Visitor Visa Questionnaire

The information gathered in this document will be used to assess your Canadian immigration options and is protected by the Immigration Consultants of Canada Regulatory Council (ICCRC) Code of Professional Ethics and Canadian privacy laws. Your information will be held in the strictest of confidence and will not be shared with anyone without your explicit written consent. The information gathered in this document is subject to the privacy policy of Canada Immigration and Visa Services Inc (CIVS) which is published online at

Visitor Visa Questionnaire
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Personal Information:

If applied for any Canadian Visa/Permit before
as shown in your passport
as shown in your passport
as shown in your passport
Have you used any other name, nickname, alias, etc:
If YES, please share the following details
City / Town / Country
Previous countries of residence: During the past five years have you lived in any country or territory other than your country of citizenship or your current country or territory of residence (indicated above) for more than six months?
If YES, please share the following details

Previous Countries of Residence

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Country or territory where applying: Same as current country of residence?
If NO, please share the following details

Current Country Not the Same

Current Marriage or Common - Law relationship
Previous Marriage or Common-Law relationship
Have you previously been married or in common law relationship?

Previous Relationship


CIVS is owned and managed by Sean G McKinsley, Regulated Canadian Immigration Consultant (RCIC). CIVS is headquartered at the Maximus 88 Professional Center located in the Sunalta beltline. We are pleased to offer free on-site parking. We are also steps away from the Sunalta LRT C-train station.