IMM5532 Relationship Declaration Form

IMM5532 Relationship Declaration Form

This Relationship Declaration Form (IMM5532) is made on , between Declarant Name: of Address: (hereinafter "Declarant") and Other Party Name: of Address: (hereinafter "Other Party").

RECITALS

WHEREAS the Parties have a personal relationship and require a formal declaration of that relationship for immigration, sponsorship, or related administrative purposes; and

WHEREAS the Parties wish to record the nature, duration and essential facts of their relationship, and to provide representations, consents and supporting information to verify their relationship to relevant authorities; and

WHEREAS the Parties acknowledge that the representations and statements in this declaration may be relied upon by decision-makers and that false or misleading statements may have legal consequences;

NOW THEREFORE in consideration of the mutual covenants contained herein, and for other good and valuable consideration, the receipt and sufficiency of which are acknowledged, the Parties agree as follows:

1. DEFINITIONS

In this declaration, unless the context otherwise requires, the following terms have the meanings set out below:

"Relationship" means the personal, social and/or conjugal relationship between the Declarant and the Other Party as described in Section 2.

"Cohabitation" means living together in a conjugal relationship in a residence shared by the Parties and exhibiting mutual dependence, joint household responsibilities and social recognition as partners.

2. DECLARATION OF RELATIONSHIP

The Parties declare that their relationship type is (check one or more as applicable):

Spouse (married)    Common-law partner (cohabiting)    Conjugal partner    Other:

Date when relationship began:

Date of commencement of cohabitation (if applicable):

Date of marriage (if applicable):

4. CHILDREN AND DEPENDENTS

5. REPRESENTATIONS AND WARRANTIES

Each Party represents and warrants that: (a) the information provided in this declaration is true, complete and accurate to the best of that Party's knowledge; (b) there are no material omissions that would render any statement misleading; and (c) each Party will promptly notify the other Party and any requesting authority of any material change in circumstances affecting the relationship.

The Parties acknowledge that knowingly providing false or misleading information in this declaration may result in administrative or criminal penalties under applicable law.

6. SUPPORTING DOCUMENTATION

The Parties indicate which documents are attached to support this declaration (check all that apply):

Joint lease or mortgage    Joint bank/financial accounts    Photographs showing shared life    Correspondence addressed jointly

7. CONSENT TO DISCLOSURE AND VERIFICATION

Each Party consents to the collection, use and disclosure of personal information contained in this declaration for the purpose of verifying the relationship with competent authorities, including but not limited to verifying identity, cohabitation and supporting documentary evidence. Such consent includes permission for any institution, person, or third party to disclose information reasonably required to verify the matters stated in this declaration.

8. NOTICES

Any notice or communication required or permitted under this declaration must be in writing and delivered to the other Party at the address set out below. Notice is effective upon delivery when delivered in person or three (3) business days after mailing by registered mail.

9. AMENDMENTS AND WAIVER

No amendment, modification or waiver of any provision of this declaration will be effective unless in writing and signed by both Parties. No failure or delay by either Party in exercising any right under this declaration will operate as a waiver of that right.

10. GOVERNING LAW

This declaration shall be governed by and construed in accordance with the laws of the jurisdiction indicated below, without regard to its conflict of laws principles.

11. ENTIRE AGREEMENT

This declaration constitutes the entire agreement between the Parties with respect to its subject matter and supersedes all prior agreements, understandings and communications, whether written or oral, relating to the subject matter hereof.

12. SEVERABILITY

If any provision of this declaration is held to be invalid, illegal or unenforceable in any respect, the validity, legality and enforceability of the remaining provisions will not be affected or impaired.

13. COUNTERPARTS AND ELECTRONIC SIGNATURE

This declaration may be executed in counterparts and by electronic signature, each of which when so executed and delivered will be deemed an original and all of which together will constitute one and the same instrument.

CERTIFICATION

By signing below, each Party certifies that the statements made in this declaration are true, complete and given voluntarily. Each Party acknowledges that this declaration may be used by immigration or other authorities to evaluate the Parties' relationship and that the Parties may be asked to provide supporting evidence and to attend interviews if required.

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