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Question	Answer
Form Name	Imm 1294 Form
Form Length	5 pages
Fillable?	Yes
Fillable fields	198
Avg. time to fill out	20 min 27 sec
Other names	imm1294 form 2020 download, imm1294 form canada, formulaire imm1294, imm 1294 form 2020 pdf download

11	a) Have you previously been married or in a common-law relationship?		*No


1	Do you have a national identity document?		* No		* Yes
1


2	Document number	3		Country or territory of issue		4	Issue date	5	Expiry date

2	Residential address	Same as mailing address?		*No	*Yes


Apt/Unit		Street no.	Street name			City/Town

3	Telephone no.	Canada/US	Other
	Type	Country Code No.	Ext.
	Type	Country Code No.	Ext.

Alternate Telephone no.	Canada/US	Other
Type	Country Code No.	Ext.

*a) Name of School	* b) My level of study will be:	c) My field of study will be:

	Have you had any post secondary education (including university, college or apprenticeship training)?				*No	*Yes
					*No	*Yes
	If you answered ‘‘yes’’, give full details of your highest level of post secondary education.

	From		Field and level of study	School/Facility name
1	YYYY	MM
1	To		City/Town	Country or Territory			Province/State
	YYYY	MM

*Current Activity/Occupation		*Company/Employer/Facility name

*City/Town	*Country or Territory		Province/State

	PAGE 2 OF 5
Applicant Name	Date of Birth

	PAGE 3 OF 5
Applicant Name	Date of Birth

*Tuition		Room and board
*Tuition		Room and board

	PAGE 4 OF 5
Applicant Name	Date of Birth

	From		Previous Activity/Occupation		Company/Employer/Facility name
2	YYYY	MM
2	To		City/Town	Country or Territory		Province/State
	YYYY	MM
	From		Previous Activity/Occupation		Company/Employer/Facility name
3	YYYY	MM
3	To		City/Town	Country or Territory		Province/State
	YYYY	MM

1	a) Within the past two years, have you or a family member ever had tuberculosis of the lungs or been in close contact with a person with tuberculosis?	No	Yes
		No	Yes
	b) Do you have any physical or mental disorder that would require social and/or health services, other than medication, during a stay in Canada?	No	Yes
	c) If you answered "yes" to question 1a) or 1b), please provide details and the name of the family member (if applicable).

2	a) Have you ever remained beyond the validity of your status, attended school without authorization or worked withoutauthorization in Canada?	No	Yes
		No	Yes
	b) Have you ever been refused a visa or permit, denied entry or ordered to leave Canada or any other country or territory?	No	Yes
	c) Have you previously applied to enter or remain in Canada?	No	Yes
	d) If you answered “yes” to question 2a), 2b) or 2c), please provide details.

3	a) Have you ever committed, been arrested for, or been charged with or convicted of any criminal offence in any country or territory?	No	Yes
		No	Yes
	b) If you answered “yes” to question 3a) above, please provide details.

4	a) Did you serve in any military, militia, or civil defence unit or serve in a security organization or police force (including non obligatory national service, reserve	No	Yes
	or volunteer units)?


	b) If you answered yes to question 4a), please provide dates of service and countries or territories where you served.

5	Are you, or have you ever been a member or associated with any political party, or other group or organization which has engaged in or advocated violence as a	No	Yes
	means to achieving a political or religious objective, or which has been associated with criminal activity at any time?



6	Have you ever witnessed or participated in the ill treatment of prisoners or civilians, looting or desecration of religious buildings?	No	Yes
		No	Yes

Signature of Applicant or Parent/Legal Guardian’s for a person under 18 years of age.		Date: YYYY-MM-DD

Are you a lawful Permanent Resident of the United States with a valid alien registration card (green card)?

Document number

Expiry date

YYYY-MM-DD