please tell us whether you want service in English or French.

Important: Send this card within 6 months of your date of landing to the Citizenship and Immigration Centre closest to you. (See Appendix B)


How to complete the Entrepreneur Monitoring Reports, 1976 Immigration Act (IMM 5343)

These instructions will help you to complete the Entrepreneur Monitoring Reports (IMM 5343) which indicate how you are meeting the terms and conditions. Appendix A of this guide lists recommended supporting documents.

Please print with ink using block letters when completing the Monitoring Report. Put an “X” in the box which corresponds to your current monitoring period.

Personal informationPlease print the required information. State the amount of money brought to Canada. Indicate the amount you intend to invest in your business.

Business information

1. Enter an “X” in one of the boxes.

2. Provide the required information.

3. Enter an “X” in the box to indicate your response. If you answer yes, complete questions 3 (a) through (d).

4. Enter an “X” in the box to indicate your response. If you answer yes, provide the required information.

5. Enter an “X” to indicate your response.

6. Enter an “X” to indicate your response.

7. Provide information regarding ownership in this business.

8. Indicate if this business was purchased from another entrepreneur landed under the Business Immigration Program.

9. Indicate your total investment in your business and provide supporting evidence. State the amount you initially invested in the business. Indicate business profits and losses for this reporting period.

10. Enter an “X” to indicate your response. If yes, provide the required information.

11. Enter an “X” to indicate your response. If yes, provide details of your employment or involvement with this secondary business or employer.

12. Provide the information as requested.

13. Provide information on your efforts to comply with your terms and conditions. Enclose all available evidence that supports your statement.

14. List any attachments to your Monitoring Report. Please see Appendix A of this guide for a list of suggested documents.

15. IMPORTANT: Read the declaration, then sign and date your monitoring report.

IMPORTANT: Please answer all questions on this report. Indicate if a question does not apply to you.

IMPORTANT: If your answer is NO, go directly to question 10.


How to complete an Application to Vary or Cancel Terms and Conditions of Landing (IMM 5344)

These instructions will help you complete this form.

Please print with ink using block letters when completing the Application to Vary or Cancel Terms and Conditions of Landing (IMM 5344).

Part 1:

1. Enter “X” in the box that indicates your situation.

2. Enter the day, month, and year in which you were landed. This date is recorded in Box 45 on your Immigrant Visa.

3. Enter your Record of Landing number, which starts with a “W” followed by a series of 9 digits. This number is recorded in Box 39 on your Immigrant Visa.

Part 2: Personal informationProvide the required information.

Part 3: Dependants in CanadaList the number of your dependents who are in Canada, as well as the additional information required.

Part 4: Dependants outside CanadaProvide details of your dependents who are outside of Canada.

Part 5:Enter “X” in the box that applies to your situation.

Please provide the reasons which support your request to vary or cancel the terms and conditions of landing. How have you satisfied the terms and conditions imposed at the time of landing in Canada?

Part 6: Declaration of applicantMake sure to read this declaration carefully before signing your application to vary or cancel your terms and conditions.

As the entrepreneur, you must sign and date this section.

IMPORTANT: This application must be accompanied by the Entrepreneur Monitoring Report applicable to the latest reporting period.


Self-compliance Checklist (for personal use)

Form WhenMailed?

Mark an “X”once mailed

Mail-in Card mail within the first 6 months

Monitoring Report 1 mail within 6 to 12 months



Application to Vary or Cancel Terms and Conditions of Landing

see note* below

NOTE*: The Application to Vary or Cancel Terms and Conditions of Landing is submitted once an entrepreneur has satisfied terms and conditions and must be accompanied by the latest monitoring report.

If you change your address or telephone number please write to your local Citizenship and Immigration Centre.


Appendix ARecommended Supporting Documents

Element Criteria Documentation

Establish a Business

Physical location;

Generating revenue;

Commercial activity;

Potential for continued operation

Proof of ownership;

Business Licences/Registration;

Trade Licences;

Incorporation documents;

Vendor's Permits;

Sales tax licences(GST and PST);

Receipts and invoices;

Photos of location;

Financial statements

Purchase a Business Acquiring ownership;

Existing business

All of the above plus:• Income tax

statements;• Proof of

sale;• Purchase agreements;• Share transfers

SubstantialInvestment

Degree of control Percentage of voting shares;

Proof of investment;

Owner's equity;

Partnership agreements;

Loan/business agreements

SignificantContribution toEconomy

Impact on national, provincial or local economies

Contracts (purchase/sale);

Financial statements;

Written provincial opinion

Employment Opportunity Maintained/created employment;

Duration of employment::• hours of work• full or part-time

employment

Payroll documents;

Employee registration;

Revenue Canada remittance;

T-4 Summary & copies of T-4's;

Record of Employment (EI);

Wages & benefits paid from financial statements

Entrepreneur Counselling and Monitoring Guide – 1976 Immigration Act A-1

Active and Ongoing Management

Input into management decisions;

Continued hands-on involvement in operations

Knowledge of day-to-day operations;

Signed business contracts,correspondence, cheques anddirectives to staff;

Partnership agreements;

Bills, statements, purchase ordersin your name;

Minute-book to verify position title in the business, voting shares, etc.

