VISA CANADA

1. QUESTIONS FOR THE APPLICANT

A. APPLICANT PERSONAL DETAILS

Are you married or do you have a common-law partner?

Yes

No

Do you have any children?

Yes

No

B. APPLICANT ADMISSIBILITY

Have you, your spouse, or any of your children had any serious disease or physical or psychological disorder?

Yes

No

Been convicted of or are currently charged with a criminal offence in any country?

Yes

No

Applied previously for a temporary visa to Canada?

Yes

No

Applied previously for permanent residence in Canada?

Yes

No

Been refused a visa to Canada or any other country?

Yes

No

Been refused admission to or order removed from Canada or any other country?

Yes

No

Been involved in the commission of human rights violations, acts of subversion, espionage, terrorism, or organized criminality?

Yes

No

If you have replied “yes” to any of the above questions, please provide details:

C. FINAL DETAILS

If yes, how many children do you have and what are their ages?

Do you have post-secondary?

Yes

No

If there is anything else that you believe is important in relation to your case please note it here:

Thanks!