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PROTECTED WHEN COMPLETED - B

PAGE 1 OF 5

APPLICATION FOR STUDY PERMIT

MADE OUTSIDE OF CANADA

If you need more space for any section, print out an additional page containing the appropriate section, complete and submit it with your application.

1 UCI

2

*I want service in

OFFICE USE ONLY

Validated

PERSONAL DETAILS

1

Full name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Family name (as shown on your passport or travel document)

 

 

 

 

Given name(s) (as shown on your passport or travel document)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

a) Have you ever used any other name (e.g. Nickname, maiden name, alias, etc.) ?

 

*No

 

*Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b) Family name

 

 

 

 

 

 

 

 

 

Given name(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*3

*Sex

 

4

Date of birth

 

5

Place of birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*City/Town

 

 

 

 

 

*Country or Territory

 

 

 

 

 

 

 

 

 

 

*YYYY

*MM

*DD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6

*Citizenship

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7

Current country or territory of residence:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country or Territory

 

 

 

 

Status

 

 

 

 

Other

 

 

From

 

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*

 

 

 

 

 

*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YYYY-MM-DD

 

YYYY-MM-DD

 

8

Previous countries or territories of residence: During the past five years have you lived in any country or territory other than your country

 

*No

 

 

*Yes

 

 

of citizenship or your current country or territory of residence (indicated above) for more than six months?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country or Territory

 

 

 

 

Status

 

 

 

 

Other

 

From

 

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YYYY-MM-DD

 

YYYY-MM-DD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YYYY-MM-DD

 

YYYY-MM-DD

 

9

Country or territory where applying:

Same as current country or territory of residence?

 

 

*No

 

*Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country or Territory

 

 

 

 

Status

 

 

 

 

Other

 

From

 

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YYYY-MM-DD

 

YYYY-MM-DD

 

10

*a) Your current marital status

 

 

b) (If you are married or in a common-law relationship) Provide the date

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

on which you were married or entered into the common-law relationship

 

YYYY-MM-DD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c) Provide the name of your current Spouse/Common-law partner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Family name

 

 

 

 

 

 

Given name(s)

 

 

 

 

 

 

 

 

 

 

 

FOR OFFICE USE ONLY - DO NOT WRITE IN THIS SPACE

This form is made available by Immigration, Refugees and Citizenship Canada and is not to be sold to applicants.

IMM 1294 (06-2019) E(DISPONIBLE EN FRANÇAIS - IMM 1294 F)

APPLICATION FOR STUDY MADE OUTSIDE CANADA

 

PAGE 2 OF 5

Applicant Name

Date of Birth

 

 

PERSONAL DETAILS (CONTINUED)

11

a) Have you previously been married or in a common-law relationship?

 

*No

 

 

b) Provide the following details for your previous Spouse/Common-law Partner:

 

 

 

 

 

*Yes

Family name

 

 

 

Given name(s)

 

 

 

 

 

 

 

 

c) Date of birth

 

 

d) Type of relationship

 

From

To

YYYY

MM

DD

 

 

YYYY-MM-DD

YYYY-MM-DD

LANGUAGE(S)

1*a) Native language/ Mother Tongue

*b) Are you able to communicate in English and/or French?

c) In which language are you most at ease?

d) Have you taken a test from a designated testing agency to assess your proficiency in English or French?

 

*No

*Yes

PASSPORT

1

*Passport number

2

*Country or territory of issue

3

*Issue date

YYYY-MM-DD

4*Expiry date

YYYY-MM-DD

5

* For this trip, will you use a passport issued by the Ministry of Foreign Affairs in Taiwan that includes your personal identification number?

 

*No

 

*Yes

6

* For this trip, will you use a National Israeli passport?

 

*No

*Yes

NATIONAL IDENTITY DOCUMENT

1

Do you have a national identity document?

* No

* Yes

 

2Document number

3Country or territory of issue

4Issue date

5Expiry date

YYYY-MM-DD

YYYY-MM-DD

US PR CARD

1

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

* No

* Yes

 

2Document number

3Expiry date

YYYY-MM-DD

CONTACT INFORMATION

If submitting your application by mail:

-All correspondence will go to this address unless you indicate your e-mail address below.

