Formulários

Family Class Assessment Form:

A. Sponsor Personal Details:

Family Name

Given Name

Gender:

Male Female

Address:

Country

State

Contact Info:

E-mail

Confirm E-mail

DDI

Home Phone Number

Place of Birth:

Country

Date of Birth:

Age

Citizenship

Are you a Canadian citizen? Are you a Canadian permanent resident?

When did you become a permanent resident? (if applicable)

Date (MM-DD-YYYY)

Current country of residence

B. Who do you want to sponsor?

The types of relatives you can sponsor are: (check one or more)

Spouse (husband or wife) Common-law partner Conjugal Partner Parents

Child Grandparent Orphan Adopted Child

C. Sponsor Income Details

Are you employed?

Yes No

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

Yes No

Is your spouse or common-law partner living with you in Canada?

Yes No

Is your spouse or common-law partner employed?

Yes No

How many children under the age of 22 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?

D. Sponsor Eligibility Details

Are you subject to a removal order?

Yes No

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

Yes No

Have you ever been convicted of a sexual offence?

Yes No

Have you ever been convicted of a violent crime against a relative?

Yes No

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

Yes No

Are you an undischarged bankrupt?

Yes No

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

Yes No

2. Questions for the Applicant (person to be sponsored)

E. Applicant Personal Details

Family Name

Given Name

Gender:

Male Female

Contact Info:

E-mail

Confirm E-mail

Place of Birth:

Country

Date of Birth:

Date

Citizenship

F. Applicant Admissibility

Had any serious disease or physical or psychological disorder?

Yes No

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

Yes No

Applied previously for a temporary visa to Canada?

Yes No

Applied previously for permanent residence in Canada?

Yes No

Been refused a visa to Canada or any other country?

Yes No

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

Yes No

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

Yes No

G. Final Details

If there is anything else that you believe is important in relation to your case?

Yes No

Declaration:

( First name, last name )

Certify that the above information provided by me in the Free Assessment is true.

Furthermore, I consent to the Brazil Canada Services contacting me in relation to the above Free Assessment.