*Please do not submit this form until you are asked to do so

Type of Application You Are Applying for

Your Information

Your Gender

Your Date of Birth

Your Citizenship

Your Contact Information

Your Current Residential Address

Your Other Address

Your Eye Colour

Your Height

Or

Your Passport Information

Your Current Canadian Visa Status

Admissibility Questions

Spouse’s information 

Spouse’s Gender

Spouse’s Date of Birth

Spouse’s Current Occupation

Spouse’s Current Address

Spouse’s Passport Information

Spouse’s Current Canadian Visa Status

1st Child’s information 

1st Child’s Date of Birth

1st Child’s Gender

1st Child’s Current Address

1st Child’s Marital Status

1st Child’s Current Occupation

1st Child’s Passport Information

1st Child’s Current Canadian Visa Status

2nd Child’s information 

2nd Child’s Date of Birth

2nd Child’s Gender

2nd Child’s Current Address

2nd Child’s Marital Status

2nd Child’s Current Occupation

2nd Child’s Passport Information

2nd Child’s Current Canadian Visa Status

3rd Child’s information 

3rd Child’s Date of Birth

3rd Child’s Gender

3rd Child’s Current Address

3rd Child’s Marital Status

3rd Child’s Current Occupation

3rd Child’s Passport Information

3rd Child’s Current Canadian Visa Status

Additional Child(ren)’s Information

Your Mother’s information 

Your Mother’s City and Country of Birth

Your Mother’s Gender

Your Mother’s Date of Birth

Your Mother’s Contact Information

Your Mother’s Current Occupation

Your Mother’s Current Address

Your Mother’s Marital Status

Your Mother’s Current Canadian Visa Status

Your Father’s information 

Your Father’s Contact Information

Your Father’s City and Country of Birth

Your Father’s Date of Birth

Your Father’s Gender

Your Father’s Current Address

Your Father’s Marital Status

Your Father’s Current Occupation

Your Father’s Current Canadian Visa Status

Your 1st sibling’s information 

Your 1st sibling’s Contact Information

Your 1st sibling’s Date of Birth

Your 1st sibling’s Current Canadian Visa Status

Your 1st sibling’s Gender

Your 1st sibling’s City and Country of Birth

Your 1st sibling’s Current Address

Your 1st sibling’s Marital Status

Your 1st sibling’s Current Occupation

Your 2nd sibling’s information 

Your 2nd sibling’s Contact Information

Your 2nd sibling’s Date of Birth

Your 2nd sibling’s Current Canadian Visa Status

Your 2nd sibling’s Gender

Your 2nd sibling’s City and Country of Birth

Your 2nd sibling’s Current Address

Your 2nd sibling’s Marital Status

Your 2nd sibling’s Current Occupation

Your 3rd sibling’s information 

Your 3rd sibling’s Contact Information

Your 3rd sibling’s Date of Birth

Your 3rd sibling’s Current Canadian Visa Status

Your 3rd sibling’s Gender

Your 3rd sibling’s City and Country of Birth

Your 3rd sibling’s Current Address

Your 3rd sibling’s Marital Status

Your 3rd sibling’s Current Occupation

Additional sibling’s Information

Have you ever applied for a Canadian visa or permanent residency?  

(i.e. Study, visitor, work permit, provincial nominee, federal economic immigration program application.)

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Additional Information

Date of your original entry to Canada

Date of your most recent entry to Canada

If not the same. please provide following information

Education History

 (Please include primary school, secondary school, university, college, trade school and apprenticeship training, you have completed or plan to complete in the near future) *In chronological order. (i.e. new to old)

Most recent

2nd recent

3rd recent

4th recent

5th recent

6th recent

7th recent

8th recent

Additional Information

Provide details of your work history of the last 10 years or since the age of 18, whichever is most recent

Please provide the information in chronological order. (i.e. new to old).  If you are not working, provide information such as, unemployed, studying, travelling, retired, imprisoned, etc.  Please ensure that there will be no gap in time.

Most recent

2nd recent

3rd recent

4th recent

5th recent

6th recent

7th recent

8th recent

9th recent

10th recent

Additional Information

History of marriage and common-law relationship

End date is not required for the current/ongoing marriage or common law relationship

Current relationship

Type of relationship 

Previous relationship #1

Type of relationship 

Previous relationship #2

Type of relationship 

Previous relationship #3

Type of relationship 

Previous relationship #4

Type of relationship 

Previous relationship #5

Type of relationship 

Additional Information

Relatives in Canada

Relative in Canada #1

Relative in Canada #2

Relative in Canada #3

Relative in Canada #4

Relative in Canada #5

Additional Information

During the past 5 years, have you stayed in any country other than your country of citizenship or your current country of residence for more than six months?

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Additional Information

List of your international travel history of past 10 years 

Start with the most recent/current information

Most Recent

2nd Recent

3rd Recent

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#5

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