EAPR Form – Iwajay Immigration Consulting

Information Questionnaire

Instructions for completing questionnaire:

Please complete ALL questions on this form. They are necessary for the completion of your application. Questions must be answered fully and completely.

Personal Information Principal Applicant

Surname (as shown in passport)

Given name(s)

Have you ever used any other name (e.g. nickname, maiden name, married name etc)?

Yes

If yes, please specify

Previous family name

Given name(s)

Gender

Male

Female

Place of birth (City, Country)

Current address

Postal Code

How long has you resided in this country?

Date of birth

Home Phone

Cell Phone

Fax

Your country(ies) of citizenship

Native language(s):

Other country(ies) with residence status

Countries where you have resided for 6 months or more:

Country	From: yyyy-mm-dd	To: yyyy-mm-dd	Purpose of Stay (Provide full details)

Height

Colour of Eyes

Passport number

Date of issue

Country of issue

Date of expiry

Identification Card No. (if applicable)

Where do you intend to live in Canada if accepted (city, province)?

Marital Status

If you are married, date of marriage

Last Name of Spouse

Given names

Spouse Date of Birth

EX SPOUSE DETAILS: Have you been previously married or common-law?

Yes

If yes, spouse's date of birth

Ex -partner’s full name

Married from

Till

Parents Information

Father's given names

Last name

Occupation

Date of birth

City and Country of birth

Date of death if deceased

City & Country of interment

Current Address

City

Country

Citizenship(s)

Mother's given names

Last name

Occupation

Date of birth

City and Country of birth

Date of death if deceased

City & Country of interment

DETAILS OF FAMILY MEMBERS

Children: Please list any children under the age of 19, even if they are not accompanying you to Canada. If you have children 19 or older, please complete only the sections indicated with a *(including adopted and step-children).

Given Names

Last Name

Gender

Male

Female

Date of birth

Place of birth (City)

Country of Citizenship

Country of residence

Other country(s) with resident status

Marital status

Relationship to principal applicant

Will they accompany you to Canada?

Yes

Passport Number

Country of issue

Date of issue

Date of expiry

Knowledge of:

English (Communication)

French (Communication)

Total years of education

Level of education

Current occupation

Height

Colour of eyes

Address (If different to your own)

Add Additional Child

Given Names

Last Name

Gender

Male

Female

Date of birth

Place of birth (City)

Country of Citizenship

Country of residence

Other country(s) with resident status

Marital status

Relationship to principal applicant

Will they accompany you to Canada?

Yes

Passport Number

Country of issue

Date of issue

Date of expiry

Knowledge of:

English (Communication)

French (Communication)

Total years of education

Level of education

Current occupation

Height

Colour of eyes

Address (If different to your own)

Add Additional Child 2

Given Names

Last Name

Gender

Male

Female

Date of birth

Place of birth (City)

Country of Citizenship

Country of residence

Other country(s) with resident status

Marital status

Relationship to principal applicant

Will they accompany you to Canada?

Yes

Passport Number

Country of issue

Date of issue

Date of expiry

Knowledge of:

English (Communication)

French (Communication)

Total years of education

Level of education

Current occupation

Height

Colour of eyes

Address (If different to your own)

Add Additional Child 3

Given Names

Last Name

Gender

Male

Female

Date of birth

Place of birth (City)

Country of Citizenship

Country of residence

Other country(s) with resident status

Marital status

Relationship to principal applicant

Will they accompany you to Canada?

Yes

Passport Number

Country of issue

Date of issue

Date of expiry

Knowledge of:

English (Communication)

French (Communication)

Total years of education

Level of education

Current occupation

Height

Colour of eyes

Address (If different to your own)

Add additional Child 4

Given Names

Last Name

Gender

Male

Female

Date of birth

Place of birth (City)

Country of Citizenship

Country of residence

Other country(s) with resident status

Marital status

Relationship to principal applicant

Will they accompany you to Canada?

Yes

Passport Number

Country of issue

Date of issue

Date of expiry

Knowledge of:

English (Communication)

French (Communication)

Total years of education

Level of education

Current occupation

Height

Colour of eyes

Address (If different to your own)

Your Education

Give full details of all secondary and post-secondary institutions attended (No abbreviations please)

Give the number of years of school you successfully completed for each of the following levels of education

Name of Institution	Date of attendance (Start)	Date of attendance (End)	Date Certificate was issued	City, Province and Country	Type of certificate issued and field of study

What is your Current Occupation?

What occupation do you intend to do in Canada?

If you intend to work in an occupation that requires licensing in Ontario, do you have a certificate of qualification issued by the territorial body?