Element Criteria Documentation

Entrepreneur Counselling and Monitoring Guide – 1976 Immigration ActA-2

Appendix BCitizenship and Immigration Centres

British Columbia / Yukon / NWT

Citizenship and Immigration Centre

2nd Floor, 101 10th Ave. SouthCranbrook, British Columbia V1C 2N1

Citizenship and Immigration Centre 1148 Hornby Street Vancouver, British ColumbiaV6Z 2C3

Citizenship and Immigration Centre#202, 1635 Abbott StreetKelowna, British ColumbiaV1Y 1A9

Citizenship and Immigration CentreRoom 377, 816 Government StreetVictoria, British ColumbiaV8W 1W9(for Vancouver Island)

Citizenship and Immigration Centre201E - 60 Front StreetNanaimo, British Columbia V9R 5H7


2nd Floor, Joe Tobie Building, 5020 - 48 Street,Bag 1170Yellowknife, Northwest TerritoriesX1A 2R3

Citizenship and Immigration CentreRoom 250, 177 Victoria StreetPrince George, British ColumbiaV2L 5R8(for northern B.C. and the Yukon)

Prairies


Room 170, 220 4th Avenue S. E.Calgary, AlbertaT2G 4X3


Room 660, 410 22nd Street EastSaskatoon, Saskatchewan S7K 5T6

Citizenship and Immigration CentreSuite 240, 9700 Jasper AvenueCanada PlaceEdmonton, AlbertaT5J 4C3

Citizenship and Immigration CentreRoom 400, 25 Forks Market Road Johnston Terminal BuildingWinnipeg, Manitoba R3C 4S9


1st Floor, 1871 Hamilton Street Regina, SaskatchewanS4P 2B9

Ontario


2nd Floor, 301 Scott StreetFort Frances, OntarioP9A 1H1

Citizenship and Immigration Centre78 West Street SouthOrilllia, OntarioL3V 5G4

Entrepreneur Counselling and Monitoring Guide – 1976 Immigration Act B-1

Citizenship and Immigration CentreJackson Square Mall, Phase IV, Plaza Level 22 King Street West, Hamilton, OntarioL8P 1A1


1st Floor, 200 Catherine StreetOttawa, OntarioK2P 2K9


1st Floor, 86 Clarence St,Kingston, OntarioK7L 1X3

Citizenship and Immigration Centre19 Lisgar Street Sudbury, OntarioP3E 3L4

Citizenship and Immigration Centre29 Duke Street EastKitchener, Ontario N2H 1A2

Citizenship and Immigration Centre Suite 108, 221 Archibald Street Thunder Bay, OntarioP7C 3Y3

Citizenship and Immigration CentreRoom 920, 451 Talbot StreetLondon, OntarioN6A 5C9

Citizenship and Immigration CentreSuite 200, 25 St. Clair Ave EastToronto, Ontario M4T 1M2

Citizenship and Immigration CentreUnit 12, 6080 McLeod RoadNiagara Falls, OntarioL2G 7T4

Citizenship and Immigration CentreSuite B, 130 Ouellette PlaceWindsor, OntarioN8X 1L9

Quebec


2nd Floor, 1010 St. Antoine St. WestMontreal, Quebec

Mailing Address:Citizenship and Immigration CentrePO Box 748, Station “A”Montreal, Quebec H3C 2V2

Atlantic Region

Citizenship and Immigration CentreSuite 410, 134 Kent StreetCharlottetown, Prince Edward IslandC1A 8R8

Citizenship and Immigration Centre495 Prospect StreetFredericton, New Brunswick E3B 9M4

Citizenship and Immigration Centre1741 Brunswick Street, Suite B110Halifax, Nova ScotiaB3J 3X8

Citizenship and Immigration CentreRoom 602, 860 Main StreetMoncton, New Brunswick E1C 1G2


2nd Floor, North Atlantic Building31 Pippy Place St. John's, Newfoundland

Mailing Address:Citizenship and Immigration CentrePO Box 13667, Station “A”St. John's, NewfoundlandA1B 4G1

Citizenship and Immigration CentreFirst Floor, 189 Prince William StreetSaint John, New BrunswickE2L 2B9

Entrepreneur Counselling and Monitoring Guide – 1976 Immigration ActB-2

Entrepreneur Counselling and Monitoring Guide – 1976 Immigration Act C-1

Appendix CCall Centre and Web Site

Call CentreThe Call Centre is accessible only in Canada. If you live outside of Canada, refer to our Web Site.

The Call Centre’s automated telephone service is available seven days a week, 24 hours a day. It allows you to order applications and receive general information on many Citizenship and Immigration programs. With a touch-tone telephone, using the automated service is simple.

If you require additional information, Call Centre agents are available during business hours to answer your questions and to advise you.

To speak to an agent, press “0” after contacting the Call Centre.

Web Site www.cic.gc.caThe Citizenship and Immigration Canada Web Site is an excellent source of information which clients may consult anytime. With the click of a mouse, you can easily and quickly:

• download and print applications and forms;

• order applications; and

• obtain information on Citizenship and Immigration programs and services.

