Permanent Background - Viajeacanada

Perm-Background

Indicate whether you are:

Principal Applicant

Spouse, partner or dependent of the principal applicant

Your Date of Birth

Email of principal applicant

Your full name

Family Name

First Name

Details About Your Father

Family Name

First Name

Date of Birth

City/Town of Birth

Country of Birth

Date of Death if Deceased

Details About Your Mother

Family Name

First Name

Date of Birth

City/Town of Birth

Country of Birth

Date of Death if Deceased

Have you, or, if you are the principal applicant, any of your family members listed in your application for permanent residence in Canada, ever:

a) been convicted of a crime or offence in Canada for which a pardon has not been granted under the Criminal Records Act of Canada?

Yes

b) been convicted of, or are you currently charged with, on trial for, or party to a crime or offence, or subject of any criminal proceedings in any other country or territory?

Yes

c) made previous claims for refugee protection in Canada or at a Canadian visa office abroad, in any other country(ies) or territory(ies), or with the United Nations High Commissioner for Refugees (UNHCR)?

Yes

d) been refused refugee status, an immigrant or permanent resident visa (including a Certificat de sélection du Québec (CSQ) or application to the Provincial Nominee Program) or visitor or temporary resident visa, to Canada or any other country or territory?

Yes

e) been refused admission to, or ordered to leave, Canada or any other country or territory?

Yes

f) been involved in an act of genocide, a war crime or in the commission of a crime against humanity?

Yes

g) used, planned or advocated the use of armed struggle or violence to reach political, religious or social objectives?

Yes

h) been associated with a group that used, uses, advocated or advocates the use of armed struggle or violence to reach political, religious or social objectives?

Yes

i) been member of an organization that is or was engaged in an activity that is part of a pattern of criminal activity?

Yes

j) been detained, incarcerated or put in jail?

Yes

k) had any serious disease or physical or mental disorder?

Yes

If your answer to any of these questions is YES, provide details below.

Education

Give the number of years of school you successfully completed for each of the following levels of education.

Elementary/Primary School

Secondary School

University/College

Trade School or other post secondary school

Give full details of all the secondary and post secondary education (including university, college and apprenticeship training) you have had.

Education Details

From yyyy-mm	To yyyy-mm	Name of Institution	City and Country	Type of Diploma or Certificate	Field of Study

Personal History

Provide the details of your personal history since the age of 18, or the past 10 years, whichever is most recent.
Start with the most recent information. Under "Activity", write your occupation or job title if you were working. If you were not working, provide information on what you were doing
(for example: unemployed, studying, travelling, retired, in detention, etc.). If you were outside your country or territory of nationality, indicate your status in that country or territory.
Note: Please ensure that you do not leave any gaps in time.

Personal and Occupational Background

From yyyy-mm	To yyyy-mm	Activity	City and Country	Status	Name of company, employer, school, facility

Membership of association with organizations

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. Indicate the city and country or territory where you were a member.
Write "NONE" in the box if you have not been a member of any association/organization

Organizations You Have Been a Member of

From yyyy-mm	To yyyy-mm	Name of Organization	Type of Organization	Activities and/pr positions held within the organization	City and Country

Government positions

List any government positions (such as civil servant, judge, police officer, employee in a security organization) you have held. Include positions you have held before or after your retirement. Do not use abbreviations. Write "NONE" in the box if you have not held any government positions.

Government Positions

From yyyy-mm	To yyyy-mm	Country or territory and level of jurisdiction(e.g. national, regional, municipal)	Department/Branch	Activities and/or positions held

Military Service

Provide below complete details of military and/or paramilitary service for each of the countries in whose armed forces you served.
Write "NONE" in the box if you have not undertaken military and/or paramilitary service. Do not leave any gaps in time.

Name of Country

Military Service

From yyyy-mm	To yyyy-mm	Branch of service, unit numbers and names of your commanding officers	Rank	Dates and places of any active combat	Reason for end of service

Addresses

List all addresses where you have lived since your 18th birthday or the past 10 years, whichever is most recent. Do not use P.O. box addresses.

Address History

From yyyy-mm	To yyyy-mm	Street and Number	City or Town	State or Province	Postal Code	Country

Permanent Residence Application

Your full name

Details About Your Father

Details About Your Mother

Have you, or, if you are the principal applicant, any of your family members listed in your application for permanent residence in Canada, ever:

Education

Personal History

Membership of association with organizations

Government positions

Military Service

Addresses