Visitor visa assessment form

First Name

Middle Name

Last Name

Phone/Mobile

Country of citizenship

Current country of residence

Date of Birth

Do you have a valid passport?

Gender

Marital Status

Address Line 1

Address Line 2

City

State

Zip Code

Country

Further Information

Where is your preferred destination in Canada?

Questions for visitor

Purpose of trip to Canada

Funds available in Bank Account (mention currency)

Total market value of real estate property in home country (mention currency)

Current employment Status

Source of income

Host in Canada?

List all the countries you have traveled in last 10 years?

Have you visited Canada?

Yes

If yes, which province?

Admissibility – Questionnaires

Have you or spouse/common law partner or dependent children ever:

Had any serious disease

If answer of above is "Yes" provide details here:

Been convicted of or currently charged with any crime or offence in any country

If answer of above is "Yes" provide details here:

Applied previously for an immigrant visa to Canada

If answer of above is "Yes" provide details here:

Have you ever been refused any kind of visa to Canada?

If answer of above is "Yes" provide details here:

I have read and agree to the Terms and Conditions and Privacy Policy

Immigration Made Easy

Visitor Visa Assessment