Call Centre Phone Numbers - Toll free

For information on Citizenship and Immigration

For information on the Permanent Resident Card (PR Card)

1-888-242-2100

1-800-255-4541

http://www.cic.gc.ca

Appendix DProvincial and Territorial Immigration Contacts

Northwest Territories Yukon

Assistant Director, Investment DevelopmentInvestment and Economic AnalysisDepartment of Resources, Wildlife and Economic DevelopmentP.O. Box 13203rd Floor, Northern United PlaceYellowknife, Northwest Territories X1A 2L9Tel: (867) 920-8969Fax: (867) 873-0101

Internet: www.rwed.gov.nt.ca

Business and TradeEconomic DevelopmentP.O. Box 2703, Whitehorse, YukonY1A 2C6Tel: (867) 393-7191Fax: (867) 393-6944

Internet: www.economicdevelopment.gov.yk.ca

British Columbia Alberta

Investment AdvisorMinistry of Community, Aboriginal and Women’s Services730 - 999 Canada PlaceVancouver, British ColumbiaV6C 3E1Tel: (604) 775-2227 Fax: (604) 660-4092

Internet:www.businessimmigration.gov.bc.ca

DirectorEconomic ImmigrationMinistry of Economic Development4th Floor, Commerce Place10155-102nd StreetEdmonton, AlbertaT5J 4L6Tel: (780) 427-6419Fax: (780) 427-6560

Internet:www.alberta-canada.com

Manitoba Saskatchewan

Senior ManagerInvestment BranchIndustry, Economic Development and Mines1110 - 259 Portage AvenueWinnipeg, ManitobaR3B 3P4Tel: (204) 945-2466Fax: (204) 957-1793

Internet: www.gov.mb.ca/itm/invest/pnp-b/

Senior Economic Immigration AdvisorGovernment Relations and Aboriginal AffairsImmigration Branch2nd Floor, 1919 Saskatchewan DriveRegina, SaskatchewanS4P 3V7Tel: (306) 787-7467Fax: (306) 798-0713

Internet: www.immigrationsask.gov.sk.ca/business_persons.htm

Ontario Quebec

ManagerBusiness Immigration Economic Development and TradeHearst Block, 5th Floor900 Bay StreetToronto, OntarioM7A 2E1Tel: (416) 325-6777Fax: (416) 325-6653

Internet: www.2ontario.com

DirectriceDirection de l’immigration d’affairesMinistère des Relations avec les citoyens et de l’immigration800, Place Victoria, 2e étageC.P. 408Montréal (Québec) H4Z 1J7 Tel: (514) 864-7089 Fax: (514) 873-7867

Internet: www.immigration-quebec.gouv.qc.ca

Entrepreneur Counselling and Monitoring Guide – 1976 Immigration Act D-1

Nunavut Newfoundland

Sr. Advisor Trade Policy and Export DevelopmentEconomic Developement and InnovationDepartment of Economic Development and

TransportationGovernment of NunavutP.O. Box 204Pangnirtung, NunavutX0A 0R0Tel: (867) 473-2670Fax: (867) 473-2663

Internet: www.gov.nu.ca

ManagerInvestment Industry, Trade and Rural DevelopmentTrade and Investment CorporateConfederation Building ComplexP.O. Box 8700Prince Phillip DriveSt. John's, NewfoundlandA1B 4J6Tel: (709) 729-4784Fax: (709) 729-3208

Internet: www.success.nfld.net

New Brunswick Nova Scotia

Manager, ImmigrationInvestment ImmigrationBusiness New BrunswickCentennial BuildingP.O. Box 6000Fredericton, New BrunswickE3B 5H1Tel: (506) 453-3455Fax: (506) 444-4277

Internet: www.gov.nb.ca

Project Director, ImmigrationOffice of Economic Development14nd Floor South1505 Barrington StreetHalifax, Nova ScotiaB3J 3C8Tel: (902) 424-6864Fax: (902) 424-0500

Internet: www.gov.ns.ca

Prince Edward Island

Program OfficerDepartment of Development & TechnologyImmigration and InvestmenetP.O. Box 117694 Euston StreetCharlottetown, Prince Edward IslandC1A 7M8Tel: (902) 368-6252Fax: (902) 368-5886

Internet: www.gov.pe.ca

Entrepreneur Counselling and Monitoring Guide – 1976 Immigration ActD-2

THE NAME AND ADDRESS OF A PERSON WHOM WE MAY CONTACT TO OBTAIN YOURNEW ADDRESSLE NOM ET L'ADRESSE D'UNE PERSONNE QUE NOUS POUVONS CONTACTER POUROBTENIR VOTRE NOUVELLE ADRESSE

IF YOU PLAN TO MOVE IN THE NEXT SIX MONTHS, PLEASE STATE YOUR FUTURE ADDRESS SI VOUS AVEZ L'INTENTION DE DÉMÉNAGER DANS LES SIX PROCHAINS MOIS, VEUILLEZ INDIQUER VOTRE ADRESSE FUTURE

First name - Prénom Last name - Nom de famille





MAIL-IN CARD FOR ENTREPRENEURSFICHE DE RAPPORT DE L'ENTREPRENEUR

PLEASE COMPLETE THIS CARD AND MAIL IT WITHIN 6 MONTHS FROM YOURDATE OF LANDING IN CANADA TO YOUR LOCAL CITIZENSHIP ANDIMMIGRATION CENTRE. (It is recommended that you mail in your card once youhave established a residence in Canada.) ONCE YOU HAVE MAILED THE CARDWITHIN 6 MONTHS OF YOUR DATE OF LANDING, YOU WILL HAVE SATISFIEDTHE FIRST REPORTING REQUIREMENT.

