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JV CONSULTING 640 Lake Moraine Way S.E., Calgary, Ab, Canada, T2J 3A5 P: (1) (403) 403-971-8848 webcore8@gmail.com FOREIGN WORKER INFORMATION FOR WORK PERMITS 1. Surname (Family name) 2. First Name 3. Middle Name 4. Residential Address 5. City 6. Province/State 7. Country 8. Postal Code 9. E-Mail 10. Telephone number 11. Fax Number (Optional) 12. Date of Birth 13. Citizen of what country - 14. Sex (Male or Female) 15. Present Marital Status 16. Place of Birth 17. Passport Number 18. Passport Expiry Date 19. My Present Job (Company name, job title, a brief description of the position, and how long have you been in that position). 20. Name and address of employer and what type of business 21. Please list any other jobs you have been doing in the last 7 years (Company time, title, job description, length of time you worked their) 22. In the last 2 years have you or any family member contracted tuberculosis 23. Do you or an accompanying family members have any physical or mental disorder that will require social and/or health services other than medication 24. Have you or any member of your family ever (If yes explain): a) Committed, been arrested or charged with any criminal offence b) Been refused admission or ordered to leave Canada c) Applied for any Immigration Visa d) Been refused a visa to travel to Canada e) Have created a war crime 25. During the last 5 years have you or any family member accompanying you to Canada lived in another country for more than 6 months (If yes what country and from what date to what date) - SPOUSE INFORMATION 1. Family name 2. First and second names 3. Date of Birth 4. Place of Birth 5. Citizenship 6. Passport number 7. Passport expiry date 8. Will accompany foreign worker to Canada - CHILDREN INFORMATION 1. Family name 2. First and second names 3. Relation & Sex 4. Marital Status - 5. Date of Birth 6. Place of Birth 7. Present Address 8. Present Occupation 9. Citizenship 10. Passport number 11. Passport expiry date 12. Will accompany foreign worker to Canada - CHILDREN INFORMATION 1. Family name 2. First and second names 3. Relation & Sex 4. Marital Status 5. Date of Birth 6. Place of Birth 7. Present Address 8. Present Occupation 9. Citizenship 10. Passport number 11. Passport expiry date 12. Will accompany foreign worker to Canada - BROTHER & SISTER INFORMATION (INCLUDING HALF AND STEP BROTHERS AND SISTERS) 1. Name (First, second and family) 2. Relation & Sex 3. Marital Status 4. Date of Birth 5. Place of Birth 6. Present Address 7. Present Occupation Name (First, second and family) Relation & Sex Marital Status Date of Birth Place of Birth Present Address Present Occupation - BROTHER & SISTER INFORMATION (INCLUDING HALF AND STEP BROTHERS AND SISTERS) 1. Name (First, second and family) 2. Relation & Sex 3. Marital Status Name (First, second and family) Relation & Sex Marital Status - 4. Date of Birth 5. Place of Birth 6. Present Address 7. Present Occupation - Date of Birth Place of Birth Present Address Present Occupation - DETAILS OF EDUCATION AND EMPLOYMENT Date From To From To Name & Address of Work/Company Position Type of Business Photo Specifications TAKE THIS SHEET WITH YOU TO THE PHOTOGRAPHER Requirements Provide Four photos of you and each accompanying family member with your application. Your photos must comply with the specifications below. If the photos do not meet the specifications, you will have to provide new photos before your application can be processed. Specifications  The photos must be identical and taken within the last six months. They may be either black and white or colour. • • • • • • The photos must be clear, well defined and taken against a plain white or light-coloured background. If the photos are digital, they must not be altered in any way. Your face must be square to the camera with a neutral expression, neither frowning nor smiling, and with your mouth closed. You may wear non-tinted or tinted prescription glasses as long as your eyes are clearly visible. Make sure that the frame does not cover any part of your eyes. Sunglasses are not acceptable. A hairpiece or other cosmetic accessory is acceptable if it does not disguise your normal appearance. If you must wear a head covering for religious reasons, make sure your full facial features are not obscured. The frame size must be 35 mm X 45 mm (1 3/8" X 1 3/4"). The photos must show the full front view of the head, with the face in the middle of the photo, and include the top of the shoulders. The size of the head, from chin to crown, must be between 31 mm (1 1/4") and 36 mm (1 7/16"). Crown means the top of the head, or (if obscured by hair or a head covering), where the top of the head or skull would be if it could be seen. To avoid delays, make sure your photos meet these specifications. EACH APPLICATN MUST PROVIDE: 1. One original employment letter from current employer granting leave of absence, and including the following information: applicant’s name, position and current salary. This letter must include employer’s name and address as well as telephone and fax number. 2. All original educational, occupational, and professional certificates (e.g. Occupational Qualification Certificate, High School Diploma, Trade Certificates) 3. One Notarized police certificate. 4. Original and Valid passport.