CLIENT BIO DATA FORM

(Information provided is confidential)

Last Name:
First Name:
Middle Name:
Current
Address:
Have you ever used any
other name (e.g.
Nickname, maiden name,
alias etc.)?
City: Province/State: Postal Code:
Current country of
residence:
Phone:
Mobile/Cell
Phone:
E-mail:

Previous countries of residence (During the past 5 years, have you lived in any country other than your
country of Citizenship or your current country of residence for more than 6 months? If so, we will need
Country, status in that country (worker, visitor etc), and full dates from YYYY-MM-DD to YYYY-MM-DD
Date Purpose of City & Country
From To Travel
(yyyy/mm/d (yyyy/mm/d (Pleasure or
d) d) Business/Work
)

PERSONAL INFORMATION:
Date of Birth Day: Month: Year:
Place of Birth City: State: Country:
Sex:
Height:
Eye Colour:
Citizenship:
Native
Language:
Marital Status:  Never Married *
 Married
 Separated
 Divorced
 Widowed
 Living with common-law partner for 1 year
Date of Day: Month: Year:
Marriage:
Have you previously been married or in a Numbe
common-law relationship? If yes, full name r of
of ex-spouse or common-law is needed as Marria
well as their date of birth, type of ges:
relationship, and relationship start and end
date YYYY-MM-DD.

LANGUAGE ABILITY:
English Fluently Well With Not at all
difficulty
Speak    
Read    
Write    

French Fluently Well With Not at all

difficulty
Speak    
Read    
Write    

Please indicate if you have undergone one of the following

language examinations:

□ IELTS Date of test: ___________

□ CELPIC Date of test: ___________
□ TEF Date of test: ___________

Exam Scores: Listening: _____ Writing: _____ Speaking: _____

Reading: ______

PASSPORT INFORMATION:
Passport
2
Number:
Date of Issue:
Date of Expiry:
Country of
Issue:
National ID
Number:
National ID
Expiry Date:

EDUCATION:
Check off education  Primary School
completed:  High School
 1 year university credential
 2 year university credential
 3 year university credential
 University bachelor degree
 2 university bachelor degree
 Masters degree
 PhD
 1 year non university diploma
 2 year non university diploma
 3 year non university diploma
How many TOTAL years 17 years
of schooling have you
completed:
EDUCATION HISTORY (Secondary & PostSecondary)
From To Name of School City & Country Degree/Diploma
(mo/yr (mo/yr /
) ) Certificate
issued
2003 2007 Primary School
2008 2013 High School
2014 2016

EMPLOYMENT:
Intended occupation in
Canada:
Current occupation:

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DETAILED job description
for intended occupation
(describe responsibilities
of your job and how you
meet the requirements of
this position):

WORK HISTORY SINCE 18 YEARS OF AGE (every month must be

accounted for)
Date Job Position City & Country Employer
From To Or Activity Or Institute
(mo/yr (mo/yr
) )

ADDRESSES SINCE 18 YEARS OF AGE (every month must be accounted for):

From To Residential Address City/ Province Country
(mo/yr (mo/y Town /
) r) State

MEMBERSHIP WITH ORGANIZATIONS (Political, Social, Youth, Student,

Trade, Professional):
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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?
From To Name of Type of Position City &
(mo/yr (mo/y Organization Org held Country
) r)

GOVERNMENT POSITIONS (Civil Servant, Judge, Police Officer):

From To Level of Department Position held
(mo/yr (mo/y Government
) r)

MILITARY SERVICES:
Did you serve in any military, militia, or civil defense unit or serve in a security organization
or police force (including non-obligatory national service, reserve or volunteer units):
Which
Country:
From To Branch of service & Rank Places of
(mo/yr (mo/y Unit Number Active
) r) Combat

