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Refugee Class Assessment

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You need to complete all requested field for an accurate assessment.
Please mark N/A for non-applicable questions.
Incomplete form may not be processed.

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refugee eligibility Assessment

Name

Date of birth

Nationality

Country of residence

Gender

Marital status/ children

Are all you family members come with you?

Have you been recognized or accepted as refugees by the government of a country or UNHCR?

If you have been recognized or accepted as refugee by the government of a country, please tell us which country.

Do you have a documentary proof of such status, such as UNHCR mandate letter?

Can you stay in the country you are currently in and what rights do you have?

Do you have a well-founded fear of persecution for reasons of race, religion, nationality, membership in a particular social group or political opinion? If yes, list all and give details.

Do you have been, and continue to be, seriously and personally affected by civil war, armed conflict or massive violation of human rights? If yes, give details.

Can you safely return to your country of nationality or your country of habitual residence and live there in safety in with dignity? If not, why (give as much details as you can)?

Do you have an offer of resettlement to a country already available to you?

Are you seeking resettlement in other nations that is available to you?

Have you served a sentence for an offence in any country (e.g. serving a term of imprisonment, probation and/or parole)?

Do you have a group of people or an organization that would privately sponsor you?

Yes, by Sponsorship Agreement Holders Yes, by Groups of Five Yes, by Community Sponsors No. I don't have.

Where are you going to settle in Canada by your sponsors?

If you have a group of five to privately sponsor you , all members are (check all apply)

Canadian citizens, Registered Indians, or permanent residents who are 18 years of age or older. live (or have representatives) in the community where the refugees are expected to settle. are able to financially support your life in Canada for 12 months.

Provide the documents that you believe would be helpful.

Message before finishing

Prior to submission, I affirm that all the information provided above is accurate and complete, and I acknowledge that failure to do so may result in the rejection of my application.