Immigration Process Outside Canada

Dear customer, by filling out this form we will be able to carry out your process efficiently, this information will be used exclusively for your application.It is necessary that you answer all questions honestly and completely, as this is information reviewed by the Government of Canada. If the question does not apply to your process, please write “N/A”.

Personal Information

Email*Full Family Name(s) & Full Given Name(s)*Have you ever used any other name (e.g. nickname, maiden name? *
Family and Given name (s) used before*
Sex*Place of birth (City/Town)*Date of birth*Country of birth*Provide your citizenship*Application Purpose *
Current country or territory of residence*
Status in current residence*
Start date of residence at that location*
Do you have UCI number assigned? Most of the time your UCI is at the top of your Official Canada Document
Provide your UCI number (See "Example 1 photograph at the bottom of the page)

Purpose Of Visit

Purpose of your visit*Full name of any person(s) or institution(s) you will visit
Relationship with the person you are visitingFull address in Canada of any person(s) or institution(s) you will visit

Contact Information

Street name and number (full address)*City *
Province*
Postal code *
Telephone number with country code*
Type of telephone *
If you have alternative phone number, provide it with the country code (Skip if it's not applicable to you)
Type of telephone (Skip if it's not applicable to you)

Language

Are you able to communicate in English or French?*
Have you taken a test from a designated testing agency to asses your proficiency in English or French?*
Native language*

Documents

For this trip, will you use a passport issued by the Ministry of Foreign Affairs in Taiwan that includes your personal identification number?*
For this trip, will you use a National Israeli passport?*
Passport number*Passport country of territory issue*Passport Issue date*Passport Expire date*Clear and complete passport image (without shadows)*

Upload File

Max file size 10MB.

Uploading...

fileuploaded.jpg

Upload failed. Max size for files is 10 MB.

Documents II

Do you have a national identity document? *
Document numberCountry/territory issue Issue date (Skip if it's not applicable to you)Expire date (Skip if it's not applicable to you)Are you a Lawful Permanent Resident of the United States with a valid alien registration card (green card)?*
Document number Expiry date (Skip if it's not applicable to you)

Previous Residence

During the past five years have you lived in any country other than your country of citizenship or your current country of residence for more than SIX MONTHS?*
Previous residence countryStart date of residence at that location (Skip if it's not applicable to you)Finish date of residence at that location (Skip if it's not applicable to you)Status in previous residence (Skip if it's not applicable to you)

Education

Choose your last education level completed*
Diploma obtained (Skip if it's not applicable to you)
Graduate at (Skip if it's not applicable to you)
Institution name
City/Town
Provincia/Estado
Country or Territory
Start date (Skip if it's not applicable to you)
Finish date (Skip if it's not applicable to you)

Current Activity

Current Employment*
Company/Employer/Facility name*
City/Town*
Province*
Country*
Start date of your current employment*
If no longer employed, provide the termination date of this employment (Skip if it's not applicable for you)

Previous Activity/Occupation II

please write “N/A”, if it's not applicable for you

Previous Activity/Occupation
Company/Employer/Facility name*
City/Town
Provincia
Country
Start date of your previous employment (Skip if it's not applicable to you)
Date of termination of previous employment (Skip if it's not applicable to you)

Previous Activity/Occupation III

please write “N/A”, if it's not applicable for you

Marital Status

Current marital status*
The date on which you were married or entered into the relationship (Skip if it's not applicable to you)
Full Family and Given Name(s) of your current Spouse/Common-law partner
Have you previously been married or in a common-law partner?*
Type of relationship*
Date of birth of your previous Spouse/Common-law partner
Full Family Name(s) and Given Name(s) of your previous Spouse/Common-law partner*
Relationship start date
Relationship finish date

Additional Information

1a. Within the past two years, have you or a family member ever had tuberculosis of the lungs or been in close contact with a person with tuberculosis?*
1b. Do you have any physical or mental disorder that would require social and/or health services, other than medication, during a stay in Canada?*
1c.If you answered "Yes" to question 1a. or 1b., please provide details and the name of the family member*
2a. Have you ever been reminded beyond the validity of your status, attended school without authorization or worked without authorization in Canada?*
2b. Have you ever been refused a visa or permit, denied entry or ordered to leave Canada or any other country or territory?*
2c. Have you previously applied to enter or remain in Canada?*
2d. If you answered "Yes" to question 2a., 2b. or 2c. please provide details*

Additional Information II

3a. Have you ever committed, been arrested for or been charged with or convicted of any criminal offence in any country or territory?*
3b. If you answered "yes" to question 3a. please provide details*
Are you, or have you ever been a member or associated with any political party, or other group or organization which has engaged in or advocated violence as a means to achieving a political or religious objective, or which has been associated with criminal activity at any time?*
Have you ever witnessed or participated in the ill-treatment of prisoners or civilians, looting or desecration of religious buildings?*
RECENT digital photograph, with white background and from the shoulders up (can be taken with a cell phone with good resolution/See "Example 3" photograph at the bottom of the page)*

Upload File

Max file size 10MB.

Uploading...

fileuploaded.jpg

Upload failed. Max size for files is 10 MB.

Military Service

4a. Did you serve any military, militia, or civil defence unit or serve in a security organization or police force (including non-obligatory national service, reserve or volunteer units)?*
How many services did you perform?*
Start date of the most recent service (Skip if it's not applicable to you)
Finish date (Skip if it's not applicable to you)
Address of company, Military or Police Unit
Province of company, Military or Police Unit
Country of company, Military or Police Unit
Description of Activities/Duties/Responsibilities

Military Service II

Country of company, Military or Police Unit of the previous service
Start date of the most recent service (Skip if it's not applicable to you)
Finish date (Skip if it's not applicable to you)
Address of company, Military or Police Unit
Province of company, Military or Police Unit
Description of Activities/Duties/Responsibilities

Recent Travel

Since the age of 18 or during the past FIVE years, whichever is more recent, have you travelled to any country or territory other than the country of your citizen or your current country or territory of residence?*
1. MOST RECENT TRAVEL Destination City and Country
Start date (Skip if it's not applicable to you)
Finish date (Skip if it's not applicable to you)
Length
Address of destination
Purpose of travel
2. PREVIOUS TRAVEL Destination City and Country
Start date (Skip if it's not applicable to you)
Finish date (Skip if it's not applicable to you)
Length
Address of destination
Purpose of travel

Recent Travel II

3. PREVIOUS TRAVEL Destination City and Country
Start date (Skip if it's not applicable to you)
Finish date (Skip if it's not applicable to you)
Length
Address of destination
Purpose of travel
4. PREVIOUS TRAVEL Destination City and Country
Start date (Skip if it's not applicable to you)
Finish date (Skip if it's not applicable to you)
Length
Address of destination
Purpose of travel
5. PREVIOUS TRAVEL Destination City and Country
Start date (Skip if it's not applicable to you)
Finish date (Skip if it's not applicable to you)
Length
Address of destination
Purpose of travel

Consent

I declare that I have answered all questions in this application fully and truthfully*
I certify that the information contained in this document is complete, accurate and factual. I also realize that once this document has been completed and signed that it will form part of my Immigration Record and will be used to verify my family details on future applications*
I accept that Rita Khalfon Immigration Consulting makes use of my information for my immigration application process*

Back

Thank you! Your submission has been received!

Go to Home

Oops! Something went wrong while submitting the form.

Immigration process form outside of Canada