FAMILY INFORMATION:
Father
Last Name:
First Name:
Date of Birth Day: Month: Year:
Place of Birth City: State: Country:
Marital status:
Current
address
Date of Death Day: Month: Year:
Occupation:
Mother
Last Name:
First Name:
Date of Birth Day: Month: Year:
Place of Birth City: State: Country:
Date of Death Day: Month: Year:
Marital status:
Current
address

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Occupation:
Child
Last Name:
First Name:
Sex: Height: Eye Colour:
Date of Birth Day: Month: Year:
Place of Birth City: State: Country:
Current Address:
Activity
Child
Last Name:
First Name:
Sex: Height: Eye Colour:
Date of Birth Day: Month: Year:
Place of Birth City: State: Country:
Current Address:
Activity:
Brother or Sister (please circle one)
Last Name:
First Name:
Sex: Marital Status: Occupation:
Date of Birth Day: Month: Year:
Place of Birth City: State: Country:
Current
address
Brother or Sister (please circle one)
Last Name:
First Name:
Sex: Marital Status: Occupation:
Date of Birth Day: Month: Year:
Place of Birth City: State: Country:
Current
address
If you have more children, brothers or sisters please provide a separate
page where you have documented the required information for each
additional person.

ADDITIONAL INFORMATION:
Yes No
  Do you hold a work permit in Canada currently?
  Do you have a permanent job offer from a Canadian
employer?
  Have you ever worked in Canada for at least 1 year?
  Have you ever studied in Canada for at least 1 year?
  Have you ever remained beyond the validity of your status,
attended scholl without authorization or worked without
authorization in Canada?
  Within the past two years, have you or your family member
ever had tuberculosis of the lungs or been in close contact
6
 with a person with tuberculosis?

If you answer “yes”, please provide details and the name of

the family member
  Do you have any physical or mental disorder that would
require social and/or health services, other than medication,
during a stay in Canada?

If you answer “yes”, please provide details and the name of

the family member
  Have you applied for a Canadian visa before?
- What kind of visa:
- When did you apply:
  Have you been refused a Visa or permit, denied entry or
ordered to leave Canada or any other country?

- What kind of visa: For what country:

- When did you apply:
- Reason for refusal:
  Have you ever witnessed or participated in the ill treatment
of prisoners or civilians, looting or desecration of religious
buildings?

  Have you ever visited Canada before? When:

Where:
Purpose of Visit:
  Have you, or a family member, ever visited, worked or studied
abroad in another country for 6 months or longer?
- Who? Which countries?

  Have you ever committed, been arrested for, been charged

with or convicted of any criminal offence in any country?

If you answer is “yes”, please provide details.

Transfera Property:
ble Funds Cash (amount in $Cdn):
Relatives in Canada
Name:
Relationship to you: Status in Canada: Years in Canada?
Address in Canada:
Name:
Relationship to you: Status in Canada: Years in Canada?
Address in Canada:

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I declare that the information provided on this data collection form
is truthful, complete and correct:

Date: Signature:

8
 SPOUSE BIO DATA FORM
Last Name:
First Name:
Middle Name:
Current
Address:
City: Province/State: Postal Code:
Phone:
Mobile/Cell
Phone:

PERSONAL INFORMATION:
Date of Birth Day: Month: Year:
Place of Birth City: State: Country:
Sex: Citizenship:
Height: Eye Color:
Native
Language:
Have you been married How many previous marriages:
before?

PASSPORT INFORMATION:
Passport
Number:
Date of Issue:
Date of Expiry:
Country of
Issue:
National ID
Number:

EDUCATION:
Check off education  Primary School
completed:  High School
 1 year university credential
 2 year university credential
 3 year university credential
 University bachelor degree
 2 university bachelor degree
 Masters degree
 PhD
 1 year non university diploma
 2 year non university diploma
 3 year non university diploma
How many total years of
school have you
completed:
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 EDUCATION HISTORY (Secondary & Postsecondary)
From To Name of School City & Country Degree/Diploma
(mo/yr (mo/yr /
) ) Certificate
issued

