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فورم درخواست ویزه تحصیلی

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فورم درخواست ویزه تحصیلی

فورم درخواست ویزه تحصیلی

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فورم درخواست ویزه تحصیلی

معلومات شخصی

نامنام (مطابق نام شما در اسناد رسمی مثل پاسپورت یا تذکره)

نام خانوادگی (تخلص)نام خانوادگی (مطابق نام شما در اسناد رسمی مثل پاسپورت یا تذکره)

آیا تا حالا از نام دیگری استفاده کرده اید (مثل لقب، نام قبل از ازدواج، نام مستعار و غیره)بلهخیر

نامنام (مطابق نام شما در اسناد رسمی مثل پاسپورت یا تذکره)

نام خانوادگی (تخلص)نام خانوادگی (مطابق نام شما در اسناد رسمی مثل پاسپورت یا تذکره)

جنسیت

تاریخ تولد

شهر تولد

کشور تولد

تابعیت (کشور)

کشوری که فعلاً در آن زندگی میکنید

کشور

وضعیت

از

الی

توضیحات

کشورهای قبلی که در آن زنده‌گی کرده‌اید

در جریان پنج سال گذشته، آیا در کدام کشور دیگری غیر از کشور تابعیت‌تان یا کشور/قلمرو فعلی زنده‌گی‌تان (که در بالا ذکر شده) برای بیشتر از شش ماه زنده‌گی کرده‌اید؟

فهرستِ کشورهای قبلی که در آن زندگی کرده اید

کشور

وضعیت

از

الی

توضیحات

Is your application country the same as your current country of residence?YesNo

Country or territory where applying

Country or Territory

Status

From

To

Explain

Marital status

Details about your marital status

Your current marital status

Date you were married or entered into relationship

First name of your current Spouse/Common-law partne

Last name of your current Spouse/Common-law partne

Date of birth

Country of birth

Present address (if deceased: give city/town, country and date)

Present occupation

Will accompany you to Canada?YesNo

Have you previously been married or in a common-law relationship?YesNo

First Name of your previous Spouse/Common-law Partner

Last Name of your previous Spouse/Common-law Partner

Date of Birth of your previous Spouse/Common-law Partner

Type of relationship with your previous Spouse/Common-law Partner

Previous Relationship From

Previous Relationship To

LANGUAGE(S)

Your Native Language

Are you able to communicate in English and/or French?

In which language are you most at ease?

Have you taken a test from a designated testing agency to assess your proficiency in English or French?YesNo

PASSPORT

Do you have a Passport?YesNo

Details of your Passport

Passport number

Country or territory of issue

Issue date

NATIONAL IDENTITY DOCUMENT

Do you have a national identity document?YesNo

National identity details

Document number

Country or territory of issue

Issue date

Expiry date

U.S. PR CARD

Are you a lawful permanent resident of the United States?YesNo

Your US PR Details

U.S. Citizenship and Immigration Services (USCIS) number

Expiry date

CONTACT INFORMATION

Current mailing address

Street Name and Number

Apt/Unit

City/Town

State/Province

Postal code

Country or Territory

Is your residential address same as mailing address?YesNo

Residential address

Street Name and Number

Apt/Unit

City/Town

State/Province

Postal code

Country or Territory

Telephone

Type

Phone NumberCountry Code and Number

Email

Email Address

STUDY IN CANADA

Do you have a letter of acceptance or admission from a college or university?YesNo

DETAILS OF INTENDED STUDY IN CANADA

Name of School

My level of study will be

My field of study will be:

Complete address of school in Canada

Address

City/Town

Province

Designated Learning Institution # (O#)

My Student ID # is:

Duration of expected study from

Duration of expected study to

The cost of my studies will be (for tuition)

The cost of my studies will be (for Room and board)

The cost of my studies will be (Other)

Funds available for my stay (CAD)

My expenses in Canada will be paid by:

Other

Have been Issued a Provincial Attestation Letter (PAL)/Territorial Attestation Letter (TAL)?YesNo

Document Number

Expiry Date

Have been Issued a Quebec Acceptance Certificate (CAQ)?YesNo

Certificate Number

Expiry Date

Education

Have you had any post secondary education (Including university, college or apprenticeship training)?YesNo

Give full details of your highest level of post secondary education.

From

To

Field and level of study

School/Facility name

City/Town

Province/State

Country or Territory

EMPLOYMENT

Give details of your employment for the past 10 years, including if you have held any government positions (such as civil servant, judge, police officer, mayor, member of parliament, hospital administrator.)

Details of Current Activity/Occupation

From

To

Current Activity/Occupation

Company/Employer/Facility name

City/Town

Province/State

Country or Territory

Details of Previous Activity/Occupation

From

To

Previous Activity/Occupation

Company/Employer/Facility name

City/Town

Province/State

Country or Territory

BACKGROUND INFORMATION

You must complete this section if you are 18 years of age or older.