-Indicating an e-mail address will authorize all correspondence, including file and personal information, to be sent to the e-mail address you specify.

-If you wish to authorize the release of information from your application to a representative, indicate their e-mail and mailing address(es) in this section and on the IMM5476 form.

1

Current mailing address

 

P.O. box

 

Apt/Unit

 

Street no.

 

 

*Street name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*City/Town

 

 

*Country or Territory

 

 

 

Province/State

Postal code

District

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

Residential address

Same as mailing address?

 

 

 

*No

 

*Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apt/Unit

Street no.

Street name

 

 

 

 

 

City/Town

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country or Territory

Province/State

Postal code

District

IMMIGRATION, REFUGEES AND CITIZENSHIP CANADA

IMM 1294 (06-2019) EIMMIGRATION, RÉFUGIÉS ET CITOYENNETÉ CANADA APPLICATION FOR STUDY MADE OUTSIDE CANADA

 

PAGE 3 OF 5

Applicant Name

Date of Birth

 

 

3

Telephone no.

Canada/US

Other

 

Type

Country Code No.

Ext.

 

 

 

 

 

4

Alternate Telephone no.

Canada/US

Other

Type

Country Code No.

Ext.

5

Fax no.

 

 

 

 

Canada/US

Country Code No.

Ext.

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

6

E-mail address

DETAILS OF INTENDED STUDY IN CANADA

1I have been accepted at the following educational institution (Attach the original letter of acceptance).

*a) Name of School

 

 

 

 

 

* b) My level of study will be:

c) My field of study will be:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d) Complete address of school in Canada

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Province

 

*City/Town

 

 

 

 

*Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

a) Designated Learning Institution # (O#)

 

b) My Student ID # is:

 

3

Duration of

 

 

*From

 

*To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

expected

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

study

 

YYYY-MM-DD

 

YYYY-MM-DD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

The cost of my studies will be:

 

5

*Funds available for my stay (CAD)

6

*a) My expenses in Canada will be paid by:

 

b) Other

 

 

 

*Tuition

 

 

Room and board

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you are less than 17 years of age, you must fill out the Custodian Declaration (IMM 5646) form.

EDUCATION

 

Have you had any post secondary education (including university, college or apprenticeship training)?

 

*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

 

 

 

 

 

 

 

 

To

 

City/Town

 

Country or Territory

 

 

 

 

Province/State

 

YYYY

MM

 

 

 

 

 

 

 

 

EMPLOYMENT

Give details of your employment for the past 10 years, including if you have held any government positions (such as civil servant, judge, police officer, mayor, member of parliament, hospital administrator.)

 

 

From

 

*Current Activity/Occupation

 

*Company/Employer/Facility name

1

*YYYY

 

*MM

 

 

 

 

 

To

 

*City/Town

*Country or Territory

 

Province/State

 

YYYY

 

MM

 

 

 

 

 

 

From

 

Previous Activity/Occupation

 

Company/Employer/Facility name

2

YYYY

 

MM

 

 

 

 

 

To

 

City/Town

Country or Territory

 

Province/State

 

YYYY

 

MM

 

 

 

 

 

 

From

 

Previous Activity/Occupation

 

Company/Employer/Facility name

3

YYYY

 

MM

 

 

 

 

 

To

 

City/Town

Country or Territory

 

Province/State

 

YYYY

 

MM

 

 

 

 

IMMIGRATION, REFUGEES AND CITIZENSHIP CANADA

IMM 1294 (06-2019) EIMMIGRATION, RÉFUGIÉS ET CITOYENNETÉ CANADA APPLICATION FOR STUDY MADE OUTSIDE CANADA

 

PAGE 4 OF 5

Applicant Name

Date of Birth

 

 

BACKGROUND INFORMATION

You must complete this section if you are 18 years of age or older.

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

 

 

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 without authorization in Canada?

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

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

 

 

 

 

 

 

 

 

 

If you answered “yes” to any of questions 3 to 6 above, or upon request of a visa officer, you MAY BE REQUIRED to fill out IMM 5257 Schedule 1.

