LFS STUDENT ACCESS CANADA
CLIENT INFORMATION FOR ACCOMPANYING SPOUSE AND CHILDREN
PERSONAL DETAILS:
FAMILY NAME
GIVEN NAMES
HAVE YOU EVER USED ANY OTHER NAME (MAIDEN NAME) IF YES PROVIDE DETAILS:
FAMILY NAME
GIVEN NAMES
SEX
DATE OF BIRTH YYYY-MM-DD
CITIZENSHIP
CURRENT COUNTRY OF RESIDENCE
COUNTRY
STATUS
OTHER
FROM YYYY-MM-DD
TO YYYY-MM-DD
PREVIOUS COUNTRIES OF RESIDENCE DURING THE PAST 5 YEARS, HAVE YOU LIVED IN ANY COUNTRY
OTHER THAN YOUR COUNTRY OF CITIZENSHIP FOR MORE THAN 6 MONTHS? YES
COUNTRY
STATUS
OTHER
FROM YYYY-MM-DD
TO
YYYY-MM-DD
COUNTRY WHERE YOU ARE APPLYING: SAME COUNTRY WHERE APPLYING? YES/NO. If NO, GIVE
DETAILS BELOW:
COUNTRY (1)
STATUS
OTHER
FROM YYYY-MM-DD
TO
YYYY-MM-DD
COUNTRY (2)
STATUS
OTHER
FROM YYYY-MM-DD
TO YYYY-MM-DD
MARITAL STATUS
DATE OF MARRIAGE YYYY-MM-DD
NAME OF SPOUSE
FAMILY NAME
GIVEN NAMES
HAVE YOU PREVIOUSLY BEEN MARRIED OR IN A COMMON LAW RELATIONSHIP? YES/NO. IF YES GIVE
DETAILS BELOW.
FAMILY NAME
GIVEN NAMES
DATE OF BIRTH
TYPE OF RELATIONSHIP
FROM YYYY-MM-DD
TO YYYY-MM-DD
LANGUAGES:
NATIVE OR MOTHER TONGUE
ARE YOU ABLE TO SPEAK IN
ENGLISH?
PASSPORT DETAILS:
PASSPORT NUMBER
COUNTRY OF ISSUE
ISSUE DATE YYYY-MM-DD
EXPIRY DATE YYYY-MM-DD
CONTACT INFORMATION: CURRENT MAILING ADDRESS
APARTMENT/UNIT
STREET NUMBER
STREET NAME
CITY/TOWN
PROVINCE
POSTAL CODE
TELEPHONE NUMBER/COUNTRY
CODE/AREA CODE
EMAIL ADDRESS
EDUCATION: GIVE FULL DETAILS OF YOUR HIGHEST LEVEL OF POST-SECONDARY EDUCATION
LEVEL OF STUDY
SCHOOL NAME
CITY/TOWN
PROVINCE
COUNTRY
FROM YYYY-MM
TO YYYY-MM
EMPLOYMENT: GIVE DETAILS OF YOUR EMPLOYMENT FOR THE LAST 10 YEARS
CURRENT
ACTIVITY/OCCUPATION
COMPANY/EMPLOYER
CITY/TOWN
PROVINCE
COUNTRY
FROM YYYY-MM
TO YYYY-MM
PREVIOUS
ACTIVITY/OCCUPATION
COMPANY/EMPLOYER
CITY/TOWN
PROVINCE
COUNTRY
FROM YYYY-MM
TO YYYY-MM
PREVIOUS
ACTIVITY/OCCUPATION
COMPANY/EMPLOYER
CITY/TOWN
PROVINCE
COUNTRY
FROM YYYY-MM
TO YYYY-MM
BACKGROUND INFORMATION: ANSWER YES OR NO ONLY
1. Within the past 2 years, have you or your family member ever had a TB or been in close
contact with person with TB?
2. Do you have any mental or physical disorder that would require a social or health services
other than medication during your stay in Canada? If yes to 1 and 2, give details.
3. Have you ever been remained beyond the validity of your status, attended school or worked
without authorization in Canada?
4. Have you ever been refused a visa or permit, denied entry or ordered to leave Canada or
any other country?
5. Have you previously applied to enter or remain in Canada? If you answered yes to 3-5,
provide details.
6. Have you ever committed, been arrested for, been charged with or convicted of any criminal
offence in any country? If yes, provide details.
