Personal Info

First Name

Last Name

SIN

Date of Birth (yyyy-mm-dd)

Country of Birth

Address

Postal Code

Phone

Date PR status was obtained (if you are not a Canadian citizen yet)

Employer's name

Employer's address

Employer's Postal code

Position

Income

Total assets (cost of a house, a car, investments, etc.)

Total liabilities (mortgage, credit lines, loans, etc.)

Have you ever declared bankruptcy?

Have you ever applied for any type of personal insurance (life, disability)?

If yes, have you ever been denied?