Visitor Visa Assessment Form All information submitted are kept strictly confidential. View Privacy Policy A. PERSONAL DETAILSFamily Name*Given Name*GenderMaleFemaleFull Postal AddressPhone Number*Email Address*Confirm Email Address*Alternate Email Address*Place of BirthDate of BirthCitizenship*Marital StatusNumber of ChildrenCountry of Residence*B. PURPOSE OF VISITWhy do you want to visit Canada?Do you have someone willing to issue an invitation letter?YesNoWhat is the relationship between you and your inviter.How long do you intend to visit for? When do you intend to visit?Please provide any important details about your proposed visit here.C. FINANCIAL CAPACITYDo you have bank deposits sufficient to pay for your visit to Canada?YesNoHow will you pay for your visit?Place of employment positionDo you own any property in your home country?YesNoWhat property do you own?Have you previously travelled internationally?YesNoWhere have you previously travelled?If there are any important details about your financial capacity, please explain them here.D. APPLICANT ADMISSIBILITYHave you, your spouse, or any of your children: Had any serious disease or physical or psychological disorder?YesNoBeen convicted of or are currently charged with a criminal offence in any country?YesNoApplied previously for a temporary visa to Canada?YesNoApplied previously for permanent residence in Canada?YesNoBeen refused a visa to Canada or any other country? YesNo Been refused admission to or ordered removed from Canada or any other country?YesNoBeen involved in the commission of human rights violations, acts of subversion, espionage, terrorism, or organized criminality?YesNo If you have replied “yes” to any of the above questions, please provide details.E. FINAL DETAILSIf there is anything else that you believe is important in relation to your case please note it here.DECLARATIONI certify that the above information provided by me in the Free Assessment is true.*Yes, TrueFurthermore, I consent to the law office of Matthew Jeffery, Barrister & Solicitor, contacting me in relation to the above Free Assessment.*YesSendThis field should be left blank