1a) Within the past two years, have you or a family member ever had tuberculosis of the lungs or been in close contact with a person with tuberculosis?YesNo

1b) Do you have any physical or mental disorder that would require social and/or health services, other than medication, during a stay in Canada?YesNo

Ifyou answered "yes" to question 1a) or 1b), please provide details and the name of the family member (if applicable).

2a) Have you ever remained beyond the validity of your status, attended school without authorization or worked without authorization in Canada?YesNo

2b) Have you ever been refused a visa or permit, denied entry or ordered to leave Canada or any other country or territory?YesNo

2c) Have you previously applied to enter or remain in Canada?YesNo

If you answered “yes” to question 2a), 2b) or 2c), please provide details.

3a) Have you ever committed, been arrested for, or been charged with or convicted of any criminal offence In any country or territory?YesNo

If you answered “yes" to question 3a) above, please provide detalls.

4a) Did you serve in any military, militia, or civil defence unit or serve ina security organization or police force (including non obligatory national service, reserve or volunteer units)?YesNo

If you answered yes to question 4a), please provide dates of service and countries or territories where you served.

5) Are you, or have you ever been a member or associated with any political party, or other group or organization which has engaged in or advocated violence (as a means to achieving a political or religious objective, or which has been associated with criminal activity at any time?YesNo

6) Have you ever witnessed or patcpated in the Il reatment of prisoner or clans, lootng or desecration of eliglous bulldings?YesNo

If you answered “yes” to any of questions 3 to 6 above, or upon request of a visa officer, you MAY BE REQUIRED to fill out IMM 5257 Schedule 1.

Military Service

Did you serve in any military, militia, or civil defence unit or serve in a security organization or police force (including non obligatory national service, reserve or volunteer units)?YesNo

Military Service details

From

To

Location/Place where stationed

Province

Country or Territory

Have you ever witnessed or participated in the ill treatment of prisoners or civilians, looting or desecration of religious buildings?YesNo

Give the following details

From

To

Location

Province

Country or Territory

Details

Membership or Association with Organizations

Are you, or have you ever been a member or associated with any political party, or other group or organization which has engaged in or advocated violence as a means to achieving a political or religious objective, or which has been associated with criminal activity at any time?YesNo

Membership or Association with Organizations Dtails, Do not use abbreviations.

From

To

Name of Organization

Activities and/or positions held within organization

Province

Country or Territory

Government Positions

Have you ever held any government positions (such as civil servant, judge, police officer, mayor, member of parliament, hospital administrator)?YesNo

Government Positions Dtails, Do not use abbreviations.

From

To

Country or Territory

Level of jurisdiction (e.g. national, regional, municipal)

Department/Branch

Actibities and/or positions held

Previous Travel

Since the age of 18 or during the past ten years, whichever is more recent, have you travelled to any country or territory other than the country of your citizenship or your current country or territory of residence?YesNo

Previous Travel Dtails

From

To

Number of Days

Country or Territory

Location

Purpose of Travel

FAMILY INFORMATION

Your Mother

First Name

Last Name

Marital status

Date of birth

Country of birth

Present address (if deceased: give city/town, country and date)

Present occupation

Will accompany you to Canada?YesNo

Your Father

First Name

Last Name

Marital status

Date of birth

Country of birth

Present address (if deceased: give city/town, country and date)

Present occupation

Will accompany you to Canada?YesNo

CHILDREN

Include ALL sons and daughters, including ALL adopted and step-children, regardless of age or place of residence

Children Details

First Name

Last Name

Marital status

Relationshipe.g., son, daughter

Date of birth

Country of birth

Present address (if deceased: give city/town, country and date)

Present occupation

Will accompany you to Canada?YesNo

Siblings

Include ALL brothers and sisters, ALL half-brother and sister and stepbrother and sister

Sibling Details

First Name

Last Name

Marital status

Relationshipe.g., brother, sister

Date of birth

Country of birth

Present address (if deceased: give city/town, country and date)

Present occupation

Will accompany you to Canada?YesNo

Supporting documents that need to be uploaded:

Digital photo

No file chosen

Education Degrees/Diplomas/Transcripts

No file chosen

Proof of upfront medical exam (if applicable)

No file chosen

Proof of Means of Financial Support

No file chosen

Passport

No file chosen

National ID Card/Document or Tazkira

No file chosen

Marriage License/Certificate (if applicable)

No file chosen

Police Report (if applicable)

No file chosen

Do you need to upload additional documents?YesNo

Additional documents

Description

Upload file

No file chosen

Save as Draft

Please do not fill in this field.

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