PLEASE PRINTTo be completed by the entrepreneur only

DATE OF BIRTHDATE DE NAISSANCE

RECORD OF LANDING NO. (from bottom lower right corner of your IMM 1000) N° DE FICHE RELATIVE AU DROIT D'ÉTABLISSEMENT (voir le coin inférieur droit du formulaire IMM 1000)

W

DATE OF LANDINGDATE D'ÉTABLISSEMENT

NAME OF YOUR BUSINESS, if establishedNOM DE VOTRE ENTREPRISE, si elle estétablie

IMM 5215 (07-2004) B(OVER - VERSO)

VEUILLEZ ÉCRIRE EN CARACTÈRES D'IMPRIMERIEÀ l'usage de l'entrepreneur seulement

1 2 3 4

5 6

7a

PROTECTED WHEN COMPLETEDPROTÉGÉ UNE FOIS REMPLI - ACitizenship and

Immigration CanadaCitoyenneté etImmigration Canada

D - J M Y - AD - J M Y - A

YOUR NAME AS RECORDED ON YOUR IMMIGRANT VISAVOTRE NOM, TEL QU'INDIQUÉ SUR VOTRE VISA D'IMMIGRANTFirst name - Prénom Last name - Nom de famille

YOUR CURRENT ADDRESS - VOTRE ADRESSE ACTUELLE

7b

Area codeInd. rég.

-( )


OROU

City, province and postal codeVille, province et code postal

Street no. and nameN° et nom de la rue


Area codeInd. rég.

( ) -

VEUILLEZ REMPLIR CETTE FICHE ET LA FAIRE PARVENIR AU CENTRE DE LACITOYENNETÉ ET DE L'IMMIGRATION DE VOTRE RÉGION, DANS LES SIXMOIS SUIVANT VOTRE ADMISSION AU CANADA. (Nous vous recommandons deposter cette fiche lorsque vous serez installé au Canada.) LORSQUE VOUS AUREZPOSTÉ CETTE FICHE, VOUS VOUS SEREZ CONFORMÉ À LA PREMIÈREEXIGENCE, SOIT ENTRER EN CONTACT AVEC L'IMMIGRATION DANS LES SIXMOIS SUIVANT VOTRE ADMISSION.

IMM 5215 (07-2004) B

RECORD OF LANDING NO. OF YOUR ACCOMPANYING DEPENDANTSN° DE FICHE RELATIVE AU DROIT D'ÉTABLISSEMENT DES PERSONNES À CHARGE VOUS ACCOMPAGNANT

VOUS DEVEZ CONTACTER LE CENTRE DE LA CITOYENNETÉ ET DEL'IMMIGRATION DE VOTRE RÉGION (OU TOUT AUTRE ENDROITINDIQUÉ PAR L'AGENT D'IMMIGRATION) DANS LES SIX À 12 MOIS,ET ENSUITE, LES 12 À 18 MOIS ET LES 18 À 24 MOIS SUIVANTVOTRE ADMISSION, AFIN DE PROUVER QUE VOUS VOUSEFFORCEZ DE SATISFAIRE AUX CONDITIONS DE VOTREADMISSION.

Les renseignements que vous fournissez dans ce formulaire sontrecueillis en vertu du Règlement sur l'immigration pour vérifier que vousvous conformez aux conditions auxquelles est assujettie votre admissionau Canada. Ils seront versés dans les fichiers de renseignementspersonnels CIC PPU 042 et CIC PPU 010. Ils sont protégés etaccessibles en vertu de la Loi sur la protection des renseignementspersonnels.

YOUR SIGNATUREVOTRE SIGNATURE

DATE

PLEASE LIST ANY OTHER NAMES THAT YOU HAVE USEDVEUILLEZ ÉNUMÉRER LES AUTRE NOMS QUE VOUS AVEZ UTILISÉS

AFTER COMPLETING, MAIL THIS CARD TO YOURLOCAL CITIZENSHIP AND IMMIGRATION CENTRE.

YOU MUST CONTACT YOUR LOCAL CITIZENSHIP ANDIMMIGRATION CENTRE (OR ANY OTHER PLACE DESIGNATED BYTHE IMMIGRATION OFFICER) BETWEEN 6 AND 12, 12 AND 18, AND18 AND 24 MONTHS FROM YOUR DATE OF LANDING IN ORDER TOSHOW PROOF OF YOUR EFFORTS TO COMPLY WITH THE TERMSAND CONDITIONS IMPOSED ON YOUR LANDING.

The information you provide on this form is collected under the authority ofthe Immigration Regulations for the purpose of ensuring you havecomplied with the terms and conditions imposed upon your admission toCanada. This information will be stored in Personal Information BanksCIC PPU 042 and CIC PPU 010 and you have the right of access to it andto its protection under the Privacy Act.

8

10

POSTEZ CETTE FICHE DÛMENT REMPLIE AUCENTRE DE LA CITOYENNETÉ ET DE L'IMMIGRATIONDE VOTRE RÉGION.

