Family Class Sponsorship Assessment

14%

Personal Information
Name*
First Last
Email*
Enter Email Confirm Email
Date of Birth*
Date Format: MM slash DD slash YYYY
Sex:*
- Male
- Female
Phone*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country

Family Information
Personal Net Worth (CAD)*
Please enter a number greater than or equal to 0.
Family Net Worth(CAD)*
Please enter a number greater than or equal to 0.
Your Income for Past 3 years as indicated on line 150 of Notice of assessment:
Current NOA*
Previous Year*
NOA 3 years ago*
Your Spousal Income for Past 3 years as indicated on line 150 of Notice of assessment:
Current NOA*
Previous Year*
NOA 3 years ago*

Family Members

First Name	Last Name	Relationship	Gender	Age

Are you a Canadian Permanent Resident?*
Are you a Canadian Citizen?*
Been convicted of or currently charged with any crime or offence in any country*
Are you a undischarged bankrupt? *
Are you in receipt of any social assisstance? *
Please provide details

Sponsor your spouse/fiancé/common-law/conjugal partner
Spouse/fiancé/common-law/conjugal partner Name*
First Last
Spouse/fiancé/common-law/conjugal partner Date of Birth:*
Date Format: MM slash DD slash YYYY
Spouse/fiancé/common-law/conjugal partner Sex:*
- Male
- Female
Country of Citizenship of your Spouse/fiancé/common-law/conjugal partner:*
Country of residence of your Spouse/fiancé/common-law/conjugal partner:*
Does your spouse/fiancé/common-law/conjugal partner have any criminal record?*
Do your spouse/fiancé/common-law/conjugal partner have any serious medical conditions??*
Please provide detials if any:
Are you married ?*
Date of Marriage?*
Date Format: MM slash DD slash YYYY
Are you planning to get married in the future?*
When do you expect the marriage to take place?*
Date Format: MM slash DD slash YYYY
Have you been living together for last 12 months?*
Date at which cohabitation started?*
Date Format: MM slash DD slash YYYY
Have you been maintaining a conjugal relationship for the last 12 months but have been unable to continuously cohabit through the whole period?*
Please provide details regarding what has prevented you from living together:*

Sponsor your Parents
Parents Details:*
First name Last Name Date of Birth Sex
Are you sponsoring both your parents?*
Do your parents have dependents that will be included ?*
Dependant Information*
First Name Last Name Date Of Birth Sex
Do your parents, and accompanying dependent child, have any criminal record?*
Do your parents, and accompanying dependent child, have any serious medical conditions??*
Please provide detials if any:

First name	Last Name	Date of Birth	Sex

Personal Information