Study Permit 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* Highest level of education so far.Have you taken an English test?YesNoWhat test did you take?What was your score?B. PROPOSED STUDIESWhat school do you intend to study at in Canada? What is the name of the program?How long is the program?When does the program begin?Have you already obtained acceptance into this school program?YesNoPlease provide any important details about your proposed studies.C. FINANCIAL CAPACITYDo you have bank deposits of at least $35,000 CAD per year of proposed studies? YesNoIf you do not have savings, how will you pay for your studies? 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