D - J M Y - A

I WANT SERVICE INJE VEUX ÊTRE SERVI(E) EN

11

ENGLISHANGLAIS

FRENCHFRANÇAIS

OROU

9

W

W

W

W

ENTREPRENEUR MONITORING REPORT, 1976 IMMIGRATION ACTRAPPORT DE SUIVI DE L'ENTREPRENEUR, LA LOI SUR L'IMMIGRATION DE 1976

Business address - Adresse de l'entreprise

No. - N°

No. - N°

Postal code - Code postal


Date of landingDate du droitd'établissement

Date of birthDate de naissance

IMM 5343 (07-2004) B

PERSONAL INFORMATION - RENSEIGNEMENTS PERSONNELSSurname - Nom de famille Given name - Prénom Second name(s) - Autre(s) prénom(s)

Residential address - Adresse du domicile

D - J M Y - A

Enter "X" when reportingbetween 6 to 12 monthsInscrivez un « X » s'il s'agit du suivi pour la période du 6e au 12e mois

1

Enter "X" when reportingbetween 12 to 18 monthsInscrivez un « X » s'il s'agit du suivipour la période du 12e au 18e mois

2

Enter "X" when reportingbetween 18 to 24 monthsInscrivez un « X » s'il s'agit du suivipour la période du 18e au 24e mois

3

D - J M Y - ARecord of landingFiche d'établissement W

How much capital did youbring to Canada?Quel est le montant descapitaux que vous avez faitentrer au Canada?

Cdn $. Include evidence$ Can. Fournissez une preuve

How much capital is available forbusiness investment?Quel est le montant des capitaux disponiblesaux fins d'investissement dans une entreprise?

BUSINESS INFORMATION - RENSEIGNEMENTS SUR L'ENTREPRISE

Have you purchased, established or made a substantial investment in a business in Canada?Avez-vous acheté ou établi une entreprise au Canada ou y avez-vous investi une somme importante?

Business name - Nom de l'entreprise

TelephoneTéléphone

Apt./Unit - App./Unité Area codeInd. rég.



Fax Télécopieur

Area codeInd. rég.

City - Ville Province


Have you participated actively and on an ongoing basis in the management of the business?Avez-vous participé activement et régulièrement dans la gestion de l'entreprise?

If "yes",Si « oui »,

a) What is your job title?Quel est le titre de votre poste?

b) How many hours per week do you spend managing your business?Combien d'heures par semaine consacrez-vous à la gestion de votre entreprise?

Hours per week.Heures par semaine.

c) Describe the management activities which you perform:Décrivez les fonctions de gestion que vous remplissez :

d) Does anyone, including your dependants in Canada, assist you with the management of your business?Êtes-vous secondé(e) dans la gestion de votre entreprise par d'autres personnes, y compris des personnes à votre charge se trouvant au Canada?


Please explain their business relationship to you:Décrivez le genre de relations d'affaires que ces personnes entretiennent avec vous :

The information you provide on this form is collected under the authority of theImmigration Regulations for the purpose of ensuring you have complied with theterms and conditions imposed upon your admission to Canada. Failure to complywith the requirements may warrant enforcement action. This information will bestored in Personal Information Banks CIC PPU 042 and CIC PPU 010. It isprotected and you have the right of access to it under the Privacy Act and theAccess to Information Act.

Cdn $$ Can

PAGE 1 OF/DE 5

Les renseignements que vous fournissez dans le présent formulaire sont recueillisen vertu du Règlement sur l'immigration pour vérifier que vous vous conformez auxconditions auxquelles est assujettie votre admission au Canada. Si vous nesatisfaites pas aux conditions, une mesure d'exécution de la Loi pourrait être prise.Ces renseignements seront versés aux fichiers de renseignements personnels CICPPU 042 et CIC PPU 010. Ils sont protégés et vous y avez accès en vertu de la Loisur la protection des renseignements personnels et de la Loi sur l'accès àl'information.



PROTECTED WHEN COMPLETEDPROTÉGÉ UNE FOIS REMPLI - B

No. - N°

1

2

3

YesOui

NoNon

Social insurance no.N° d'assurance sociale

NoNon

YesOui

NoNon

YesOui

Client ID no. - N° d'ID du client

IMM 5343 (07-2004) B

Y - A

Y - A

Date endedFin

Duties - Fonctions

Duties - Fonctions

Did you: (Check one) - Avez-vous : (Cochez une case)

List all persons performing management duties as well as their hours spent managingper week, then indicate which duties they perform.(Please use a separate sheet of paper to list additional information)

Management hoursHeures de gestion

Name - Nom Per weekPar semaine

Duties - Fonctions

Management hoursHeures de gestion

Name - Nom Per weekPar semaine

Duties - Fonctions

Since you purchased, established or made a substantial investment in a business, have you created or continued employment for aCanadian citizen or permanent resident other than yourself and your dependants?Depuis que vous avez acheté ou établi une entreprise ou y avez investi une somme importante, avez-vous permis à au moins un citoyencanadien ou résident permanent, à l'exception de vous-même et des personnes à votre charge, d'obtenir ou de conserver un emploi?


