Yan Consulting | Temporary Residence Intake

APPLICATION CONFIGURATION

Application Category & Composition

What are you applying for?

Study Permit Details

School Name

DLI Number

School Address

Program Name

Program Start Date

Program End Date

Tuition per School Year (CAD)

Tuition Paid?

Funds Available (CAD)

Study Permit History

Previous Study Permit?

Provincial Attestation Letter (PAL)

Do you have a PAL?

Applying from (Current Residence)

Current Marital Status

Do you have dependent children?

Identity & Contact

Phone Numbers

Type	Country Code	Phone Number

Family Information

Provide details for all members. If deceased, list date and city of death.

Relationship	Full Name (EN)	Full Name (Native)	DOB	Marital Status	City of Birth	Country of Birth	Detailed Address	Email	Occupation	Accompanying?	Date of Death (if applicable)	City of Death (if applicable)	Country of Death (if applicable)

Education, Employment & Application History

Education (from Junior High)

From	To	School Name (EN)	School Name (Native)	Major/Field of Study	City	Country	Level	Diploma/Degree

Employment / Activity History (Last 10 years)

Do not leave gaps. Include unemployment, study, or travel.

From	To	Activity Type	Job Title/Position	Employer (EN)	Employer (Native)	City	Country

Immigration Application History

List all previous applications to Canada or other countries (e.g., visitor, study, work, PR).

Year	Country	Application Type	Result

Immigration Refusal History

Have you ever been refused a visa/permit, denied entry, or ordered to leave any country?

Canada Entry History

First Entry to Canada

First entry to Canada date

Purpose of first entry

Port of Entry for first entry

Most Recent Entry to Canada

Most recent entry to Canada date

Purpose of most recent entry

Port of Entry for most recent entry

Current Canadian Status

Current Canadian status document

Specific Details & Background

Contacts in Canada

Name / Company	Relationship to You	Detailed Address in Canada	Phone Number

Background & Travel History

List any travel outside your home country in last 5 years:

From	To	City	Country	Purpose

Statutory Questions (IMM Ref)

1. Tuberculosis (TB): In past 2 years, have you or family ever had TB or close contact with TB patient?

2. Physical/Mental Disorder: Any condition requiring health/social services during stay?

3. Canada History: Have you remained beyond status, studied/worked without auth in Canada?

4. Criminality: Ever committed, been arrested for, charged or convicted of any offense?

If yes to any above, provide details: