IDJADI Immigration Consultancy موسسه مهاجرتی ایجادی

Claimant Information

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- Step 1 of 15

Your Name *

First

Middle

Last

Have you used other names before? *

Previous Name *

Your date of Birth *

Have you used another date of birth before? *

Your other date of Birth that you used before *

Gender

Your height In centimetres *

Eye colour *

UCI (unique client identifier), if known

Current Home address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Date you started living at this address (y/m/d) *

Phone *

Email *

What is your native language or mother tongue? *

What language do you want us to use to contact you? *

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Home Address History

Provide all of the addresses where you have lived in the past ten years or since your 18th birthday, whichever is most recent. Do not leave any gaps.

Use + Add button to add more address

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

From *

To *

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PERSONAL ACTIVITY

1. Provide the details of your personal history in the last ten years, or since your 18th birthday if this was less than ten years ago.
2. Provide complete details of military and/or paramilitary service for any country in whose armed forces you have served at any time.
3. List any government positions (such as civil servant, police officer, employee in a security organization) you have held at any time. Include positions you have held before or after retirement.
4. List any organizations you have supported, been a member of or been associated with at any time. Include any political, social, youth or student organization, trade unions and professional associations.
5. Do not use abbreviations.
6. Start with the most recent information.
7. Note: Please ensure that you do not leave any gaps in time.

Use + Add button to add more address.

From *

To *

Activity type *

Job Title *

If Unemployed, simply enter Unemployed or Not Applicable

Company Name *

If Unemployed, simply enter Unemployed or Not Applicable

Responsibilities *

Enter details about your responsibilities for this position or activity.

City and Country

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Your Family

List your relatives, living or dead, in the order below. Use an additional sheet if you need more space.

i. Your spouse(s), or your common-law partner, including your same-sex partner

ii. Your children, including children born outside of marriage and adopted children

iii. Your parents

iv. Your brothers and sisters, including half-brothers and half-sisters

If you do not know the date, give the person’s approximate age (__years)

If person is dead, give the date of death (year/month/day)

Marital status *

Date of marriage or common-law relationship started *

Current spouse or common-law partner *

First

Last

Have you been married or in a common-law relationship before? *

Previous spouse or common-law partner *

First

Last

YOUR FAMILY

Full name ( First name/Last name) *

Relationship *

Date of birth *

If you do not know the date, give the person’s approximate date of birth

Citizenship(s) *

Is this family member alive? *

Place and country where they live *

If person is dead, give the date of death

Family member address *

If they are alive, please provide their address, if not please write "Not Applicable"

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PREVIOUS PROTECTION CLAIMS

If you or any of your relatives listed in the question above, have claimed refugee protection or asylum in Canada or in any other country [including at a Canadian office in another country or from the United Nations High Commissioner for Refugees (UNHCR)], provide details here.

Did you or any of your relatives listed in the question above, have claimed refugee protection or asylum in Canada or in any other country Dropdown *

PREVIOUS PROTECTION CLAIMS

Full Name ( First name/ Last name) *

Relationship *

Date of claim *

Country or UNHCR *

Result *

IRB file no. and Citizenship and Immigration Canada client ID no. *

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If you are currently studying or have ever studied at a post-secondary school, list all of them below and (use Ass button to add more)

This could be a university, college or vocational school. You don't need to have completed a certificate, degree or diploma.

Are you currently studying this level? *

School or institution name

Date studies started

Date studies ended, or expected to be completed

Did you get a degree, diploma or certificate after completing this program?

Level of study

Field of study

Address (Country and City where school is/was located)

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How did you arrive in Canada? *

Route to Canada; Tell us how you travelled to Canada. Start with your arrival in Canada and work your way back to when you left your country or territory of persecution. *

For example, if you travel from Iran to Canada on Turkish Airlines, you should state: from Tehran Airport to Istanbul Airport on (date), and from Istanbul Airport to Toronto Pearson Airport on (date).

Route to Canada; Tell us how you travelled to Canada. Start with your arrival in Canada and work your way back to when you left your country or territory of persecution. *

Where did you enter Canada?

alive? you studies

Where did you enter Canada?