List the names, social insurance number (SIN), the date employment began, the date employment ended (if applicable) and the number of hours they work per week. (Please use a separate sheet of paper to list additional information) (Photocopies of payroll records are required for the last six months)Indiquez les noms de ces personnes ainsi que leur numéro d'assurance sociale (NAS), leur date de début d'emploi, de fin d'emploi (s'il y a lieu) et le nombred'heures de travail par semaine. (Au besoin, utiliser une feuille supplémentaire) (Veuillez fournir des photocopies des livres de paye des derniers six mois)

Buy an existing business?Acheté une entreprise existante?

Start a new business?Établi une nouvelle entreprise?

Make a substantial investment in a business?Investi une somme importante dans une entreprise?

PAGE 2 OF/DE 5

Nommez toutes les personnes qui remplissent des fonctions de gestion, en précisantpendant combien d'heures par semaine, puis indiquez leurs fonctions.(Au besoin, utilisez une feuille supplémentaire)

4

Duties - Fonctions

M


D - J M Y - A Soc. ins. no.N° d'ass. soc.

Name - Nom

Date beganDébut

D - J Date endedFin

D - J M Y - A Hours per weekHeures par semaine

Job title - Titre du poste

5

M



Name - Nom

Date beganDébut

D - J Date endedFin

D - J M Y - A Hours per weekHeures par semaine


NoNon

YesOui

M



Name - Nom

Date beganDébut

D - J Y - A D - J M Y - A Hours per weekHeures par semaine


IMM 5343 (07-2004) B

Name - Nom

Details - Détails

To date, what is your total investment in the business?Combien avez-vous investi à ce jour dans l'entreprise?

Business address - Adresse du bureau


Describe the service provided by your business:Veuillez décrire les services qu'offre votre entreprise :

Identify the applicable businesssector and your area of

specialization(Check appropriate response(s))

Indiquez le secteur d'activité devotre entreprise et votre domaine

de spécialisation(Cochez une ou plusieurs cases)

RetailCommerce de détail

WholesaleCommerce de gros

ManufacturingFabrication

Accommodation, food and beverageServices d'hôtellerie et alimentaires

OtherAutre

%

If not 100%, indicate the names of your co-owners and the percentage which each owns.(Provide evidence such as joint partnership agreement, resolution of minutes book orshares)

Co-owner - Copropriétaire Owns - Possède

%Co-owner - Copropriétaire Owns - Possède

%

Avez-vous acheté une entreprise qu'un autre entrepreneur a déjà utilisée pour obtenirl'annulation des conditions qui lui avaient été imposées, ou avez-vous investi une sommeimportante dans une telle entreprise? Si oui, veuillez fournir des précisions (nom et datede naissance du précédent entrepreneur).


D - J M Y - A

What percentage of the business do you own?Quel pourcentage des parts de l'entreprise détenez-vous?

(Cdn)$. Include evidence$ (Can). Fournir une preuve

D - J M Y - A

(Cdn)$. Include evidence$ (Can). Fournir une preuve

(Cdn)$$ (Can)

Please provide the name and address of your lawyer/consultant assisting you to work towards the cancellation of your terms and conditions of landing.Veuillez indiquer le nom de l'avocat ou du conseiller qui vous aide à obtenir l'annulation des conditions mises du droit d'établissement.

LawyerAvocat

ConsultantConseiller

Lawyer or consultant's firm - Cabinet d'avocats ou de conseillers Lawyer or consultant's name - Nom de l'avocat ou du conseiller


Area codeInd. rég.

City - Ville Province Fax Télécopieur

Area codeInd. rég.

Are you employed or involved in any business, other than the one mentioned in question two?Occupez-vous un emploi ou remplissez-vous des fonctions dans une entreprise autre que celle que vousavez mentionnée en réponse à la question deux?

PAGE 3 OF/DE 5

Si moins de 100%, indiquer les noms des autres propriétaires et les pourcentagesrespectifs des parts qu'ils détiennent dans l'entreprise. (Veuillez fournir des preuves telles qu'un accord d'association, le registre desprocès-verbaux ou des certificats d'actions)

Did you purchase or make a substantial investment in a business that waspreviously used for removal of terms and conditions for another entrepreneur? If so,please provide full details (name and date of birth of previous entrepreneur).

6

7

8

9

When did you make your initial investment?À quand remonte votre premier engagement financier?

When did you commence business activity?Quand avez-vous commencé à exploiter activement l'entreprise?

What was your initial investment in the business?Combien avez-vous investi à l'origine dans l'entreprise?

What are your current business profits or losses?Quels profits ou pertes votre entreprise a-t-elle accumulés à ce jour?

No. - N°

No. - N°

NoNon

Yes (If "yes", provide details)Oui (Si « oui », donnez des précisions)

10

11

D - J M Y - A

IMM 5343 (07-2004) B

List the documents you have attached to this form in support of your responses. SeeAppendix "A" of the Entrepreneur Counselling and Monitoring Guide, 1976Immigration Act for the list of suggested documentation. Provide any otherinformation which you would like considered by an immigration officer during thismonitoring period.

Since your date of landing in Canada, identify in chronological order, how often youhave been absent from Canada. (Include reason and dates of each absence)

If you have been unable to select a suitable business venture, please outline yourefforts to date to comply with your terms and conditions. Please furnish all availableevidence which support your statement.