IMMIGRATION, REFUGEES AND CITIZENSHIP CANADA

IMM 1294 (06-2019) EIMMIGRATION, RÉFUGIÉS ET CITOYENNETÉ CANADA APPLICATION FOR STUDY MADE OUTSIDE CANADA

 

PAGE 5 OF 5

Applicant Name

Date of Birth

 

 

SIGNATURE

Citizenship and Immigration Canada (CIC), or an organization at CIC’ request, may want to contact you in the future to ask you about any services you received from CIC prior to the application process (such as participation in an information forum), during the application process (including the application process itself as well as orientation or accreditation services), and services received after arriving in Canada (including settlement, integration and citizenship). CIC will use this information, along with the information provided by other individuals, for research, performance measurement or evaluation purposes. CIC will not use this information to make any decisions about you personally.

Do you consent to be contacted by CIC, or an organization at CIC’s request, in the future? (Y/N)

 

No

 

Yes

I understand that CIC is collecting this personal information to assess whether I should be granted a study permit and will use this information to verify my eligibility for a study permit as well as my compliance with the conditions of my study permit. CIC may disclose my personal information to CBSA to enforce the requirements of the Immigration and Refugee Protection Act.

I also understand that CIC may disclose my personal information to my designated learning institution to inquire whether I am in compliance with the conditions of my study permit. I consent to the disclosure of my personal information by my designated learning institution to CIC for the purpose of determining whether I am in compliance with these conditions. Failure to provide such consent will result in a refusal to grant a study permit.

I declare that I have answered all questions in this application fully and truthfully.

Signature of Applicant or Parent/Legal Guardian’s for a person under 18 years of age.

 

Date: YYYY-MM-DD

 

 

 

IMPORTANT NOTE:

This application must be signed and dated before it is submitted by mail.

Do not forget to include photos, fees (if applicable) and any other documents required. Review the application guide for more information and verify that you have completed and provided all of the required documents as per the document checklist.

PRIVACY NOTICE

Personal information provided on this form is collected and will be used, disclosed, and retained by Immigration, Refugees and Citizenship Canada (IRCC) under the authority of the Immigration and Refugee Protection Act (IRPA). The personal information provided will be used for the purpose of processing applications. The personal information provided may be disclosed to other federal government institutions and third parties including law enforcement bodies, provincial/territorial governments and/or foreign governments for the purpose of validating identity, eligibility and admissibility.

The personal information collected on an application, and other information collected in support of an application,may be used for computer analytics to support processing of applications and decision making, includ ing your application. Personal information, including from computer analytics, may also be used for purposes including research, statistics, program and policy evaluation, internal audit, compliance, risk management, strategy development and reporting.

Where biometrics are provided in support of an application, the fingerprints collected will be stored and shared with the RCMP. The fingerprint record may also be disclosed to law enforcement agencies in Canada in accordance with subsection 13.11(1) of the Immigration and Refugee Protection Regulations. The information may be used to establish or verify the identity of a person in order to prevent, investigate, or prosecute an offence under any law of Canada or a Province. This information may also be used to establish or verify the identity of an individual whose identity cannot reasonably be otherwise established or verified because of physical or mental condition. Canada may also share immigration information related to biometric records with foreign governments with whom Canada has an agreement or arrangement.

Failure to complete the form in full may result in a delay or the application not being processed. The Privacy Act gives individuals the right of access to, protection, and correction of their personal information. Further details are available in Info Source. If you are not satisfied with the manner in which IRCC handles your personal information, you may exercise your right to file a complaint to the Office of the Privacy Commissioner of Canada. The collection, use, disclosure and retention of your personal information is further described in IRCC’s personal information bank - IRCC PPU 051.

IMMIGRATION, REFUGEES AND CITIZENSHIP CANADA

IMM 1294 (06-2019) EIMMIGRATION, RÉFUGIÉS ET CITOYENNETÉ CANADA APPLICATION FOR STUDY MADE OUTSIDE CANADA

Document Information

Fact Name Description
Purpose The IMM 1294 form is used to apply for a study permit for individuals wishing to study in Canada from outside the country.
Eligibility Applicants must have an acceptance letter from a designated learning institution in Canada to be eligible for a study permit.
Language Requirements Applicants must indicate their proficiency in English and/or French, including any tests taken to assess their language skills.
Marital Status The form requires disclosure of the applicant's current and previous marital status, including details of any common-law relationships.
Background Checks Applicants must answer questions regarding their criminal history and any previous immigration violations to assess admissibility.
Personal Information Personal details such as full name, date of birth, and citizenship must be accurately provided to avoid delays in processing.
Privacy Notice The form includes a privacy notice explaining how personal information will be collected, used, and disclosed by Immigration, Refugees and Citizenship Canada.
Submission Requirements Applicants must sign and date the form before submission and include any required documents, such as photos and fees.

