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Client Intake Form

GLG Immigration — Please have your passport and documents ready before you begin.

Welcome to GLG Immigration. Please select the appropriate form for your situation and complete each section as thoroughly as possible. All information is kept strictly confidential and used solely for the purposes of your immigration matter.

Before you start

This form takes approximately 20–40 minutes to complete
You can save your progress and return at any time
Required fields are marked with a red asterisk (*)
Each page has a Validate button to check for missing information
Your information is kept strictly confidential

What type of application is this?

Standard immigration application

Spousal / partner sponsorship

Canadian citizenship application

Personal, address & travel history (10 years)

GLG Immigration

Client Intake Form

Complete all sections carefully. Your progress is automatically saved.

Step 1 of 11

Personal Details

Enter your full legal name and personal information exactly as it appears on your passport or official identity documents.

Full Legal Name

Family Name (Last Name) *

Given Name(s) (First & Middle) *

Previous Names Used (maiden name, name change, aliases)

Personal Information

Date of Birth *

Sex *

City / Town of Birth *

Country of Birth *

Country of Citizenship *

Do you hold dual citizenship?

Height *

Eye Colour *

Second Country of Citizenship

How was citizenship obtained?

Marital Status

Current Marital Status *

Date of Marriage / Union (if applicable)

Please provide details for your current spouse or common-law partner.

Spouse/Partner Family Name *

Spouse/Partner Given Names *

Date of Birth *

Country of Birth

Country of Citizenship

Spouse Immigration Status in Canada

Spouse's Passport Number

Spouse Height

Spouse Eye Colour

Does your spouse have a UCI number?

Spouse UCI Number

Please provide details about your previous marriage or relationship.

Former Spouse Family Name

Former Spouse Given Names

Date Relationship Ended

How Relationship Ended

Contact & Address

Provide your current contact details and residential address.

Contact Information

Email Address *

Primary Phone Number *

Alternate Phone Number

Preferred Method of Contact *

Current Residential Address *

Street / Civic Address *

City / Town *

Province / State / Region

Postal / ZIP Code

Country *

My mailing address is the same as my residential address

Mailing Address

Street / Civic Address

City / Town

Province / State

Postal / ZIP Code

Country

Identity & Documents

Enter your passport and identity document details exactly as they appear.

Passport

Passport Number *

Country of Issue *

Issue Date *

Expiry Date *

I hold or have held another passport

Second Passport Number

Country of Issue

Issue Date

Expiry Date

National Identity Document

I have a national identity card or document

Document Number

Country of Issue

Issue Date

Expiry Date

Additional Travel Documents

I hold a travel document other than a passport (e.g. refugee travel document, laissez-passer)

Document Type

Document Number

Country of Issue

Expiry Date

Language & Communication

Native Language

Mother Tongue / Native Language *

Are you able to conduct your application in English or French?*

Language of Interpretation Needed

English Language Test

I have taken an English language test (IELTS, CELPIP, TEF, etc.)

Test Name

Test Date

Registration / Reference Number

Score by Skill

Speaking

Listening

Reading

Writing

French Language Test

I have taken a French language test (TEF, TCF, DELF, etc.)

Test Name

Test Date

Registration / Reference Number

Score by Skill

Speaking

Listening

Reading

Writing

Immigration Status

Provide your current immigration status and reference numbers assigned to you by Canadian immigration authorities.

Current Status

Are you currently in Canada? *

Current Immigration Status in Canada *

Status Expiry Date

Status Document Number

Initial Entry to Canada

Date of Initial Entry

Place of Initial Entry (port of entry / city)

Purpose of Initial Entry

Most Recent Entry to Canada

Date of Most Recent Entry

Place of Most Recent Entry (port of entry / city)

IRCC Reference Numbers

These numbers can be found on previous correspondence from Immigration, Refugees and Citizenship Canada (IRCC). Leave blank if unknown.

UCI / Client ID Number (if known)

Application Number (if known)

Immigration Document Number (if known)

Family Information

Previous Marriages / Relationships

List all previous marriages and common-law relationships. Leave blank if none.

No previous relationships added.

Children

List all biological, adopted, and step-children, regardless of whether they will be included in your application.

Do you have any children? *

Yes

No children added yet.

Father's Information

Family Name *

Given Names *

Date of Birth *

Place of Birth (City, Country) *

Country of Birth *

Country of Citizenship

Current Address (if living)

Deceased

Year of Death

City of Death

Country of Death

Mother's Information

Family Name *

Given Names *

Date of Birth *

Place of Birth (City, Country) *

Country of Birth *

Country of Citizenship

Current Address (if living)

Deceased

Year of Death

City of Death

Country of Death

Siblings

Do you have any siblings? *

Yes

I do not have siblings

No siblings added yet.

