Last Name (as stated in your passport)
First Name & Middle Name (as stated in your passport)
Marital Status Select the correct option Common-law relationship Married Divorce Single Widow
Gender Select the correct option Male Female
Place of birth (as stated in your passport)
Within the last five years have you lived or worked in any other country other than Jamaica for more than six months? Select the correct option Yes No
Country/territory
Status in the country Select the correct option Citizen Permanent resident Visitor Worker Student Protected person Refugee Claimant Foreign National
Country/territory
Status in the country Select the correct option Citizen Permanent resident Visitor Worker Student Protected person Refugee Claimant Foreign National
Spouse first and last name
Home address
Country
Occupation
Do you have life insurance with your common-law partner? Select the correct option Yes No
Does your common-law partner have insurance with you as the beneficiary? Select the correct option Yes No
Do you and your common-law partner have a joint bank account? Select the correct option Yes No
Do you and your common-law partner have a property in both of your names? Select the correct option Yes No
Do you and your common-law partner have a property or land in both of your names? Select the correct option Yes No
Do you and your common-law partner have a property lease in your name? Select the correct option Yes No
Were you previously married or in a common-law relationship? Select the correct option Yes No
Previous spouse Last name
Previous spouse: First name
Describe your previous relationship Select the correct option Common-Law Married
Passport Number
Country that Issued Passport
Parish/city where passport was issued
Passport expiration date (dd/mm/yyyy)
Home Address
Country
Phone Number
WhatsApp Number
Date that you plan on travelling to Canada? (dd/mm/yyyy)
When will you leave Canada? (dd/mm/yyyy)
How long will you be staying in Canada?
In your own words, Please explain why you want to travel to Canada?
What is your purpose of travel? * Select the correct option Visiting a hotel Visiting a family member Visiting a friend Attending a wedding Attending a church event Attending a ceremony Attend a graduation Attending a funeral Attending an event in Canada as a DJ/Entertainer Super Visa: Parents/grandparents Study Permit Open-Work Permit Post-Graduate Work Permit Board a ship to work (Seafarer)
Who is preparing the hotel reservation? Select the correct option I will provide a reservation Expedite Travel Services
Hotel Name
Hotel Address
Who is preparing the invitation letter? Select the correct option The person/organization in Canada Expedite Travel Services
Full name/organization name
Relationship to you
Address in Canada
Phone number of the person/organization in Canada
Have you attended any university/college or training institute? Select the correct option Yes No
School name
Course of study
Parish where school is located
School end date (dd/mm/yyyy)
What is your employment status? * Select the correct option Employed Registered business owner Self-employed Student Retired Unemployed
Job title *
Company Name *
Parish/city *
Country *
Business name *
Parish/city *
Country *
What do you do as a self-employed person? *
Parish/city *
Country *
School name *
Parish/city *
Country *
Were you previously employed? * Select the correct option Yes No
Previous employment - Company name *
Previous employment - Job title *
Parish of previous employment *
Previous employment - Company name *
Previous employment - Job title *
Parish of previous employment *
Have you ever been to Canada? Select the correct option Yes No
Have you ever done biometrics (Fingerprint) for Canada Visa in the last 10 years? Select the correct option Yes No
Please state the year you did the biometric (Fingerprint)
Have you ever been refused a Visa for any country? Select the correct option Yes No
State the countries where you have been refused a visa, along with the number of times you were refused a visa for each country. This information is extremely important. Please state your answer in the box below. Please Note: If you were refused a visa for any country and it was not stated your application can be refused and you get banned from Canada for 5 years. *
Have you had a medical exam performed by an Canadian authorized panel physician (doctor) within the last 12 months? Select the correct option Yes No
Have you ever been arrested, charged, or convicted of any criminal offense in any country, including matters related to immigration?? Select the correct option Yes No
In which country were you arrested, charged, or convicted of a criminal offense?
