Visa Questionnaire Form

Visa Questionnaire

Disclaimer

Dear Client,

This form must be completed in order to fulfill the visa application process. Thus, please complete the information meticulously according to the desired format. At each stage, you can view the description of that question by moving your mouse cursor to the red circle next to each field.

Important Points:

Point One

You should enter all information in English.

Point Two

All information must be in accordance with the identity card, national card, passport, educational qualifications and language qualifications, and there must be no discrepancy, even in the spelling of the words.

Point Three

In all instances, the Gregorian date must be mentioned, so you should convert the date using the date converter tools.

Point Four

Be careful when entering your email address and WhatsApp number, so that our future conversations with you can continue properly.

Point Five

Upload your document images in accordance with the standards of the document scanning guide file provided to you by the consultant.

Personal Information

Client Profile Number

NL-

First Name

Middle Name

Last Name

Native First Name

Native Middle Name

Native Last Name

Have you ever used any other name?

Yes

Other Name

Gender

Male

Female

Date of Birth

Place of Birth

State/Province/City of Birth

Citizenship(s)

Citizenship

Native Language

Marital Status

Single

Married

Common-law Partner

Date of Marriage or Relationship

Spouse Information

Spouse First Name

Spouse Middle Name

Spouse Last Name

Spouse Native First Name

Spouse Native Middle Name

Spouse Native Last Name

Have You Previously been Married?

Yes

Previous Relationship Information

Type of previous relationship

Beginning Date of Previous Relationship

Ending Date of Previous Relationship

Additional Information

Dear Client,

Please enter the full date (Year-Month-Day) in places where you are asked to enter a start and an end date, and please refrain from entering an incomplete date.

Please pay attention when entering the information for the Father, Mother and any of your first degree relatives even if they are not alive anymore, and enter accurate information.

If the Father, Mother or any of the first degree relatives have passed away, please enter the place/city of burial in the Present Address field, and enter the date of passing in the Current Occupation field.

Entering the information for Father and Mother is mandatory.

Source of Income

Myself

Others

Do you own private businesses?

Yes

List of documents available to provide for your businesses.

Current address of your residence. (Do not use P.O. Box addresses.)

Date From	Street and Number	City and Town	Province, State or District	Country

Give full details of the last education you have had.

Date From	Date To	Name of Institution	City and Country	Type of issued certificate or diploma	Field of Study

Do you have work experience?

Yes

Give full details of all work experience you have had.

Date From	Date To	Name of Company	Job Title	Address

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?

Yes

Details of countries that you have lived in more than six months.

Date From	Date To	Country	Status

During the past five years have your ‘dependent’ lived in any country other than your country of citizenship or your current country of residence for more than six months?

Yes

Details of countries that your ‘dependent’ have lived in more than six months.

Date From	Date To	Country	Status	Other

Have you been involved in or supported any political, social, youth or student organization, trade unions and professional associations?

Yes

What organizations have you supported, been a member of or been associated with? Include any political, social, youth or student organization, trade unions and professional associations. (Do not use abbreviations and indicate the city and country where you were a member.)

Date From	Date To	Name of Organization	Type of Organization	Activities and/or positions held within organization	City and Country

Have you ever held any government position?

Yes

List any government positions you have held. (Do not use abbreviations.)

Date From	Date To	Country and Level of Jurisdiction	Department/Branch	Activities and/or Positions Held

Have you served in military?

Yes

Provide below details of military service for each of the countries in whose armed forces you served.

Date From	Date To	Country of Service	Branch of service, unit numbers and names of your commanding officers	Rank(s)	Dates and place of any active combat

Complete ALL names in English and in your native language (for example, Chinese, Chinese commercial/telegraphic code, Korean, or Japanese characters), Parents, Spouse, Children (include ALL sons and daughters, including ALL adopted and step-children, regardless of age or place of residence), Brothers and Sisters (include ALL half and step-brothers and sisters).

Name	Native First Name	Native Last Name	Relationship	Date of Birth	Place of Birth	Marital Status	Present Address	Current Occupation

Do you have relatives (prospective employee and/or spouse) living in Canada?

Yes

Relatives living in Provinces/Territories of Canada. (Prospective employee and/or spouse.)

Name of Relative	Native Name of Relative	Relationship to Applicant	Province of Relative	Residency Status	Years of Residency

Have you previously been approved to enter or remain in Canada?

Yes

Details of previously accepted applications for visa.

Type of Visa	Date From	Date To

Have you previously been refused to enter or remain in Canada?

Yes

Details of previously rejected applications for visa.

Type of Visa	Date	Reason for Refusal

Contact Information

Phone/Mobile

Address Line 1

Address Line 2

City

State

Zip Code

Country

Other

Will you accompany principal applicant to Canada?

Yes

If No, please give reason why dependent is non-accompanying.

Visa Questionnaire Form

Disclaimer

Personal Information

Spouse Information

Previous Relationship Information

Language & Education

Background Information

Have you, or any of your family members listed in your application for visa request for Canada, ever:

Additional Information

Contact Information

Other

Contact Us

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