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PAGE 1 OF 5

APPLICATION FOR STUDY PERMIT

MADE OUTSIDE OF CANADA

If you need more space for any section, print out an additional page containing the appropriate section, complete and submit it with your application.

1 UCI

2

*I want service in

OFFICE USE ONLY

Validated

PERSONAL DETAILS

1

Full name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Family name (as shown on your passport or travel document)

 

 

 

 

Given name(s) (as shown on your passport or travel document)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

a) Have you ever used any other name (e.g. Nickname, maiden name, alias, etc.) ?

 

*No

 

*Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b) Family name

 

 

 

 

 

 

 

 

 

Given name(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*3

*Sex

 

4

Date of birth

 

5

Place of birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*City/Town

 

 

 

 

 

*Country or Territory

 

 

 

 

 

 

 

 

 

 

*YYYY

*MM

*DD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6

*Citizenship

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7

Current country or territory of residence:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country or Territory

 

 

 

 

Status

 

 

 

 

Other

 

 

From

 

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*

 

 

 

 

 

*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YYYY-MM-DD

 

YYYY-MM-DD

 

8

Previous countries or territories of residence: During the past five years have you lived in any country or territory other than your country

 

*No

 

 

*Yes

 

 

of citizenship or your current country or territory of residence (indicated above) for more than six months?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country or Territory

 

 

 

 

Status

 

 

 

 

Other

 

From

 

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YYYY-MM-DD

 

YYYY-MM-DD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YYYY-MM-DD

 

YYYY-MM-DD

 

9

Country or territory where applying:

Same as current country or territory of residence?

 

 

*No

 

*Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country or Territory

 

 

 

 

Status

 

 

 

 

Other

 

From

 

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YYYY-MM-DD

 

YYYY-MM-DD

 

10

*a) Your current marital status

 

 

b) (If you are married or in a common-law relationship) Provide the date

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

on which you were married or entered into the common-law relationship

 

YYYY-MM-DD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c) Provide the name of your current Spouse/Common-law partner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Family name

 

 

 

 

 

 

Given name(s)

 

 

 

 

 

 

 

 

 

 

 

FOR OFFICE USE ONLY - DO NOT WRITE IN THIS SPACE

This form is made available by Immigration, Refugees and Citizenship Canada and is not to be sold to applicants.

IMM 1294 (06-2019) E(DISPONIBLE EN FRANÇAIS - IMM 1294 F)

APPLICATION FOR STUDY MADE OUTSIDE CANADA

 

PAGE 2 OF 5

Applicant Name

Date of Birth

 

 

PERSONAL DETAILS (CONTINUED)

11

a) Have you previously been married or in a common-law relationship?

 

*No

 

 

b) Provide the following details for your previous Spouse/Common-law Partner:

 

 

 

 

 

*Yes

Family name

 

 

 

Given name(s)

 

 

 

 

 

 

 

 

c) Date of birth

 

 

d) Type of relationship

 

From

To

YYYY

MM

DD

 

 

YYYY-MM-DD

YYYY-MM-DD

LANGUAGE(S)

1*a) Native language/ Mother Tongue

*b) Are you able to communicate in English and/or French?

c) In which language are you most at ease?

d) Have you taken a test from a designated testing agency to assess your proficiency in English or French?

 

*No

*Yes

PASSPORT

1

*Passport number

2

*Country or territory of issue

3

*Issue date

YYYY-MM-DD

4*Expiry date

YYYY-MM-DD

5

* For this trip, will you use a passport issued by the Ministry of Foreign Affairs in Taiwan that includes your personal identification number?

 

*No

 

*Yes

6

* For this trip, will you use a National Israeli passport?

 

*No

*Yes

NATIONAL IDENTITY DOCUMENT

1

Do you have a national identity document?

* No

* Yes

 

2Document number

3Country or territory of issue

4Issue date

5Expiry date

YYYY-MM-DD

YYYY-MM-DD

US PR CARD

1

Are you a lawful Permanent Resident of the United States with a valid alien registration card (green card)?

