UCI:
Name as it appears on your passport:
Personal phone number:
Personal email (one for the whole family):
Eye Colour:
Height in centimetres:
Original entry date in Canada (YYYY/MM/DD):
Date of last time you entered Canada (YYYY/MM/DD):
Location of last entry (which Canadian border or Canadian airport):
Have there been any changes to your family composition/dependents (births, deaths, marriages, divorce) (yes or no):
Have you or any of your family members been charged or convicted of a criminal offence(yes Or no):
Current residential address (apt #, street #, street name, city, province and postal code):
Are you currently inside Canada (yes or no):
If you are not inside Canada, when is your expected return date (YYYY/MM/DD):
In which country are you currently located:
