Canada Questionnaire

The questions listed below are required to prepare the electronic application. Before submission to the Consulate, all answers will be translated, edited, and agreed with you in accordance with current requirements. Please note that if you do not know the answers to some questions, you may skip them and fill them in later.

67 questions, about 23 min. Answers are saved in this browser, so you can come back later.

1About you5 questions

You need:

Single-entry visaMultiple-entry visaTransit visa

Full name of the applicant *

Have you ever changed your last name, first name, or patronymic?

It is important to indicate any change, not only a last name change after marriage. Write your previous full name and the year when it was changed. If you have not changed it, put a dash.

What is your native language?

Do you speak one of the listed languages?

EnglishFrenchNeither of themBoth

2Marital status11 questions

Full name of spouse or common-law spouse

Date of birth of spouse

Place of birth of spouse CITY

Citizenship of spouse

Wedding date:

Have you previously been married or in a civil marriage? If yes, you must specify:

Type of marriage

Full name

Date of birth

Citizenship

Exact dates of the beginning and end of your marriage

3Contacts and address3 questions

Actual address of your residence:

Your email address (email)

Your mobile phone number *

4Trip6 questions

Purpose of your trip to Canada?

TourismBusiness tripOther (provide explanation below)

Indicate how long you plan to stay in Canada:

(day, month, year) to (day, month, year)

What funds do you have available for your stay in Canada?

the amount must be indicated in Canadian dollars

Name/title of the host party in Canada

Full name of the Canadian inviting you to visit or the name of the organization inviting you

Address of the host party in Canada

What relation is the host party in Canada to you?

5Work and education7 questions

Your current place of employment

indicate your position

Name and address of your employer or educational institution and phone number

Date of hire

Previous 2 places of employment over the last 10 years: - start and end dates of employment

(in month-year format) - position - company names - city where the company is located

Name of the educational institution you attended (except school)

- course name - dates of study (in month-year format) - city where the educational institution is located

Did you serve in the military? If yes, please indicate:

1. Dates of service (month-year) 2. City where you served

Have you worked in any government institutions? If yes, please indicate:

- year-month of employment start-end - country of this employment - level of jurisdiction (national, regional, municipal) - department name - position

7Parents14 questions

Father's full name

father's date of birth

father's place of birth

Father's marital status

full address of father's actual residence

father's occupation (specify profession or whether already retired)

if deceased, city and date of death are required:

Mother's full name

Mother's date of birth

Mother's place of birth

Mother's marital status

Full address of mother's actual residence

Mother's occupation (specify profession or whether already retired).

if deceased, city and date of death are required

8Children5 questions

List the CHILD, regardless of whether he/she is accompanying you to Canada or not (including children from previous marriages as well). If there are none, write "NO" in the column. If there are several children, write about them in the line at the end of the questionnaire

Child's full name

Child's date of birth

Child's marital status

Child's occupation

Actual residential address of children at the time of completing the questionnaire

not at registered address

9Visa history6 questions

Have you ever been refused a Canadian visa?

YesNo

If yes, when?

Reason for refusal?

List all countries you have visited in the last 5 years, starting from age 18:

Date of entry (month-year), Date of exit (month-year), Country, City, Purpose of visit

Additional information

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Canada Questionnaire

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