Have you, or any of your family members listed in your application for permanent residence in Canada, ever
(If your answer to any of these questions is YES, provide the detailed explanation on a separate sheet of paper)
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Been in Canada. If yes, please provide details: period from to ; place:
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Been convicted of a crime or offence in Canada for which a pardon has not been granted under the Criminal Records Act of Canada? |
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Been convicted of, or are you currently charged with, on trial for, or party to a crime or offence, or subject of any criminal proceedings in any other? |
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Made previous claims for refugee protection in Canada or at a Canadian visa office abroad, in any other country or countries, or with the United Nations High Commissioner for Refugees (UNHCR)? |
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Been refused refugee status, an immigrant or permanent resident visa (including a Certificat de selection du Quebec (CSQ) or application to the Provincial Nominee Program) or visitor or temporary resident visa, to Canada or any other country? |
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Been refused admission to, or ordered to leave, Canada or any other country? |
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Been involved in an act of genocide, a war crime or in the commission of a crime against humanity? |
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Used, planned or advocated the use of armed struggle or violence to reach political, religious or social objectives? |
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Been associated with a group that used, uses, advocated or advocates the use of armed struggle or violence to reach political, religious or social objectives? |
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Been member of an organization that is or was engaged in an activity that is part of a pattern of criminal activity? |
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Been detained, incarcerated or put in jail? |
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Have relatives, friends or acquaintance in Canada? If “yes”, please provide the name, A address and telephone number:
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