l*I lmmigration,Refugees lmmigration.

Refugi6s
and Citizenship Canada et Citoyennet6 Canada
PROTECTED WF1EN COMPLETED.

PAGE 1 OF 2
B

ADDITIONAL FAMILY INFORMATION

is required attach a separate sheet. lf a section does not apply, $rrite "Not applicable".

BEFORE YOU START, READ THE INSTRUCTION GUIDE. TYPE or PRINT in black ink.

SECTION A
Dat€ of birth Present address
Name Relationship (\ (if deceased: give city,town, country or tenitory and date)
/YY-MM-DD)

!91 0-02-27 Kurbada st. Poblacion Alrcia Bohol

Jovenal Huiso Ph.i lippine s
Applicant Country or territory of birth
Marital status: E-mail address:
Married-phys ically present Philippines j ovenalhu isoT 0 G yahoo . com

Mari.bel Ayuban Asas Spouse, 1981-10-03 101-239 dogwood st. Parks.rllle BC

common-law
Country or teritory of birlh:
Marital stalus: partner or E-mail address:
Married-physically present conjugal partner Philipplnes mabelasasGymail. com
Eutiquia Huiso 7932-A9-28 deceased- Bohol Philippines Jan-28. 2015
Mother Counlry or of
I\/arital status: E-mail address:
Married Philippines
Ramon l{uiso 1928-08-30 deceased-Bohol Philippines Jan-31, 2022
Father Counlry or teffitory of birth:
Marital status: E-mail address:
Married Phil.ippJ-nes
SECTION B CHILDREN (lnclude ALL sons and daughtec, including ALL adopted and step-children, regardless of age or place of residence)
Date ot birth Present address and e-mail address
Name Relationship (if deceasedr give city/town, country or tenitory and date)
crYYY-MM-DO)
2000-01-28 Benvagen 41 Lgh i304 12352 Vasteros
Jan Jovie Platino Sweden
Son Country or territory of birth:
Marital status: E-mail address:
S ingle Philippines j anplatlnomowitzGicloud. com

Country or tenitory ol birth:

Marital status: E-mail address

Country or tenitory of birth

Marital status: E-mail address:

Country or tenitory oi birlh

Marital status: E-mail address:

SECTION C BROTHERS AND SISTERS (lncluding half - and step-brothers and sisters)
Date of birth Present address
Name Relationship
{Yyf/-MM-DD) (it deceased: give citytoffi, country or tenitory and date)

Maqdalina Sant.ino 1952-A1 -22 Poblacion Alic.ia Bohol Philipplnes

Sister Country or lenilory ot birlh:
Marital status: E-mail address:
Ma rr i-ed Phil ipplnes none

Nelsre Felrsilda 7954- 0'7 -21 Poblacion Alicia Bohol Philippines

S ister Country or territory of birthl
Marital status E-mait address:
Marri- ed Phi 1 ipp ines none

Arcelie Canete 1957-11-01 Misamis Criental, Philippines

S is ter Country or territory of birth:
lvlarital status: E-mail address:
Married Phil ippines none
SECTION D CERTIFIGATION

of my lmmigration Record and will be used to verify my family details on future applicalions.

Signalure, Date {YYYY-MM-DD)

tMM 5406 (08-2020) E

(DtsPoNtBLE EN FRANSA|S - IMM 5406 F)
Canada
I*I *ffi1?,X'*ff3:;ff,
lmmigration. R6fugi6s
et Citoyennet6 Canada
PROTECTED \A/TIEN COMPLETED.

PAGE 1 OF 2
B

ADDITIONAL FAMILY IN FORMATION

is required attach a separate sheel. lf a section does not apply, write "Not aPPlicable".

BEFORE YOU START, READ THE INSTRUCTION GUIDE. wPE or PRINT in black ink.