Imm 1294 - Usage Guidelines

Filling out the IMM 1294 form is an important step in applying for a study permit outside of Canada. After completing the form, you'll need to gather supporting documents and submit your application. Make sure to review your answers for accuracy before sending it off.

  1. Personal Details: Start by entering your full name as it appears on your passport. Include your family name and given name(s).
  2. Indicate if you have ever used any other name, such as a nickname or maiden name.
  3. Provide your sex, date of birth, and place of birth, including city/town and country.
  4. List your citizenship and current country of residence.
  5. If applicable, provide details about previous countries of residence over the past five years.
  6. State the country where you are applying and whether it is the same as your current country of residence.
  7. Indicate your current marital status and provide details if you are married or in a common-law relationship.
  8. If you have been previously married or in a common-law relationship, provide the necessary details.
  1. Language Proficiency: Indicate your native language and whether you can communicate in English or French. Mention if you have taken a language proficiency test.
  2. Passport Information: Fill in your passport number, country of issue, issue date, and expiry date. Confirm if you will use a passport issued by Taiwan or Israel.
  3. National Identity Document: State if you have a national identity document and provide the required details.
  4. US Permanent Resident Card: Indicate if you are a lawful permanent resident of the United States and provide your document number and expiry date.
  5. Contact Information: Provide your current mailing address and residential address if different. Include your telephone numbers and email address.
  1. Details of Intended Study: Enter the name of the educational institution where you have been accepted. Provide details about your level and field of study, as well as the address of the school.
  2. List the Designated Learning Institution number and your Student ID number.
  3. Specify the duration of your expected study and the costs involved.
  4. Indicate who will pay for your expenses in Canada.
  1. Education: Provide details of any post-secondary education you have completed.
  2. Employment History: List your employment for the past 10 years, including any government positions held.
  1. Background Information: Answer questions regarding your health, immigration history, and any criminal offenses.
  2. Signature: Sign and date the application. Ensure that all required documents are included before mailing your application.

Dos and Don'ts

When filling out the IMM 1294 form, it is essential to follow specific guidelines to ensure a smooth application process. Below is a list of actions to take and avoid:

  • Do provide accurate and complete information in every section of the form.
  • Do use the full name as it appears on your passport or travel document.
  • Do include all necessary supporting documents, such as the original letter of acceptance from the educational institution.
  • Do sign and date the application before submitting it by mail.
  • Don't leave any sections blank; if more space is needed, attach an additional page.
  • Don't provide false or misleading information, as this may lead to application denial.
  • Don't forget to include required photos and fees, if applicable.
  • Don't submit the application without reviewing it for completeness and accuracy.

Common mistakes

  1. Incomplete Personal Information: Failing to provide full names as they appear on the passport can lead to processing delays. Ensure all details are accurate and complete.

  2. Incorrect Marital Status: Misrepresenting marital status or failing to provide information about previous relationships may result in complications. Always answer these questions truthfully.

  3. Missing Passport Details: Omitting passport information, such as the number or expiry date, can cause rejection of the application. Double-check all passport-related fields.

  4. Unclear Contact Information: Providing incorrect or unclear contact information may hinder communication from immigration officials. Ensure that all addresses and phone numbers are accurate.

  5. Insufficient Details of Intended Study: Not including the complete address of the educational institution or failing to attach the letter of acceptance can lead to application delays. Always include all required documents.

  6. Failure to Disclose Previous Immigration Issues: Not mentioning any past visa refusals or issues with immigration can jeopardize the application. It is important to be transparent about your history.

  7. Ignoring Signature Requirement: Not signing or dating the application can result in immediate rejection. Ensure that the application is signed before submission.

  8. Neglecting to Review the Application: Submitting the form without a thorough review may lead to overlooked mistakes. Always check for completeness and accuracy before sending it in.