Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Full Name *FirstLastGender *MaleFemaleEnter here the result and date (year-month) of past Canadian visa applications, either rejected or granted * Enter the result and date (YYYY-MM) of any past Canadian visa applications, whether approved or refused. Example:Visitor Visa – Approved – 2022-06Study Permit – Refused – 2021-09 1. Have you been convicted of a crime or offence in Canada for which a pardon has not been granted under the Criminal Records Act of Canada? *NoYes2. Have you made previous claims for refugee protection in Canada or at a Canadian visa office abroad, in any other country or countries, or with the United Nations High Commissioner for Refugees (UNHCR)? *NoYes3. Have you been refused refugee status, or 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? *NoYes4. Have you ever been refused a visa or permit, denied entry or ordered to leave Canada or any other country? *NoYes5. Have you been involved in an act of genocide, a war crime or in the commission of a crime against humanity? *NoYes6. Have you used, planned or advocated the use of armed struggle or violence to reach political, religious or social objectives? *NoYes7. Have you 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? *NoYes8. Have you been a member of an organization that is or was engaged in an activity that is part of a pattern of criminal activity? *NoYes9. Have you been detained, incarcerated, or put in jail? *NoYes10. Have you had any serious disease or physical or mental disorder? *NoYes11. Have you ever done a flagpoling process to re-enter Canada for immigration or status purposes (e.g., work permit, study permit, PR landing)? *NoYes12. Have you ever served in any military - خدمت سربازی - , militia, civil defence unit, served in a security organization or police force (including non obligatory national service, reserve or voluntary units) *NoYes13. Have you been exempted from obligatory military service? *NoYesNot applicableUpload your military service completion card and its certified translation. * Drag & Drop Files, Choose Files to Upload You can upload up to 6 files. Upload your military exemption card and its certified translation. * Drag & Drop Files, Choose Files to Upload You can upload up to 6 files. If you have answered “yes” to any of the above questions, give more detail and mention the question number in front of your explanation. *SubmitSave and Resume Later Your form entry has been saved and a unique link has been created which you can access to resume this form. Enter your email address to receive the link via email. Alternatively, you can copy and save the link below. Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted. Copy Link Email * Send Link