Express Entry

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Study and Work
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PERSONAL DETAILS

Full Name *

First

Last

Have you ever used any other name? *

Yes
No

Gender *

Date of Birth *

Place of Birth (City/Town) *

Country or Territory *

Current Country of Residence *

If you are in Canada, specify Canada

Status in your current country of residence *

The status is based on the current permit you hold, it is not based on your current activities. Therefore, if you have an eTA and you are studying your current status is VISITOR.

During the past five years have you lived in any country or territory other than your country of citizenship or your current country of residence (indicated above) for more than six months? *

Yes
No

Your Current Marital Status *

Provide the date on which you were married or entered into the common-law relationship *

Provide the name of your current Spouse/Common-law partner *

First

Last

Have you previously been married or in a common-law relationship? *

Yes
No

Type of Relationship *

Provide the full name of your previous partner *

First

Last

Date of Birth of your previous partner *

From *

To *

Have you applied to Immigration, Refugees and Citizenship Canada before? *

Yes
No

Which province do you intend to live in? *

Have you applied for Express Entry before? *

Yes
No

Please provide the Express Entry file number *

Do you have a Unique Client Identifier (UCI)? *

Yes
No

Please enter it below *

LANGUAGE(S)

Native Language/Mother Tonge *

Official Language of the country you were born at

Are you able to communicate in English and/or French? *

English
French
Both
Neither

Have you taken a test from a designated testing agency to assess your proficiency in English or French? *

Yes
No

You need to submit language test results for all programs under Express Entry, even if English or French is your first language. Which language test did you take for your first official language? *

When did you take the test *

Please upload the results of any test you have taken (IELTS, CELPIP, TOEFL, TEF, TCF...) *

Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.

PASSPORT

Passport Number *

Country or Territory of issue *

Issue Date (Passport) *

Expiry Date (Passport) *

NATIONAL IDENTITY DOCUMENT

Do you have a national identity document? *

Yes
No

National ID Document

Document Number *

Country or Territory of Issue *

Issue Date (National Identity Document)

Expiry Date (National Identity Document)

CONTACT INFORMATION

Current Address (Mailing Address) *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Cell Phone Number *

Email Address *

Email

Confirm Email

EDUCATION

Have you ever had any post secondary education (university, college or apprenticeship training)? *

Yes
No

From *

To *

Field and Level of Study *

School/Facility Name *

City/Town *

Country or Territory *

EMPLOYMENT

Have you ever had any employment in the last 10 years? *

Yes
No

Most Recent Occupation *

Company's name *

City/Town *

Country or Territory *

From *

To (Leave Blank if the employment is still ongoing)

Have you worked somewhere else prior to that? *

Yes
No

Occupation *

Company's name *

City/Town *

Country or Territory *

From *

To *

Have you been employed somewhere else? *

Yes
No

Occupation *

Company's name *

City/Town *

Country or Territory *

From *

To *

BACKGROUND INFORMATION

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

Yes
No

Have you ever been refused a visa or permit, denied entry or ordered to leave Canada or any other country or territory? *

Yes
No

Have you previously applied to enter or remain in Canada? *

Yes
No

eTA, Visitor Visa, Study Permit...

Please provide details *

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

Yes
No

Please provide details *

Did you serve in any military, militia, or civil defence unit or serve in a security organization or police force (including non obligatory national service, reserve or volunteer units)? *

Yes
No

Please provide dates of service and countries or territories where you served *

FAMILY INFORMATION

Full name of Partner (Spouse, Common-Law) *

First

Last

Country or Territory of Birth *

As shown on Passport/Travel Document

Present Occupation *

Date of Birth of Partner *

Address of Partner *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Father's name *

First

Last

Country or Territory of Birth *

Present Occupation *

Marital Status *

If deceased provide the date of death

Father's Date of Birth *

Address of Father *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Is you father travelling with you to Canada? *

Yes
No

Mother's name *

First

Last

Country or Territory of Birth *

Present Occupation *

Marital Status *

If deceased provide the date of death

Mother's Date of Birth *

Address of Mother *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Is you mother travelling with you to Canada? *

Yes
No

Do you have any children? *

Yes
No

Provide all details of your children in the same way as you did with your father or mother *

Do you have any brothers or sisters? *

Yes
No

Provide all details of your brothers and sister in the same way as you did with your father or mother *

Do you have a relative who is a citizen or permanent resident of Canada? (The relative must be 18 or older and living in Canada.) *

Yes
No

What is your relationship to them? (provide their full details including their full address) *

Since the age of 18 or during the past five years, whichever is more recent, have you travelled to any country or territory other than the country of your citizenship or your current country or territory of residence? *

Yes
No

Provide all your last travels following the example: United States, New York. Purpose: Tourism (From 2022-09-25 until 2022-10-05) *

Stay connected with Pathway2Canada and get the latest updates on education and immigration opportunities in Canada. Don’t forget to check out our social media platforms – join our community, share your journey, and discover more about your path to Canada. We’re just a click away!

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