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Assessment Form for Canadian Visitor Visa
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* Indicates required question
Full name:
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Email:
*
Your answer
Phone number:
Your answer
Your residential address (city and country):
Your answer
What is the purpose of your trip to Canada?
*
Please provide details as much as possible
Your answer
How long are you going to stay in Canada?
*
Your answer
How much money do you have for this trip?
*
Your answer
List your educational credentials:
From month/year - month/year - Education level - Study field - In which city, country
Your answer
List your work experience
From month/year - month/year - Job title - In which city, country
Your answer
Information about your spouse and your children (if applicable)
Their name, age and residential address (city and country)
Your answer
Which of the above family members is going to accompany you to Canada?
Your answer
Do you have any family members or relatives who live in Canada?
If Yes, list the person's name, your relationship with the person, their status in Canada and the province where they reside.
Your answer
Do you own any business, properties, or other valuable things in your country?
Your answer
Do you have any responsibilities or commitments that you will go back to your country after your trip to Canada to fulfill them?
Your answer
Have you ever been to Canada?
If Yes, describe the purpose and the time of your stay in Canada.
Your answer
List all your Canadian visas and permits with their validity dates if any
Your answer
Have you been under a removal order in Canada?
Yes
No
Clear selection
Have you ever been refused a Canadian visa?
If Yes, provide details of visa type, time of application, reasons of the refusal.
Your answer
Have you ever committed an offence or been convicted an offence in or outside Canada?
If Yes, provide more details
Your answer
Do you have any notes or concerns for your case that we need to know?
Your answer
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