Please explain why you were arrested, charged, or convicted for a criminal offense
Did you serve in any Military, Civil Defense Unit, Security organization or Police force? Select the correct option Yes No
State the Military, Civil Defense Unit, Security organization or Police force that you served
State the country that you served below
In the box below state all your ties to your home country. This include: Land title, Car title, Investments, Insurance, Will, etc
Marital Status Select the correct option Single Married Common-law Divorce Widow Deceased/Passed Away
Country of birth
Occupation
Marital Status Select the correct option Single Common-Law Married Divorce Widow Deceased/Passed Away
Country of birth
Occupation
Do you have any children? Select the correct option Yes No
First & Last Name
Relationship to you Select the correct option Son Daughter Legally adopted son Legally adopted daughter
Marital Status Select the correct option Single Common-law relationship Married Divorce Widow Legally separated
Home Address
Occupation
First & Last Name
Relationship to you Select the correct option Son Daughter Legally adopted son Legally adopted daughter
Marital Status Select the correct option Single Common-law relationship Married Divorce Widow Legally separated
Home Address
Occupation
First & Last Name
Relationship to you Select the correct option Son Daughter Legally adopted son Legally adopted daughter
Marital Status Select the correct option Single Common-law relationship Married Divorce Widow Legally separated
Home Address
Occupation
First & Last Name
Relationship to you Select the correct option Son Daughter Legally adopted son Legally adopted daughter
Marital Status Select the correct option Single Common-law relationship Married Divorce Widow Legally separated
Home Address
Occupation
First & Last Name
Relationship to you Select the correct option Son Daughter Legally adopted son Legally adopted daughter
Marital Status Select the correct option Single Common-law relationship Married Divorce Widow Legally separated
Home Address
Occupation
First & Last Name
Relationship to you Select the correct option Son Daughter Legally adopted son Legally adopted daughter
Marital Status Select the correct option Single Common-law relationship Married Divorce Widow Legally separated
Home Address
Occupation
First & Last Name
Relationship to you Select the correct option Son Daughter Legally adopted son Legally adopted daughter
Marital Status Select the correct option Single Common-law relationship Married Divorce Widow Legally separated
Home Address
Occupation
First & Last Name
Relationship to you Select the correct option Son Daughter Legally adopted son Legally adopted daughter
Marital Status Select the correct option Single Common-law relationship Married Divorce Widow Legally separated
Home Address
Occupation
Do you have any step-children? Select the correct option Yes No
First & Last Name
Relationship to you Select the correct option Step-son Step-daughter
Marital Status Select the correct option Single Common-law relationship Married Divorce Widow Legally separated
Home Address
Occupation
First & Last Name
Relationship to you Select the correct option Step-son Step-daughter
Marital Status Select the correct option Single Common-law relationship Married Divorce Widow Legally separated
Home Address
Occupation
First & Last Name
Relationship to you Select the correct option Step-son Step-daughter
Marital Status Select the correct option Single Common-law relationship Married Divorce Widow Legally separated
Home Address
Occupation
First & Last Name
Relationship to you Select the correct option Step-son Step-daughter
Marital Status Select the correct option Single Common-law relationship Married Divorce Widow Legally separated
Home Address
Occupation
First & Last Name
Relationship to you Select the correct option Step-son Step-daughter
Marital Status Select the correct option Single Common-law relationship Married Divorce Widow Legally separated
Home Address
Occupation
Why do you believe that you should be granted a Canadian visa? *
What do you have in Jamaica that you are 100% sure you will return home to after a short visit to Canada?, for example: children, spouse, grandchildren, car, land, business, job, etc. *
Do you have any grandchildren? * Select the correct option Yes No I am a child, does not apply
How many grandchildren do you have? *
How much in total you make from your job monthly before taxes?
How much money do you make from your business on a monthly basis?
How much money do you make from being self-employed on a monthly basis?
Do you have any investments (stocks, bonds, etc)? * Select the correct option Yes No I am a child, does not apply
Do you have a credit card in your name? * Select the correct option Yes No I am a child, does not apply
How much is your credit card limit?
Do you have any savings in your bank account? * Select the correct option Yes No I am a child, does not apply
State how much you have in savings below *
Have you made any recent large deposit of money into your bank account in the last 3-months? * Select the correct option Yes No
How much was the large deposit of money recently added to your bank account? *
Please explain in your own words where the large deposit came from, who gave you the funds, and the reason it was given to you. *
Will someone be paying for your trip to Canada (Sponsorship)? * Select the correct option Yes No
State the full name of the person paying for the trip to Canada below *
What is your relationship to the person who is paying for your trip? *
Do you own any property in your name? * Select the correct option Yes No I am a child, does not apply
Do you own a car? * Select the correct option Yes No I am a child, does not apply
Do you have life insurance? * Select the correct option Yes No I am a child, does not apply
Name of the Insurance company *
What is the insurance coverage amount? *
Are you a part of any club or charity organizations? * Select the correct option Yes No
In the box below, please provide more details about the organization(s) you are involved with and describe your role in each *
Have you traveled internationally before? * Select the correct option Yes No
List the countries you have travelled below *
Do you have any photographs of you and the family members (parents, children, or grandparents) you are visiting in Canada? * Select the correct option Yes No