When did you most recently enter Canada? *

Upload your most recent ticket you used to come to Canada *

Drag & Drop Files, Choose Files to Upload You can upload up to 20 files.

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TRAVEL DOCUMENT - List your last 3 travel documents

Have you ever had a passport? *

What kind of passport is it? *

Choose the country code that matches the one on your passport *

What's the nationality on your passport? *

Passport number *

Issue date of your passport *

Expiry date of your passport *

Where is the original copy of this document? *

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Criminality

Have you ever been convicted of a crime in any country or territory? *

Have you ever been charged, sought, or wanted for a crime in any country or territory? *

Have you ever been arrested or detained in any country or territory? *

Have you ever committed a crime in any country or territory? *

One or more of your answers to the above question is yes; give us more details here.

MEDICAL HISTORY

Have you ever had any serious disease, or physical or mental disorder?

Give more details *

Do you currently have any infectious diseases? *

Give more details *

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Canada and United States visas

Are you a lawful permanent resident of the United States (U.S.) with a valid green card (alien registration card)? *

Enter the U.S. Citizenship and Immigration Services (USCIS) number as it appears on your permanent resident card (Green card). *

Have you held a Canadian visitor visa in the past 10 years? (required) *

Green Card expiry date *

Do you currently hold a valid U.S. non-immigrant visa? *

Non-immigrant visa number *

Non-immigrant visa expiry date *

VISA APPLICATIONS TO CANADA

Did you apply for a visa to enter Canada? *

If "YES", date of the application (Date of application submission confirmation) *

At which Canadian office? *

Was the application accepted? *

Type of Canadian visa applied for *

Date visa was issued *

Duration *

From to (year/month/day)

Date visa application was refused *

Reason for visa refusal *

Please provide a complete list of all your previous travels to Canada, including the dates of entry and exit for each trip. *

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TRAVEL HISTORY

In the past 10 years have you travelled to a country or territory other than where you live now or where you're a citizen? *

Travel History

Date travel started *

Date travel ended *

Country or territory *

City *

Purpose of travel *

Status in this country or territory *

This is the status you had in the country or territory you travelled to. For example, you were a visitor, student, citizen, or something else.

Has Canada or any other country ever refused to issue you a visa or permit, denied you entry to the country, or ordered you to leave? *

Refusals, entries denied and orders to leave (required) Include as many details as possible. This will help us process your application. Make sure to include if you have been issued a permit since being refused (list the document number, the date it was issued and the date it expired).

Add refusal details

Date (optional)

Country or territory *

Details *

Do you have any family members in Canada?

Family member(s) in Canada

Name *

First

Last

Relationship *

Gender *

Date of birth *

f you don't know their complete date of birth, write "unknown"

Country or territory of birth *

f you don't know their Country or territory of birth, write "unknown"

Do you know their address? *

f you don't know address, write "unknown"

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WHERE YOU CAN BE CONTACTED IN CANADA *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Canadian Phone Number *

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Upload your document

File Upload

Drag & Drop Files, Choose Files to Upload

Upload your valid passport, and if applicable, permit(s) *

Drag & Drop Files, Choose Files to Upload You can upload up to 20 files.

Including all pages with any stamp, visa, information or writing.(high-quality colour copies )

Upload your dependant valid passports (Spouse - Children) *

Drag & Drop Files, Choose Files to Upload You can upload up to 20 files.

Including all pages with any stamp, visa, information or writing. (high-quality colour copies )

Upload your birth certificate *

Drag & Drop Files, Choose Files to Upload You can upload up to 20 files.

You must include translation if it is not in english or french

Upload your military service completion or exemption card including the official translation.

Drag & Drop Files, Choose Files to Upload

It is mandatory for all Iranian men.

Upload your previous (expired visa) if applicable.

Drag & Drop Files, Choose Files to Upload You can upload up to 20 files.

Including all pages with any stamp, visa, information or writing.

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Idjadi Immigration

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