SECTION A
Date of birth Present address
Name Relationship
ffffY-MM-DD) (if deceased: give city,,town, counlry or lenitory and dale)

Applicant Country or tenilory of birthi

Marital status: E-mail addressi

Spouse,
common-law
Country or terrilory of birth:
Marital status: partner or E-mail address:
conjugal partner

Mother Country or 1erri1ory of birth:

l\Iarital status E-mail address:

Father Country or territory of birth:

Marital status: E-mail address:

SECTION B CHILDREN (lnclude ALL sons and daughters, including ALL adopted and step-children, regardless of age or place of residence)
Date of birth Present address and e-mail address
Name Relationship
UYYY-MM-DD) (if deceased: give eityltown, country or teritory and date)

Country or tentory of birth:

Marital status: E-mail address;

Country or tenitory of birlh:

Marital status: E-mail address:

Country or teritory of birth:

Marital status: E-mail address:

Country or territory of birth:

I\ilarital stalus: E-mail address;

SECTION C BROTHERS AND SISTERS {lncluding half - and step-brothers and sisters)
Date of birth Present address
Name Relationship
ffrYY-MM-DD) (if deceased: give city/lown, country or tenitory and date)

Eleazar Hulso 1959-01-10 Lanao Del Norte Philippines

Brother Counlry or tenitory of birth:
Marital status: E-mail address:
Marr ied Phi 1 ippi nes None

Ramonito lluiso i952-41 -74 Pobl ac i on A. i cl a Bohol

Brother Counlry or terilory of birth
Marital status: E-mail address:
Married Phi I rpplnes none

Metodi-o Huiso 1,964-07 *7 4 Pobl-acion AIic*. Bohol

Brother Country or lenilory of birth:
Marital status: E-mail address:
Phil ippines none
SECTION D CERTIFICATION

of my lmmigration Record and will be used to verify my family details on future applications.

Signrtrr", Date iYYYY-MM-DDJ _

tMM 5406 (08-2020) E

(DrsPoNrBLE EN FRANcATS - rMM 5406 F)
Canada
I*l Hffil,*:*',?"3ffi, Xi3,'3'#'."*,?i:?'ff
PROTECTED \\N-iEN COMPLETED -

PAGE 1 OF 2
B

ADDITIONAL FAMILY IN FORMATION

is required attach a separate sheet. lf a section does not apply, write "Not applicable".

BEFORE YOU START, READ THE INSTRUCTION GUIDE. TYPE or PRINT in black ink.
SECTION A
Date of birth Preseflt address
Name Relationship
ffYYY-Mr\r-DD) (if deceased: give cityftown, country or lerritory and date)

Applicant Coudry or tenitory d birth:

Marilal status: E-mail address:

Spouse,
common-law
Country or territory of birth:
Marital status: partnef ot E-mail address:
conjugal partner

Mother Country or tenitory of birth:

lvlarital status: E-mail address:

Father Cguntry or lenitory of birth:

Marital status: E-mail address:

SECTION B CHILDREN (lnclude ALL sons and daughters, including ALL adopted and step-children, regardless of age or place of residence)
Date of birth Present address and e-mail address
Name Relationship
crYw-MM-DD) (if deceased: give cityAown, country or territory and date)

Country or territory of birth:

Marital status: E-mail address:

Country or tenitory of birlh:

Marital status: E-mail addressi

Counlry or teritory of birth:

Marital status: E-mail address:

Country or tenitory of birth:

fularital slatus: E-mail address:

sEcTtoN c BROTHERS AND SISTERS (lncluding half - and step-brothers and sistere)
Date of birth Present address
Name Relalionship
cffvv-MM-DD) (if dec€ased: give cily/town, country or leritory and date)

Gina Huiso 1968-05-15 Progreso Alicia Bohol

S is ter Country or tenitory of birthi
Marital status: E-mail address:
Single Phr lippine s none
Arnielfa Ayuban 191 4-42-74 Poblacion Alicia Bohol
Sister Counlry or teritory of birth:
Marital status: E-mail address:
Widowed Phiiippines none

Country or terilory of birth:

Marital status: E-mail addresg:

SECTION D CERTIFICATION

of my lmmigration Record and will be used to verify my family details on fulure applications.

Signature: Date (YvYY-[rM-DD)

IMM 5406 (08-2020) E

(DISPONIBLE EN FRANEAIS - IMM 5406 F}
Canada
 PAGE 2 OF 2

(lRpA). The personal information will be used for the purpose of processing an application. The personal informalion provided may be disclosed to other federal govemment

admissibilily-

management, subsequenl program eligibility, strategy development and feporting.

009, 013, o42, O54-

ti\,4M 5406 (08-2020) E