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This form must accompany your application for Permanent Residence under certain programs. Refer to the instruction guide to know if you can use this fee
payment form.
Please refer to step 3 of your instruction guide for acceptable methods of payment. Applications submitted with incorrect payments will be returned.
STEPS TO FOLLOW:
1. Calculate the applicable fee by referring to the fee table below.
Processing Fee
Number of
persons
Amount due
$ CAD
x $ 550
Principal applicant
OR
1
Principal applicant
OR
x $ 1050
x $ 550
x $ 150
x $ 150
x $ 550
x $ 550
Each family member under the age of 22 who is unmarried and not in a
common-law relationship
x $ 150
Total payment
2. Pay by certified cheque, bank draft or money order payable to THE RECEIVER GENERAL FOR CANADA or by Visa, Mastercard or American Express.
3. Include the payment form and the documents specified in the Document Checklist with your application, specific to the class you are applying under.
4. Check the appropriate box to indicate your method of payment:
Credit card (complete section A and B below)
Certified cheque, bank draft or money order (enclosed and complete section A below)
VISA
MASTERCARD
AMERICAN EXPRESS
Month
Year
Note: The credit card must be valid for at least nine (9) months from the date of
submission of your application. Otherwise your application will be returned.
Signature of cardholder
FOR OFFICIAL
USE ONLY
IMM 5620 (08-2014) E
Date (YYYY-MM-DD)
Authorization number
(DISPONIBLE EN FRANAIS - IMM 5620 F)