Spouse Family Information

Please provide details about your spouse or partner's parents.

Spouse Father's Family Name

Spouse Father's Given Names

Spouse Father's Date of Birth

Spouse Father's Country of Birth

Spouse Mother's Family Name

Spouse Mother's Given Names

Spouse Mother's Date of Birth

Spouse Mother's Country of Birth

History 10 Years

List your education, employment, and address history for the past 10 years. Start with the most recent in each section. There must be no gaps.

Education History

List all secondary and post-secondary or trade education. Start with the most recent.

Total years of education completed in each category:

Primary / Elementary (years) *

Secondary / High School (years) *

Post-Secondary / University (years)

Trade / Vocational School (years)

No education records added yet.

Employment History

All employment and personal activities (including unemployment, study, homemaking) for the past 10 years. No gaps allowed.

No activities added yet.

Address History

All addresses where you have lived for the past 10 years, most recent first. No gaps allowed.

No addresses added yet.

Spouse / Partner — History 10 Years

List education, employment and address history for your spouse or common-law partner for the past 10 years.

Spouse Education History

Most recent first. Include all full-time and part-time studies.

No spouse education records added.

Spouse Employment History

All employment and activities including unemployment, study, homemaking. No gaps allowed.

No spouse employment records added.

Spouse Address History

All addresses where your spouse has lived for the past 10 years. No gaps allowed.

No spouse addresses added.

Travel History 10 Years

List all countries you have visited in the past 10 years, other than your country of citizenship and Canada. Do not include transit stops of less than 24 hours.

No travel records added. If you have not travelled, proceed to the next step.

Spouse Travel History 10 Years

Countries your spouse has visited in the past 10 years, other than their country of citizenship and Canada.

No spouse travel records added.

Applications & Background Declaration

Answer all questions carefully and honestly. If you answer Yes to any question, a text box will appear for you to provide details.

Previous Canadian Applications

Have you previously applied for any Canadian visa, permit, or immigration status? *

Yes

No previous Canadian applications added.

Have you previously applied for a visa or immigration status in any other country? *

Yes

No previous foreign applications added.

Refusals & Removals

Have you ever been refused a visa, entry, or permit to Canada or any other country? *

Yes

Please provide details (country, year, reason if known)

Have you ever been deported, removed, or ordered to leave any country? *

Yes

Please provide details

Military & Government

Criminality

Security & Human Rights

Refugee & Protection Claims

Health & Other

Additional Information

Health Information

Have you undergone a medical examination for Canadian immigration purposes in the last 12 months? *

Medical Examination Number (IME)

Date of Examination

Do you have a physical or mental health condition that requires regular treatment beyond medication? *

Please describe the condition and treatment required

Funds & Financial Information

Do you have proof of funds available to support yourself in Canada? *

Amount of funds readily accessible and available (CAD)

Type of funds

Additional Comments

Is there anything else you would like us to know?

How did you hear about us?

Review & Submit

Please review your information carefully before submitting.

Please review your information carefully before submitting. You can print the form for your records.

GLG Immigration

Canadian Citizenship Intake

Complete all sections carefully. Your progress is automatically saved.

1. Personal Information

Name (as on immigration document)

Family Name (Surname) *

Given Name(s) *

Other Names Used

List all other names you have used (birth name, previous married names, nicknames, etc.)

No other names added.

Personal Details

Date of Birth *

Gender *

Country of Birth *

Country of Citizenship *

Marital Status

Current Marital Status *

Immigration Document Numbers

UCI Number *

PR Card / Record of Landing Number

Have you applied for citizenship before?

✓

Thank you — you have completed the intake form.

📎 One more step

Your completed intake form has been saved as a PDF on your device. Please email it to info@glgimmigration.com to complete your submission.

Client Intake Form

Before you start

What type of application is this?

Client Intake Form

Personal Details

Spousal Sponsorship

Contact & Address

Identity & Documents

Language & Communication

Immigration Status

Family Information

History 10 Years

Travel History 10 Years

Applications & Background Declaration

Additional Information

Review & Submit

Canadian Citizenship Intake

1. Personal Information

2. Contact & Mailing Address

3. Permanent Residence Details

Travel History — Last 5 Years

Address History — Last 5 Years

Personal History — Last 5 Years

Language Proficiency

Prohibitions & Background Declaration

Consents & Authorizations

10-Year History Questionnaire

Your Information

Personal History — Last 10 Years

Address History — Last 10 Years

Travel History — Last 10 Years