D - J M Y - A D - J M Y - A Reasons - Raisons

DECLARATIONI understand the contents of this form. I declare that all the information on thismonitoring report is truthful, complete and correct.

DÉCLARATIONJe comprends le contenu de ce formulaire. Je déclare que les renseignementsfournis dans ce rapport de suivi sont véridiques, complets et exacts.

Signature

FAILURE TO SUBMIT THIS MONITORING REPORT ONOR BEFORE THE DATE PRESCRIBED CONSTITUTES AFAILURE TO COMPLY WITH YOUR TERMS ANDCONDITIONS OF ENTRY AND MAY RESULT INENFORCEMENT ACTION.

SI VOUS NE PRÉSENTEZ PAS CE RAPPORT DE SUIVI AUPLUS TARD À LA DATE PRESCRITE ON CONSIDÉRERAQUE VOUS NE VOUS ÊTES PAS CONFORMÉ(E) AUXCONDITIONS QUI VOUS ONT ÉTÉ IMPOSÉES, ET UNEMESURE D'EXÉCUTION DE LA LOI POURRAIT ÊTREPRISE À VOTRE ENDROIT.

PAGE 4 OF/DE 5

Énumérez dans l'ordre chronologique vos séjours à l'extérieur du Canada depuis quevous avez obtenu le droit d'établissement au Canada. (Précisez le motif et les dates dechaque séjour à l'étranger)

Si vous n'avez pas pu trouver d'entreprise convenable, veuillez décrire les démarchesentreprises pour vous conformer aux conditions. Veuillez fournir toutes les preuvesnécessaires pour étayer votre déclaration.

Énumérez les documents que vous annexez à ce formulaire à l'appui de vos réponses.Vous trouverez, à l'appendice « A » du Guide de counselling et de suivi de l'entrepreneurLa Loi sur l'immigration de 1976, une liste des documents qu'il est suggéré d'annexer.Veuillez fournir tout autre renseignement que vous souhaitez faire prendre enconsidération par un agent d'immigration au sujet de cette période de suivi.

15

14

13

12

A

B

C

D

E

F

G

H

I

J

K

L

Date

Y - AMD - J

IMM 5343 (07-2004) B

HOW TO COMPLETETHE ENTREPRENEUR MONITORING REPORTS

The instructions below will help you to complete the EntrepreneurMonitoring Reports to show how you are meeting the terms andconditions. (Appendix "A" of Entrepreneur Counselling and MonitoringGuide, 1976 Immigration Act lists recommended supporting documents)

IMPORTANT

Please answer all questions on this form. Indicate if a question is notapplicable to your case.

Please print with ink using block letters. Enter an "X" in the box whichcorresponds to your current monitoring period.

PERSONAL INFORMATION

Print the required personal information. State the amount of moneybrought to Canada. Indicate the amount you intend to invest in yourbusiness.

BUSINESS INFORMATION

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

Enter an "X" in one of the boxes.

Provide the required information.

Enter an "X" in the box to indicate your response. If you answer yes,complete questions 3 a) through d).

Enter an "X" in the box to indicate your response. If you answer yes,provide the required information.

Enter an "X" in the box to indicate your response.

Enter an "X" in the box to indicate your response.

Provide information regarding ownership in this business.

Indicate if this business was purchased from another entrepreneurlanded under the Business Immigration Program.

Indicate your total investment in your business and provide supportingevidence. State the amount you initially invested in the business.Indicate business profits and losses for this reporting period.

Enter an "X" in the box to indicate your response. Provide the requiredinformation.

Enter an "X" in the box to indicate your response. If yes, provide detailsof your employment or involvement with this secondary business oremployer.

Provide the information as requested.

Provide information on your efforts to comply with your terms andconditions. Include specific details of your business dealings to date inCanada. Enclose all available evidence that supports your statement.

List the attachments to your Monitoring Report form.

IMPORTANT

Read the declaration then sign and date your Monitoring Report.

Mail this report within the specified time to the nearest Citizenship andImmigration Centre or other place designated by an immigration officer.

COMMENT REMPLIRLES RAPPORTS DE SUIVI DE L'ENTREPRENEUR

Les instructions qui suivent indiquent comment remplir les rapports desuivi de l'entrepreneur que vous devez présenter pour prouver que vousvous êtes conformé aux conditions. (L'appendice « A » du Guide decounselling et de suivi de l'entrepreneur, La Loi sur l'immigration de 1976indique quels documents à l'appui il convient de présenter)

IMPORTANT

Veuillez répondre à toutes les questions du formulaire; si une question estsans objet, assurez-vous de l'indiquer.

Veuillez utiliser un stylo et écrire en lettres moulées. Inscrivez un « X »dans la case qui correspond à la période de suivi actuelle.

RENSEIGNEMENTS PERSONNELS

Indiquez en lettres moulées les renseignements personnels à votre sujet.Inscrivez la somme d'argent que vous avez fait entrer au Canada etprécisez quelle somme vous entendez investir dans votre entreprise.

RENSEIGNEMENTS SUR L'ENTREPRISE

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

Inscrivez un « X » dans une des cases.

Fournissez les renseignements demandés.

