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 https://civs.ca/privacy-policy/.

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Personal Information:

UCI

If applied for any Canadian Visa/Permit before

First Name *

as shown in your passport

Middle Name

as shown in your passport

Last Name *

as shown in your passport

Have you used any other name, nickname, alias, etc:

Yes

No

If YES, please share the following details

Last Name

First Name

Email Address *

Gender

Date of Birth

Place of Birth

City / Town / Country

Country of Citizenship

Current Country of Residence

Current Residence Status

From

To

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?

Yes

No

If YES, please share the following details

Previous Countries of Residence

Click + Add to add more items

Country

Status

From

To

Add Remove

Country or territory where applying: Same as current country of residence?

Yes

No

If NO, please share the following details

Current Country Not the Same

Country

Status

From

To

Current Marriage or Common - Law relationship

Marital Status

From when

Spouse Last Name

Spouse First Name

Previous Marriage or Common-Law relationship

Have you previously been married or in common law relationship?

Yes

No

Previous Relationship

From when

To

Spouse Last Name

Spouse First Name

Type of relationship

Partner's Date of Birth

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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.

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