Your name: First Name Last Name

Your Email Address:

Address: (in max 150 characters)

Telephone:

Fax:

Citizenship Country:

Country of Residence: The country where you currently live.

Your Date of Birth: Date (DD) Month (MM) Year (YYYY)

Maritial Status: Married
Unmarried

Immigration Category: International Student
This category is for people interested in studying in Canada.

Student Occupation

Occupation:

Name of current Employer or School:

Address of current Employer or School:

Passport and Visa Detail

Status in country:
( where currently living ) Select OneVisitorForeign WorkerForeign StudentCitizen or Permanent Resident

Date of Visa Expiry:
( If you have Temporary Status ) DD - MM - YYYY

Passport Number:

Passport, Country of Issue:

Passport Expiry Date: DD - MM - YYYY

Accepted at following educational institution in Canada:

Name of School:

City / Town:

Course of study:

Length of course:

Expenses

Tuition:

Room and Board:

Other Expenses:

Funds available for my stay in Canada:

Source of Financing: Select One Own Income Your parents Bank

Admisibility Criteria

Have you, or any members of your family ever (If yes, check box):

Been treated for any serious physical or mental disorders or any communicable or chronic diseases?

Committed a criminal offence in any country?

Been refused admission to or ordered to leave Canada?

Been refused a visa to travel to Canada?

In periods of either peace or war, have you ever been involved in the commission of a war crime or crime against humanity?

If you checked any of the above, please provided detailed explanations