在线申请中家庭成员代表申请表imm5713e的中英文翻译对照

表格版本：IMM 5713 (12-2012) E
如果申请表版本过期，希望朋友们能留言提醒，会及时更新。

该表的下载地址：www.cic.gc.ca/english/pdf/kits/forms/IMM5713E.PDF 。使用电脑下载、打开并填写完成。

我看网友在我网站搜：家庭成员包括自己吗这样的句子。我有必要提醒一下：

首先，使用本站搜索功能时应该尽量用关键词。例如搜索本篇文章，可以在站内搜索中使用关键词：imm5713e，准确率很高。而尽量不用长句子。

再有，关于网友的问题：家庭成员包括自己吗 ? Family members（家庭成员），在 IRCC 的词汇解释中已经提到，参考此处链接。

本网站（时光在路上，https://www.timezls.com，ｈｔｔｐs：／／ｗｗｗ．ｔiｍｅｚｌｓ．ｃｏｍ）采用BY-NC-SA协议进行授权，凡本网强调版权为本网所有的文/图，使用时必须注明文章来源，违者本网将依法追究责任。本网在文章中注明来源的文/图等稿件均为转载或经过编辑整理，本网出于传递更多信息之目的，并不意味着赞同其观点或证实其内容的真实性。如其他媒体、网站或个人从本网下载使用，必须保留本网注明的稿件来源信息，并自负版权等法律责任。如果您看到这两段隐藏文字，说明您在浏览器设置中关了JavaScript属性。关闭此属性后本站一些功能将会丢失，排版可能会导致错乱，请不要这样做。

相关链接：

USE OF A FAMILY MEMBER REPRESENTATIVE
FOR ONLINE APPLICATIONS

在线申请中家庭成员代表申请表

本文网址二维码

This form is for family members who wish to apply online together in one MyCIC submission. To do so, all members must complete this form (one per family) to appoint the family member whose MyCIC account will be used to submit the applications.
此表适用于打算通过 MyCIC 账户进行家庭成员集体在线申请时填写。当指派一位家庭成员使用 MyCIC 账户提交申请时，所有家庭成员必须填写此表（每个家庭一份）

NOTE: If you appoint a family member as a representative, that person will be authorized to conduct business on your behalf and receive information on your case file.

注：如果指派一位家庭成员作为代表，该家成员将会被授权代表你接收你的申请的相关信息、处理申请相关事务。

SECTION A - FAMILY MEMBER REPRESENTATIVE —— A部分：家庭成员代表

Write the full name and date of birth of the family member to be appointed as representative

填写该家庭成员代表的全名和出生日期

问题1. Full name 全名

Family name (Surname) 姓氏
Given name(s) 名字

问题2. Date of birth (YYYY-MM-DD) 出生日期

问题3. Information on the family members 家庭成员信息

Write name, date of birth and define the relationship (e.g. spouse, son, daughter, etc.) of each family member to the representative. 填写家庭成员代表所代表的每位家庭成员姓名、与家庭成员代表的关系（例如，配偶、儿子、女儿，等）

Family member 家庭成员
Name 姓名
Relationship to family member representative 与家庭成员代表的关系
Date of birth (YYYY-MM-DD) 出生日期（年-月-日）

SECTION B - GRANTING PERMISSION TO THE FAMILY MEMBER REPRESENTATIVE —— B 部分：授权给家庭成员代表

Each family member 18 years of age and older listed in Section A must sign and date this section to appoint the family member chosen to represent them

A 部分中所列的每位年满18岁的家庭成员必须在此部分签字并签署日期，以指定（授权给）所选家庭成员来代表自己。

By signing Section B, I hereby give permission to the family member representative listed in Section A to submit the application, conduct business and receive information on my behalf. I declare that the information on this form and on the application that I have authorized my family member to submit on my behalf is truthful, complete and correct.

通过在 B 部分签字，我授权给 A 部分所列的该家庭成员、代表我接收我的申请的相关信息、处理申请相关事务。我声明，我授权的家庭成员，代表我所提交的此表和申请中所提供的信息真实、完整、正确。

Family member 家庭成员
Signature 家庭成员签字
Date (YYYY-MM-DD) 日期（年-月-日）

IMPORTANT: Once permission is given to your spouse or common-law partner or parent, the only way to revoke approval is to cancel the application and resubmit. The application fees will not be refunded and fees will have to be paid again for another application.

重要信息：一旦授权给你的配偶、同居伴侣或父母，撤销该授权的唯一方式是取消申请并重新提交。申请费用将不会退还，你必须再次支付重新申请所需费用。

注意：加拿大移民部对“配偶”和“同居伴侣”有定义，请参考此处关于配偶和同居伴侣的定义。

Note: This permission applies to dependent children 18 years of age and older. Those under the age of 18 do not have to provide approval.

注：授权许可适用于 18 岁及以上的受抚养子女，18 岁以下的受抚养子女不必提供授权。

SECTION C - DECLARATION OF FAMILY MEMBER REPRESENTATIVE —— C 部分：家庭成员代表声明

I declare that the information I have given is truthful, complete and correct. 我声明：我所提供信息真实、完整、正确。

Signature 家庭成员代表签字
Date (YYYY-MM-DD) 日期（年-月-日）

Warning!It is a serious offence to give false or misleading information on this form.

警告！此表中提供不实或误导信息是严重的过失。

The information you provide on this form is collected under the authority of the Immigration and Refugee Protection Act and will be used in assessing your application according to the requirements of the Act. It will be retained in a Personal Information Bank identified in Infosource. The information may be shared with other organizations such as the Canada Border Services Agency (CBSA), the Royal Canadian Mounted Police (RCMP), the Canadian Security and Intelligence Service (CSIS), where there is an agreement or arrangement with a foreign government, in accordance with subsection 8(2) of the Privacy Act. Pursuant to the Immigration and Refugee Protection Regulations, the information may also be shared with a regulatory body that is responsible for governing or investigating the conduct of representatives, such as a provincial and territorial law society, the Chambre des Notaires du Québec and the Immigration Consultants of Canada Regulatory Council (ICCRC). Under the Privacy Act and the Access to Information Act individuals have the right to protection of and access to their personal information. Details on these matters are available at infosource.gc.ca and through the Citizenship and Immigration Call Centre. Infosource is also available in Canadian public libraries.

根据《移民及难民保护法》和《公民法》的授权，你在此表中所填信息将会被收集，在评估申请时将会根据上述法律使用。这些信息将被保存在个人信息库中作为身份识别信息源。信息将会被其他组织共享，例如加拿大边境服务局、加拿大皇家骑警、加拿大安全情报局。根据《隐私法》第 8 小节第 2 条，存在与外国政府机构共享这些信息的协定或安排。依照《移民及难民保护法》和《公民法》，负责管理、调查代理人行为的监管机构，例如省/地区法律协会、魁北克公证人协会和加拿大移民顾问监管委员会，将会共享这些信息。根据《隐私法》和《信息获取法》（译者注：也称资讯公开法、资讯自由法），个人有权保护并获得自己的个人信息。相关具体信息可以参考网站： infosource.gc.ca 。信息源也可从加拿大公共图书馆获得。

时光在路上最后编辑于：2021年8月16日