Complete Client Information Form

👤 Personal Details (As per Passport)

Please provide your personal information exactly as shown on your passport.

Full Name

Surname / Family Name Your last name / family name

Given Name / First Name Your first name / given name

Have you used any other name before? If yes, please provide: Include maiden names, previous surnames, aliases

Birth Information

Date of Birth Format: YYYY-MM-DD

Gender

Place of Birth Exactly as written on passport

Country of Birth

Physical Details

Your Height Feet and inches or centimeters

Your Eye Color

Language & Marital Status

Native Language (Mother Tongue)

Marital Status

📧 Contact Information

How can we reach you? Please provide current and accurate contact details.

Primary Contact

Email Address We'll send important updates here

Phone Number Include country code

Alternative Phone Number Optional - Another number we can reach you

Current Residential Address

Street Address / Apartment / Unit

City

Province / State

Postal Code / ZIP Code

Country

Mailing Address

Only fill this if different from your residential address

Same as residential address

Street Address

City

Province / State

Postal Code

Country

🛂 Passport & Identification Documents

Please provide details about your passport and other identification documents.

Citizenship Information

Current Citizenship / Nationality

I have dual citizenship

Second Citizenship Country

Passport Details

Passport Number

Passport Type

Issue Date

Expiry Date

Place of Issue

Country of Issue

National Identity Documents

National ID Type

ID Number

ID Issue Date Optional

🎓 Education History

Please list all your education, starting from the most recent. Click "Add Education" to add more entries.

Educational Background

Language Proficiency

Can you communicate in English?

Yes, I can communicate in English

Can you communicate in French?

Yes, I can communicate in French

Have you taken an official language test?

💼 Employment History

Please list your employment history for the past 10 years. Click "Add Employment" to add more entries.

Work Experience

Current Occupation Status

Current Occupation / Job Title

Employment Status

Total Years of Full-time Education Count all years of formal education

👨‍👩‍👧‍👦 Family Information

Please provide details about your family members (spouse, children, parents, siblings). Click "Add Family Member" to add more.

Family Members

Include spouse/partner, children, parents, brothers, sisters

Spouse / Partner Details

Only fill if you have a spouse or common-law partner

Spouse/Partner Full Name

Date of Birth

Nationality

Current Occupation

Current Address Leave empty if same as your address

Is your spouse/partner accompanying you to Canada?

Children / Dependents

Number of Children / Dependents

Are any of your children accompanying you to Canada?

Parents & Siblings

Do you have family members in Canada?

If yes, please provide details

🏠 Address History

Please provide all addresses where you have lived in the past 10 years. Click "Add Address" to add more.

Previous Addresses

List all addresses for the past 10 years, starting with most recent

Residence Status

What is your current residence status in your country?

How long have you lived at your current address?

✈️ Travel History

Please list all international trips you've taken in the past 10 years. Click "Add Travel" to add more entries.

International Travel

Include all countries you have visited in the past 10 years

Canada Travel History

Have you ever visited Canada?

If yes, when did you visit Canada?

What type of Canadian visa/permit did you have?

United States Travel

Have you ever visited the United States?

Do you have or have you ever had a US visa?

📋 Background Information

Please answer the following questions honestly. This information is required for security and admissibility assessment.

Previous Applications

Have you previously applied for permanent residence to Canada?

If yes, please provide details

Have you applied for permanent residence or immigration to any other country?

If yes, which country and what was the result?

Visa Refusals

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

If yes, please provide full details

Criminal & Security Background

Have you ever been charged with, arrested for, or convicted of any criminal offense in any country?

If yes, please provide complete details

Have you ever been detained, incarcerated, or put in jail?

Have you ever served in the military, police, security, or armed forces?

If yes, provide details (country, branch, dates, rank)

Medical & Health Information

Do you have any serious disease or physical/mental disorder?

If yes, please provide details

Do you require any special medical treatment or assistance?

If yes, please describe

Refugee & Asylum Status

Have you ever made a refugee claim in any country?

If yes, please provide details

Additional Information

Is there anything else you would like us to know about your application?

Step 10: Review & Submit

Please review your information and submit your application.

Application Summary

Personal Information

Contact Information

Passport & Travel Documents

Education History

Employment History

Family Information

Document Uploads

Passport Copy (Required) Upload clear copy of passport bio page (Max 10MB)

Recent Photograph (Required) Passport-size photo, white background (Max 5MB)

Educational Certificates (Optional) Degrees, diplomas, transcripts (Max 10MB each)

Employment Reference Letters (Optional) Reference letters, pay stubs, contracts (Max 10MB each)

Language Test Results (Optional) IELTS, CELPIP, TEF results (Max 5MB)

Additional Documents (Optional) Marriage certificate, birth certificates, etc. (Max 10MB each)

Declaration & Consent

Important Declaration

I hereby declare that:

All information provided in this application is true, complete, and correct to the best of my knowledge.
I understand that providing false or misleading information may result in refusal of my application and could bar me from future applications.
I authorize Mahant Immigration Services to use my personal information for the purpose of processing my immigration application.
I understand that additional documents or information may be requested during the processing of my application.
I have read and understood the privacy policy and terms of service.
I consent to background checks and verification of the information provided.

I agree to the above declaration and consent *

Full Name (Digital Signature) *

Date *

Confirm Your Email Address * We will send the application confirmation to this email

What happens next?

You will receive an email confirmation with your Application ID
Our team will review your application within 2-3 business days
We will contact you if additional documents are required
You can track your application status using the Application ID

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