EMPLOYMENT: (every month must be accounted for)

WORK HISTORY (Record all personal history
since 18 years of age)
Date Job Position or City & Country Employer
From To Activity
(mo/yr (mo/yr
) )

ADDRESSES SINCE 18 YEARS OF AGE (every month must be accounted for):

From To Street Number City/ Province Country
(mo/yr (mo/y Town /
) r) State

MEMBERSHIP WITH ORGANIZATIONS (Political, Social, Youth, Student,

Trade, Professional):
From To Name of Type of Position City &
(mo/yr (mo/y Organization Org held Country

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 ) r)

GOVERNMENT POSITIONS (Civil Servant, Judge, Police Officer):

From To Level of Department Position held
(mo/yr (mo/y Government
) r)

MILITARY SERVICES:
Which
Country:
From To Branch of service & Rank Places of
(mo/yr (mo/y Unit Number Active
) r) Combat

FAMILY INFORMATION:
Father
Last Name:
First Name:
Date of Birth Day: Month: Year:
Place of Birth City: State: Country:
Marital Occupation:
status:
Current
address
Date of Death Day: Month: Year:
Mother
Last Name:
First Name:
Date of Birth Day: Month: Year:
Place of Birth City: State: Country:
Date of Death Day: Month: Year:
Marital Occupation:
status:
Current
address
Brother or Sister (please circle one)
Last Name:
First Name:
Sex:
Date of Birth Day: Month: Year:
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Place of Birth City: State: Country:
Marital Occupation:
status:
Current
address
Brother or Sister (please circle one)
Last Name:
First Name:
Sex:
Date of Birth Day: Month: Year:
Place of Birth City: State: Country:
Marital
status:
Current
address

If you have additional children not listed under your spouse, or more
brothers and sisters, please provide a separate sheet documenting the
required information for each additional person.

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ADDITIONAL INFORMATION:
Yes No
  Do you hold a work permit in Canada currently?
  Do you have a permanent job offer from a Canadian
employer?
  Have you ever worked in Canada for 1 year?
  Have you ever studied in Canada for 1 year?
  Have you applied for a Canadian visa before?
- What kind of visa:
- When did you apply:
  Have you been refused a Canadian visa before, or a visa for
any other country?
- What kind of visa: Where:
- When did you apply:
- Reason for refusal:
  Have you ever visited Canada before?
- Where: - When:
- What Purpose:
  Have you or a family member ever visited, worked or studied
abroad in another country for 6 months or longer?
- Who Which countries:

  Have you been convicted of or are currently charged for any

criminal activity in any country?
Relatives in Canada
Name:
Relationship to you:
Address in Canada:
Name:
Relationship to you:
Address in Canada:

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 BUSINESS APPLICANTS ONLY
Yes No
  Are you willing to invest or start a business in Canada?
  Have you in the last 5 years ever made a trip to Canada to explore
business opportunities?
  Do you have a personal net worth of at least $300,000 Cdn?
  Have you ever managed more than 5 people?
  If yes, describe briefly?
  Have you ever been self-employed as a musician or artist, or in other
cultural activities?
  Have you ever owned or managed a farm?
 
Company Complete this section if you have owned a company in the last 5
Details: years? If yes, email a complete business profile of your company to
tuinmigracionacanada@gmail.com
  Have you ever owned and operated your own business?
 ___% What percentage of the company did you own?
 _ People How many people have you employed?
_
  Has your company had gross sales of more than $500,000 Cdn per
year in at least 2 of the last 5 years?
  Has your company had net income of more than $50,000 Cdn per year
in at least 2 of the last 5 years?
  Has your company had net equity of more than $125,000 Cdn per year
in at least 2 of the last 5 years?

Turnover & Net Year Turnover Net Profit

Profit over the
last 3 years

Net Worth in Bank Property Assets Other Total

Canadian $
If others give details here:

The Value of all your assets $

Funds available to be transferred to Canada $

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