Family Sponsorship Free Assessment Form

1. QUESTIONS ABOUT THE SPONSOR (CANADIAN CITIZEN OR PERMANENT RESIDENT)

A. SPONSOR PERSONAL DETAILS

Full Name*

Gender

Male

Female

Date of Birth

Place of Birth

Citizenship

Full International Postal Address

Postal code

Email*

Phone*

Are you a Canadian citizen?

Yes

Are you a Canadian permanent resident?

Yes

Country of Residence*

B. WHO DO YOU WANT TO SPONSOR? (CHECK ONE OR MORE)

Spouse (husband or wife)

Common-law partner

Conjugal Partner

Child

Parent

Grandparent

Orphan

Adopted child

Please provide details about who you want to sponsor including the number of people you want to sponsor and their relationship to you and to each other:

If you need more information about the types of relatives you can sponsor, please refer to the Family Class page.

C. SPONSOR ANNUAL INCOME

Are You Employed?

Yes

What was your total income for the last year in Canadian dollars?

Are you married, or do you have a common-law partner?

Yes

How many children under the age of 19 do you have?

How many people do you intend to sponsor?

What will be your total family size, including yourself, when the person(s) you want to sponsor arrive in Canada?

Please provide any important details about your family size and income here:

D. SPONSOR ELIGIBILITY DETAILS

Have you yourself been sponsored within the past 5 years?

Yes

Have you sponsored anyone else within the past 3 years?

Yes

Are you subject to a removal order?

Yes

Are you detained in any penitentiary, jail, reformatory, or prison?

Yes

Have you been convicted of a sexual offence within the past 5 years?

Yes

Have you been convicted of a violent crime or a crime that resulted in bodily harm within the past 5 years?

Yes

Are you in default of any previous undertaking or any support payments ordered by a court?

Yes

Are you an undischarged bankrupt?

Yes

Are you in receipt of social assistance for any reason other than a disability?

Yes

If you answered yes to any of the above questions, please provide details here:

2. QUESTIONS FOR THE APPLICANT (PERSON TO BE SPONSORED)

A. APPLICANT PERSONAL DETAILS

Full Name*

Gender

Male

Female

Date of Birth

Place of Birth

Citizenship

Country of Residence*

Full International Postal Address

Postal code

Phone

Are you married or do you have a common-law partner?

Yes

Do you have any children?

Yes

If yes, how many children do you have and what are their ages?

B. APPLICANT ADMISSIBILITY

Have you, your spouse, or any of your children had any serious disease or physical or psychological disorder?

Yes

Been convicted of or are currently charged with a criminal offence in any country?

Yes

Applied previously for a temporary visa to Canada?

Yes

Applied previously for permanent residence in Canada?

Yes

Been refused a visa to Canada or any other country?

Yes

Been refused admission to or order removed from Canada or any other country?

Yes

Been involved in the commission of human rights violations, acts of subversion, espionage, terrorism, or organized criminality?

Yes

If you have replied “yes” to any of the above questions, please provide details:

C. FINAL DETAILS

If there is anything else that you believe is important in relation to your case please note it here:

DECLARATION

I certify that the above information provided by me in the Free Assessment is true.*

Yes, True

Furthermore, I consent to the law office of Matthew Jeffery, contacting me in relation to the above Free Assessment.*

Yes

This field should be left blank

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Family Sponsorship Free Assessment Form

1. QUESTIONS ABOUT THE SPONSOR (CANADIAN CITIZEN OR PERMANENT RESIDENT)

A. SPONSOR PERSONAL DETAILS

B. WHO DO YOU WANT TO SPONSOR? (CHECK ONE OR MORE)

C. SPONSOR ANNUAL INCOME

D. SPONSOR ELIGIBILITY DETAILS

2. QUESTIONS FOR THE APPLICANT (PERSON TO BE SPONSORED)

A. APPLICANT PERSONAL DETAILS

B. APPLICANT ADMISSIBILITY

C. FINAL DETAILS

DECLARATION

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