Consultation-agent-0104-01

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Phone Number

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Current Occupation

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Fluency in English

Fluency in French

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Are you current in Canada or Overseas?

In Canada

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Your Information

Have you or any of your family members ever:

been convicted of a crime or offence in Canada for which a pardon has not been granted?

been convicted, or are currently charged with a crime or offence in another country or territory?

made previous claims for refugee protection in Canada or at a Canadian visa office abroad?

been refused refugee status, an immigrant or permanent residence visa, or visitor or temporary resident visa, to Canada or any other country or territory?

been refused admission to, or ordered to leave, Canada or any other country or territory?

been detained, incarcerated, or put in jail?

had any serious disease or physical or mental disorder?

Not applicable

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