GcmsNotes.com
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Country of Birth:
Marital Status:
Spouse, common-law, conjugal
Country of Refuge:
Sponsor Length (months):
Searched By:
Visa officer’s code name
Searched Date:
Travel Doc #:
Passport number
Travel Doc Expiry Date:
Passport expiry date
Travel Doc Country of Issue :
Country where passport was issued
Official Language:
English or other language
Can Communicate English:
Yes, no
Can Communicate French:
Yes, no
# of Years of Education:
Level of Education:
NOC:
National Occupational Classification (NOC) number
Occupation:
Applicants occupation
Telephone #:
Fax #:
E-mail:
CSQ INFORMATION
Québec selection certificate
Individual Ref#:
Issuance Date:
Valid To:
ADDRESS
Type: mailing
Country:
Apt/Unit#:
Street #:
Street Address:
Street Address2:
PO Box:
City/Town:
Province/State:
District:
Postal Code:
CLIENT DETAILS: 2
For dependants, etc
Created Date:
Date when application was received by CIC
Create By:
Visa officer’s code name
Updated Date:
Updated By:
Visa officer’s code name
Client/Party:
DEP (Dependant)
UCI/Party ID:
Relationship:
Spouse, child, etc
Other Relationship Desc:
Acc:
(Accompanying), Yes, no
Name:
Name
Gender:
Male, female
GcmsNotes.com
Page 7 of 16
DOB:
Date of birth
DEP Type:
Dependant type
Dep Type Other Desc:
Effective Date:
Date when CIC received application
Expiry Date:
Disassoc Reason:
Other Disassoc Desc:
Counterfoil Required:
Yes, no
Security:
Started, not started, complete
HIRV:
Criminality:
Started, not started, complete
Medical :
Passed, failed
Misrepresentation:
Min Relief - Security:
Min Relief - HIRV:
Min Relief - Org Crime:
Citizenship:
Country of citizenship
CoR:
Country of origin
Place of Birth (City/Town):
Country of Birth:
Marital Status:
Spouse, common-law, conjugal
Country of Refuge:
Sponsor Length (months):
Searched By:
Visa officer’s code name
Searched Date:
Travel Doc #:
Sponsor’s passport number
Travel Doc Expiry Date:
Passport expiry date
Travel Doc Country of Issue :
Country where passport was issued
Official Language:
English or other language
Can Communicate English:
Yes, no
Can Communicate French:
Yes, no
# of Years of Education:
Level of Education:
NOC:
National Occupational Classification (NOC) number
Occupation:
Telephone #:
Fax #:
E-mail:
CSQ INFORMATION
Québec selection certificate
Individual Ref#:
Issuance Date:
Valid To:
ADDRESS
Type: mailing
Country:
Apt/Unit#:
Street #:
Street Address:
Street Address2:
