Free Assessment
(Humanitarian and Compassionate Grounds)
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First name
Family name
Address
City
Province
Postal Code
Tel
Fax
Citizenship
Age
Reason(s) for seeking exceptional consideration*
What excessive hardship will you suffer if you have to submit your application at a visa office outside Canada as required by law?*
Information on your immediate family residing abroad (if any):
First name
Family name
Relationship to you
Country
Information on immediate family who are Canadian citizens or permanent residents and residing in Canada:
Family name
Given names
Relationship to you
If you answer yes to question 5, will any of your relatives be ready to sponsor you?**
YES
NO
Do you have a friend living in Canada?
YES
NO
Are you living with him/her?
YES
NO
How did you support yourself financially before coming to Canada?
How do you, or how will you support yourself financially in Canada?
What job would be interested in doing upon acceptance as permanent resident?
Additional comments:
*Answering these questions is considered vital to the acceptance of your application. This is due to the fact that legally, an applicant is required to obtain his/her permanent resident status from outside Canada before �landing� in Canada. It is therefore pertinent to offer reasons that are considered exceptional to merit an exemption.
** This is not a legal requirement but considered necessary to improve chances of acceptance.