Current marital status * SingleMarriedCommon Law UnionLegally SeparatedDivorcedAnnulled MarriageWidowed

Name of spouse/partner

Number and ages of dependent children *

Birthplace (city/town/village, country) *

I am a resident of (country) *

Immigration status in the country of residence * CitizenPermanent ResidenceVisitorWorkerStudentProtected PersonRefugee ClaimantForeign NationalOther

Date of entry (if you reside in Canada - dd/mm/yy)

Do you have a job offer in Canada? *

What immigration stream interests you? *Visitor VisaTemporary/Permanent Work PermitForeign Skilled Worker (FSW)Provincial Nominee Program (PNP)Student VisaFamily Class SponsorshipRefugee ClaimImmigration AppealPermanent ResidenceCitizenshipNot Sure

Have you ever taken an IELTS english language test? *

Highest level of education completed (or number of years): *

Current occupation and job title:

What are your duties and tasks?

Previous work experience:

Intended occupation in Canada:

Your intended destination in Canada:

Do you currently have family members in Canada? (Please list all family member's names, their relationship to you, the provinces in which they reside, and their current legal status in Canada): *

Have you ever been convicted of or charged with any crime/offense in any country? *YesNo

Have you previously applied to Canada as an immigrant, visitor, worker or student? * YesNo

Have you ever been refused an immigrant or visitor visa to Canada? * YesNo

Have you ever been refused admission to and/or ordered to leave Canada? * YesNo

Do you suffer from any medical illnesses? *YesNo

If you answered yes to any of the above questions, please provide an explanation below. Please provide us with any additional information that may be relevant/important for your application to immigrate to Canada.