PR Card Renewal Assessment Form

Full Name *

Email Address *

Phone Number *

Gender *

Male

Female

Full Postal Address *

City *

State/Province *

Zip/Postal Code *

Plce of Birth *

Date of Birth *

Citizenship *

Marital Status *

Are you a permanent resident of Canadian? *

Yes

No

When did you obtain permanent residence? *

Do you have an existing PR Card? *

Yes

No

When does/did the card expire? *

Are you currently living in Canada? *

Yes

No

Where do you currently reside? *

When is the last time you were in Canada? *

Have you physically resided in Canada for at least 2 years in the past 5 years? *

Yes

No

How many days have you been in Canada in the last 5 years? *

How often have you travelled out of Canada in the past five years? *

What countries have you travelled to in the past 5 years? *

Have you been working outside of Canada for a Canadian company? *

Yes

No

Please provide details of the periods that you have been working outside of Canada for a Canadian company *

Have you been living with a Canadian citizen spouse or partner outside of Canada? *

Yes

No

What periods of time have you been living with your Canadian spouse or partner outside Canada? *

If you have not been able to meet the residence requirement, please explain any Humanitarian and Compassionate grounds that exist in your case explaining why you have not been able to live in Canada. *

Are you currently under a removal order? *

Yes

No

Are you currently appealing a negative residency determination? *

Yes

No

Has your Canadian permanent residence been revoked? *

Yes

No

If you have replied “yes” to any of the above questions, please provide details:

If there is anything else that you believe is important in relation to your case please note it here:

I certify that the above information provided by me in the Free Assessment is true and I agree to Privacy Policy & Terms of Use. *

Yes, True

Furthermore, I consent to Naija2Canada Immigration Services Ltd, contacting me in relation to the above Free Assessment. *

Yes

Permanent Resident Card Renewal Assessment Form

A. PERSONAL DETAILS

B. APPLICANT ADMISSIBILITY

C. FINAL DETAILS

DECLARATION

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