Inscrivez un « X » dans la case qui correspond à votre réponse. Sivotre réponse est affirmative, répondez aussi aux questions 3 a) à d).

Inscrivez un « X » dans la case qui correspond à votre réponse. Sivotre réponse est affirmative, fournissez les renseignementsdemandés.

Inscrivez un « X » dans la case qui correspond à votre réponse.

Inscrivez un « X » dans la case qui correspond à votre réponse.

Fournissez les renseignements demandés au sujet de la propriété del'entreprise.

Indiquez si vous avez acquis l'entreprise d'un autre entrepreneur qui aobtenu le droit d'établissement aux termes du Programmed'immigration des gens d'affaires.

Indiquez le montant total de l'investissement que vous avez fait dansl'entreprise en fournissant des preuves à l'appui. Indiquez le montantque vous avez investi à l'origine de même que les profits et pertes del'entreprise au cours de la période du suivi sur laquelle porte le rapport.

Inscrivez un « X » dans la case qui correspond à votre réponse.Fournissez les renseignements demandés.

Inscrivez un « X » dans la case qui correspond à votre réponse. Sivous répondez par l'affirmative, fournissez des précisions au sujet devotre emploi ou du rôle que vous jouez dans cette entreprisesecondaire.

Fournissez les renseignements demandés.

Fournissez des précisions au sujet des démarches entreprises pourvous conformer aux conditions. Donnez des détails sur les activitésque votre entreprise a réalisées à ce jour au Canada. Veuillez fournirtoutes les preuves disponibles pour étayer votre déclaration.

Énumérez les documents annexés à votre rapport de suivi.

IMPORTANT

Lisez la déclaration, signez et datez votre rapport de suivi en vousassurant de bien comprendre le rapport soumis.

Postez le présent rapport dans les délais prévus au Centre de lacitoyenneté et de l'immigration le plus près ou à tout autre endroitindiqué par l'agent d'immigration.

PAGE 5 OF/DE 5

Given name(s)Prénom(s)

I am applying on behalf of the above-mentioned permanent residents to: Je présente cette demande au nom des résidents(es) permanents(es) mentionnés(es) ci-dessus, pour faire :

Sex - Sexe

I understand that the information I have given in this application is truthful, complete andcorrect.

I understand that any false statements or concealment of a material fact may result in myexclusion from Canada, even though a permanent resident and a fraudulent entry on thisapplication may be grounds for my prosecution and/or removal. I understand all theforegoing statements, having asked for and obtained an explanation on every point whichwas not clear to me.

1.

IMM 5344 (07-2004) B

PART 1PARTIE 1

Given name(s) - Prénom(s)

PROTECTED WHEN COMPLETEDPROTÉGÉ UNE FOIS REMPLI

- A

Je déclare que les renseignements que j'ai donnés dans la présente demande sontvéridiques, complets et exacts.

Je sais que toute fausse déclaration ou toute omission d'un fait important peut entraînermon exclusion du Canada, même si je suis résident permanent, et qu'un fauxrenseignement fourni dans la présente demande peut donner lieu à des poursuites ouentraîner mon renvoi du Canada. Je comprends le contenu de la présente demande, carj'ai demandé et obtenu des explications sur tous les points que je ne comprenais pasclairement.

APPLICATION TO VARY OR CANCEL TERMS AND CONDITIONS OF LANDING - ENTREPRENEUR DEMANDE DE MODIFICATION OU D'ANNULATION DES CONDITIONS MISES À L'ÉTABLISSEMENT - ENTREPRENEUR

I am:Je suis :

Record of landing Fiche d'établissement

PART 2 PERSONAL INFORMATIONPARTIE 2 RENSEIGNEMENTS PERSONNELS

Surname - Nom de famille All other name(s) that you have usedTous les autres noms que vous avez utilisés

Date of landing Date d'octroi du droit d'établissement

D - J M Y - A

Marital status - État matrimonialMaleHomme

FemaleFemme


D - J M Y - A Citizenship - Citoyenneté

D - J M Y - A

2.

An entrepreneur (Principal applicant)Un entrepreneur (Requérant principal)

An entrepreneur with medical terms and conditionsUn entrepreneur avec conditions d'ordre médical

Reasons - Raisons



PART 3 DEPENDANTS IN CANADAPARTIE 3 PERSONNES À CHARGE AU CANADA

Signature Date

Y - AMD - J

PART 5 PARTIE 5

PART 6 DECLARATION OF APPLICANTPARTIE 6 DÉCLARATION DU REQUÉRANT


Residential address - Adresse du domicile TelephoneTéléphone



No. - N°

1

2 3

Social insurance no.N° d'assurance sociale

SurnameNom de famille

Date of birthDate de naissance Citizenship

Citoyenneté

OROU

PART 4 DEPENDANTS OUTSIDE CANADAPARTIE 4 PERSONNES À CHARGE À L'ÉTRANGER


1.

2.

3.

4.

5.

6.

W

W

W

W

W

W

D - J M Y - A

CitizenshipCitoyenneté

Visa number Numéro de visa

SurnameNom de famille

Given name(s)Prénom(s)

Number of dependantsNombre de personnes à charge

W

Cancel terms and conditions of landing Annuler les conditions mises à l'établissement

Vary terms and conditions of landing Modifier les conditions mises à l'établissement