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Info Sheet - Study Visa

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CW INTERNATIONAL

SERVICE INC.
203-1021 COURT AVENUE,
WINNIPEG MANITOBA,
CANADA, R2P 1V7
PH: (204) 599-5440 / (204) 951-0067 / (204) 813-
6200
Email: Canada@cw.international or
cwmbca@gmail.com

• Please fill all information carefully and honestly, as the information provided in this form will be
provided to CIC. You yourself will be responsible for any incorrect or missing information.

• If any column, you find is not applicable, please mention N/A.

PERSONAL INFORMATION

First Name Last name

Middle name D.O.B


DD/MM/YYYY
Place of Birth (city, Country of
state/province, country) Citizenship
Address (Full address with
postal code)
Marital Status Never Married / Married / Other (please specify)

Ph. Number Email ID

Vaccination DOSE- Vaccination


I (Yes/ No) DOSE-II (Yes/ No)
Listening Reading Speaking Writing Overall Date of Test
IELTS
PASSPORT INFORMATION
Passport number Place of Issue

Date of Issue Date of Expiry


DD/MM/YYYY DD/MM/YYYY
FAMILY INFORMATION - PARENTS

Father’s first Father’s last


Name Name
Father’s middle name Father’s D.O.B
dd/mm/yyyy
Place of birth If deceased
(date & Place)
Father’s contact no. Father’s email id

Father ’s
Occupation
Mother’s first name Mother’s last name

I declare that all the information provided by me is true and correct. Initial 1
Mother’s middle name Mother’s D.O.B
dd/mm/yyyy

Place of birth If deceased


(date & Place)
Mother’s contact Mother’s email id
no.
Mother’s
Occupation.

SPOUSE DETAIL (If married)


Spouse first name Spouse last name

Spouse middle D.O.B


name dd/mm/yyyy
Place of birth(city, If deceased
state/province, (date & Place)
country)
Spouse contact no. Spouse email id

Occupation

DAUGHTER OR SON
First name Last name

Middle name D.O.B


dd/mm/yyyy
Place of Birth(city, Education Level
state/province,
country)
Address (Full
address with postal
code)
DAUGHTER OR SON
First Name Last name

Middle name D.O.B


dd/mm/yyyy
Place of Birth(city, Education Level
state/province,
country)
Address (Full
address with postal
code)

FAMILY INFORMATION - SIBLINGS

SIBLING 1 – SISTER / BROTHER


First Name Last name

Middle name D.O.B


dd/mm/yyyy
Place of Birth (city, Marital Status
state/province, country)

I declare that all the information provided by me is true and correct. Initial 2
Contact No. Email ID

Higher Study Pass-out Year


(Pursuing/Completed)

Address (Full address with


postal code)
Occupation – Job Position
and Company name(if
Any)

SIBLING 2 – SISTER / BROTHER


First Name Last name

Middle name D.O.B


dd/mm/yyyy
Place of Birth (city, Marital Status
state/province, country)

Contact No. Email ID

Higher Study Pass-out Year


(Pursuing/Completed)

Address (Full address with


postal code)
Occupation – Job Position
and Company name

SIBLING 3 – SISTER / BROTHER


First Name Last name

Middle name D.O.B


dd/mm/yyyy
Place of Birth (city, Marital Status
state/province, country)
Contact No. Email ID

Higher Study Pass-out Year


(Pursuing/Completed)

Address (Full address with


postal code)

Occupation – Job Position


and Company name

• If more sibling, please ask for another copy of this sibling page or please mention their details in separate page end of the
application.

I declare that all the information provided by me is true and correct. Initial 3
EDUCATION INFORMATION
FROM TO NAME OF SCHOOL / INSTITUTE, DIPLOMA / COMPLETED / PERCENTAGE
TILL LOCATION DEGREE INCOMPLETE / (if completed) &
PURSUING BACKLOGS(if any)

EMPLOYMENT INFORMATION

CURRENT OCCUPATION
MM/YYYY TO NAME OF COMPANY POSITION CITY
MM/YYYY

PREVIOUS EMPLOYEMNT HISTORY


MM/YYYY TO NAME OF COMPANY POSITION CITY
MM/YYYY

VISA REFUSAL HISTORY


MM/YYYY TO TYPE OF VISA (FILE NUMBER IF COUNTRY REFUSAL REASON
MM/YYYY AVAILABLE)

TRAVEL HISTORY
MM/YYYY TO PURPOSE OF TRAVEL COUNTRY LENGTH OF STAY
MM/YYYY

I declare that all the information provided by me is true and correct. Initial 4
Documents Checklist

1 Passport first & last page


2 SSC Mark-sheet – Grade10
3 HSC Mark-sheet – Grade12
4 Diploma Certificate (If Any)
Diploma Degree Mark-sheets (Semester / Year Wise)
5 Bachelor’s Degree Certificate / Provisional Degree Certificate (If Any) Bachelor’s Degree
Mark-sheet(Semester / Year Wise)
6 Master’s Degree Certificate / Provisional Degree Certificate (If Any) Master’s Degree Mark-
sheets (Semester / Year Wise)
7. IELTS TRF / Test Date Confirmation
8. Work Experience (if Available) – Updated Resume / Experience Certificates
9. Canadian College Application form – Signed by student

Note: Please provide well-scanned documents as mentioned above.

FUND AVAILABILITY

Relationship Yearly Income Available Fund


Father
Mother
Brother

Sister

Other Family Member


Relatives @ Canada / USA
Other specifications (if any)

Signatures: Date :

I declare that all the information provided by me is true and correct. Initial 5

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