Yes

If yes, please attach supporting certificate

Membership or associations:

List any organization you have belonged to since age 18.

Name of Organization	Start date	End date	Type of Organization	Activities or positions held	City and Country

Government Positions:

List any positions held in a national, municipal or regional government (For example: civil servant, judge, police officer)

Country and level of jurisdiction	Start date	End date	Department or branch	Activities or positions held

Military service:

List all military service if applicable.

Country of service	Start date	End date	Branch of service, unit numbers, names of commanding officers	Rank	Date and place of active combat

Funds:

Funds: Amount of unencumbered transferable and available funds you have in Canadian dollars:

What is your first official language?

English

French

Have you taken an English language exam?

Yes

If yes, please specify.

Did you test for the second official language?

Yes

Relative in Canada:

Do you or your spouse have family in Canada that is a permanent resident or Canadian Citizen?

Yes

(You or spouse)

Name	Relationship	City	Occupation

Intention to Reside in Ontario

Complete this section only if you are also applying for an Ontario PNP, otherwise move to section titled “Travel History”

If you become a permanent residence, do you intend to reside in Ontario?

Yes

Please list in detail all the ties that you have established in Ontario (please use additional sheet if necessary. E.g. job applications, family ties, social connections, professional networks and affiliations)

Do you have a job offer or employment in Ontario?

Yes

Do you, or if applicable, your accompanying spouse or common-law partner, have a relative living in Canada who is 18 years or older and is a citizen or permanent resident of Canada?

Yes

Total funds available for settlement in Ontario in Canadian dollars

Friends in Ontario: (You or spouse)

(You or spouse)

Name of Friend	Status in Canada (e.g. Student, citizen, PR)	City	Willing to support application (Yes or No)

Statutory Questions

Did you or someone in your family already have some of the occurrences below?

Have you been convicted of a crime or offence in Canada for which a pardon has not been granted under the Criminal Records Act of Canada?

Yes

If YES, describe below

Have you ever committed, been arrested for or been charged with any criminal offence in any country?

Yes

If YES, describe below

Have you made previous claims for refugee protection in Canada or at a Canadian visa office abroad, in any other countries, or with the United Nations High Commissioner for Refugees?

Yes

Have you been refused refugee status, or an immigrant or permanent resident visa (including a CSQ or a Provincial nominee Program) or visitor or temporary resident visa to Canada or any other country?

Yes

If YES, describe below

Have you ever been refused any kind of visa, admission or been ordered to leave Canada or any other country?

Yes

If YES, describe below

Have you been involved in an act of genocide, a war crime or in the commission of a crime against humanity?

Yes

If YES, describe below

Have you used, planned or advocated the use of armed struggle or violence to reach political, religious or social objectives?

Yes

If YES, describe below

Have you ever been associated with a group that used, uses, advocated or advocates the use of armed struggle or violence to reach political, religious or social objectives?

Yes

If YES, describe below

Have you been a member of an organization that is or was engaged in an activity that is part of a pattern of criminal activity?

Yes

If YES, describe below

Have you been detained, incarcerated or put in jail?

Yes

If YES, describe below

Have you ever remained beyond the validity of your status, attended school without authorization or worked without authorization in Canada?

Yes

If YES, describe below

Have you had any serious disease or physical or mental disorder?

Yes

If YES, describe below

Have you, your spouse or common law partner, or any of your dependent children, already submitted or been included in an application for Permanent Residence to Citizenship and Immigration Canada?

Yes

Information About the Spouse/Partner

Please have your spouse complete the same questionnaire above

TESTIMONIALS

Alison Cullen

Oluwagbenga Ben Akinwunmi

Eric Asagba

Pranav Pradhan

The Olarewaju’s.

Tayo Salami

Muyiwa & Morenike Odegbo-Olukoya

Peter Adenekan

Michael Obideyi

Omotoyosi Soyinka

Victor Duru

Yemisi Banwo

Collins Okey

Victoria Ayadi

Oladimeji Adeyinka

Udia Umoette

Chloe Erazua

Damola Akinola

Opeyemi Adegbemi

Pratik Moodlyar

Ehiwario Jennifer

Abisola Alabi

featured news

INSTAGRAM

iwajayimmigration

Personal Information Principal Applicant

Marital Status

Parents Information

DETAILS OF FAMILY MEMBERS

Your Education

Give full details of all secondary and post-secondary institutions attended (No abbreviations please)

Membership or associations:

Government Positions:

Military service:

Funds:

Relative in Canada:

Intention to Reside in Ontario

Friends in Ontario: (You or spouse)

Statutory Questions

Information About the Spouse/Partner

Contact Details

Our Services

Subscribe

Leaving already?