Free Assessment (Convention Refugee)

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Name
Address
City 
State/Province
Country
Postal Code
Tel
Fax
Citizenship
Age
Email
Place of application: (Outside or inside Canada?)
In which country do you fear persecution?:
Basis of fear (Reasons for making Conventional Refugee claim):
Do you have a family?
Are they also targeted for persecution?
   
What efforts did you make to protect yourself at the place where you fear persecution?
   
Why did you choose Canada as your place of refuge?
   
  Additional comments:
 
   

 

                                                                                                      

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