FAMILY INFORMATION (KINDLY WRITE THE COMPLETE ADDRESS AND POSTAL CODE)
NAME OF APPLICANT
MARITAL STATUS
DATE OF BIRTH YYY-MM-DD
PRESENT ADDRESS
PRESENT OCCUPATION
NAME OF SPOUSE/COMMONLAW
MARITAL STATUS
DATE OF BIRTH YYYY-MM-DD
PRESENT ADDRESS
PRESENT OCCUPATION
NAME OF MOTHER (IF DECEASED
GIVE CITY/PROVINCE
MARITAL STATUS
DATE OF BIRTH YYYY-MM-DD
PRESENT ADDRESS
PRESENT OCCUPATION
NAME OF FATHER (IF DECEASED
GIVE CITY/PROVINCE
MARITAL STATUS
DATE OF BIRTH YYYY-MM-DD
PRESENT ADDRESS
PRESENT OCCUPATION
CHILDREN (INCLUDE All SONS AND DAUGHTERS, INCLUDING ALL ADOPTED AND STEP-CHILDREN,
REGARDLESS OF AGE OR PLACE OF RESIDENCE
NAME (1)
RELATIONSHIP (SON/DAUGHTER)
DATE OF BIRTH YYYY-MM-DD
MARITAL STATUS
PRESENT ADDRESS
PRESENT OCCUPATION
NAME (2)
RELATIONSHIP (SON/DAUGHTER)
DATE OF BIRTH YYYY-MM-DD
MARITAL STATUS
PRESENT ADDRESS
PRESENT OCCUPATION
NAME (3)
RELATIONSHIP (SON/DAUGHTER)
DATE OF BIRTH YYYY-MM-DD
MARITAL STATUS
PRESENT ADDRESS
PRESENT OCCUPATION
NAME (4)
RELATIONSHIP (SON/DAUGHTER)
DATE OF BIRTH YYYY-MM-DD
MARITAL STATUS
PRESENT ADDRESS
PRESENT OCCUPATION
BROTHERS AND SISTERS INCLUDING HALF AND STEP BROTHERS AND SISTERS. (WRITE COMPLETE
ADDRESS AND ZIP CODE.
NAME (1)
RELATIONSHIP (BROTHER OR
SISTER)
DATE OF BIRTH YYYY-MM-DD
MARITAL STATUS
PRESENT ADDRESS
PRESENT OCCUPATION
NAME (2)
RELATIONSHIP (BROTHER OR
SISTER)
DATE OF BIRTH YYYY-MM-DD
MARITAL STATUS
PRESENT ADDRESS
PRESENT OCCUPATION
NAME (3)
RELATIONSHIP (BROTHER OR
SISTER)
DATE OF BIRTH YYYY-MM-DD
MARITAL STATUS
PRESENT ADDRESS
PRESENT OCCUPATION
NAME (4)
RELATIONSHIP (BROTHER OR
SISTER)
DATE OF BIRTH YYYY-MM-DD
MARITAL STATUS
PRESENT ADDRESS
PRESENT OCCUPATION
NAME (5)
RELATIONSHIP (BROTHER OR
SISTER)
DATE OF BIRTH YYYY-MM-DD
MARITAL STATUS
PRESENT ADDRESS
PRESENT OCCUPATION
PREVIOUS TRAVELS: SINCE THE AGE OF 18 OR DURING THE PAST 5 YEARS, WHICH EVER IS MOST RECENT, HAVE
YOU TRAVELLED TO ANY COUNTRY OTHER THAN THE COUNTRY OF YOUR CITIZENSHIP AND CURRENT
COUNTRY OF RESIDENCE?
FROM YYYY-MM
TO YYYY-MM
COUNTRY
LOCATION
PURPOSE OF TRAVEL
RELATIVES IN CANADA/EMERGENCY CONTACT
NAME
ADDRESS
STATUS IN CANADA
RELATIONSHIP
CELLPHONE
EMAIL ADDRESS
SUPPORTING DOCUMENTS (ACCOMPANYING SPOUSE)
• Copy of passport, including all pages with stamps and stickers
• Digital photo meeting attached specifications;
• Proof of educational qualifications such as degree, diploma, and or certificate, including the transcript of
records;
• Proof of Financial Means. Recent Pay stubs and/or Bank statements for the past 6 months, Title of Property,
Business Ownership
• Copy of Birth Certificate;
• Proof of Relationship with accompanying family members, such as Marriage Certificate, Birth Certificate for
children, as applicable;
• Copy of Certificate of Employment / Reference Letter
• NBI Clearance;
• Police Certificates, from all other countries you stayed for more than 6 months, if applicable
SUPPORTING DOCUMENTS FOR STUDY PERMIT (CHILD)
Link for electronic form https://lifewealthfinancialservices.com/cform/
• Copy of passport, including all pages with stamps and stickers;
• Digital photo meeting attached specifications;
• Copy of Birth Certificate;
• Proof of Relationship with accompanying family members, such as Marriage Certificate, Birth
Certificate for children, as applicable
NOTE: SCAN ALL SUPPORTING DOCUMENTS PROFESSIONALLY: 1 DOCUMENT 1 FILE,
MULTIPLE DOCUMENTS, 1 FILE. INDICATE THE FILENAME OF YOUR DOCUMENTS.