* No

* Yes

 

2Document number

3Expiry date

YYYY-MM-DD

CONTACT INFORMATION

If submitting your application by mail:

-All correspondence will go to this address unless you indicate your e-mail address below.

-Indicating an e-mail address will authorize all correspondence, including file and personal information, to be sent to the e-mail address you specify.

-If you wish to authorize the release of information from your application to a representative, indicate their e-mail and mailing address(es) in this section and on the IMM5476 form.

1

Current mailing address

 

P.O. box

 

Apt/Unit

 

Street no.

 

 

*Street name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*City/Town

 

 

*Country or Territory

 

 

 

Province/State

Postal code

District

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

Residential address

Same as mailing address?

 

 

 

*No

 

*Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apt/Unit

Street no.

Street name

 

 

 

 

 

City/Town

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country or Territory

Province/State

Postal code

District

IMMIGRATION, REFUGEES AND CITIZENSHIP CANADA

IMM 1294 (06-2019) EIMMIGRATION, RÉFUGIÉS ET CITOYENNETÉ CANADA APPLICATION FOR STUDY MADE OUTSIDE CANADA

 

PAGE 3 OF 5

Applicant Name

Date of Birth

 

 

3

Telephone no.

Canada/US

Other

 

Type

Country Code No.

Ext.

 

 

 

 

 

4

Alternate Telephone no.

Canada/US

Other

Type

Country Code No.

Ext.

5

Fax no.

 

 

 

 

Canada/US

Country Code No.

Ext.

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

6

E-mail address

DETAILS OF INTENDED STUDY IN CANADA

1I have been accepted at the following educational institution (Attach the original letter of acceptance).

*a) Name of School

 

 

 

 

 

* b) My level of study will be:

c) My field of study will be:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d) Complete address of school in Canada

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Province

 

*City/Town

 

 

 

 

*Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

a) Designated Learning Institution # (O#)

 

b) My Student ID # is:

 

3

Duration of

 

 

*From

 

*To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

expected

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

study

 

YYYY-MM-DD

 

YYYY-MM-DD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

The cost of my studies will be:

 

5

*Funds available for my stay (CAD)

6

*a) My expenses in Canada will be paid by:

 

b) Other

 

 

 

*Tuition

 

 

Room and board

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you are less than 17 years of age, you must fill out the Custodian Declaration (IMM 5646) form.

EDUCATION

 

Have you had any post secondary education (including university, college or apprenticeship training)?

 

*No

 

*Yes

 

 

 

 

If you answered ‘‘yes’’, give full details of your highest level of post secondary education.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From

 

Field and level of study

 

School/Facility name

 

 

 

 

 

1

YYYY

MM

 

 

 

 

 

 

 

 

To

 

City/Town

 

Country or Territory

 

 

 

 

Province/State

 

YYYY

MM

 

 

 

 

 

 

 

 

EMPLOYMENT

Give details of your employment for the past 10 years, including if you have held any government positions (such as civil servant, judge, police officer, mayor, member of parliament, hospital administrator.)

 

 

From

 

*Current Activity/Occupation

 

*Company/Employer/Facility name

1

*YYYY

 

*MM

 

 

 

 

 

To

 

*City/Town

*Country or Territory

 

Province/State

 

YYYY

 

MM

 

 

 

 

 

 

From

 

Previous Activity/Occupation

 

Company/Employer/Facility name

2

YYYY

 

MM

 

 

 

 

 

To

 

City/Town

Country or Territory

 

Province/State

 

YYYY

 

MM

 

 

 

 

 

 

From

 

Previous Activity/Occupation

 

Company/Employer/Facility name

3

YYYY

 

MM

 

 

 

 

 

To

 

City/Town

Country or Territory

 

Province/State

 

YYYY

 

MM

 

 

 

 

IMMIGRATION, REFUGEES AND CITIZENSHIP CANADA

IMM 1294 (06-2019) EIMMIGRATION, RÉFUGIÉS ET CITOYENNETÉ CANADA APPLICATION FOR STUDY MADE OUTSIDE CANADA

 

PAGE 4 OF 5

Applicant Name

Date of Birth

 

 

BACKGROUND INFORMATION

You must complete this section if you are 18 years of age or older.

1

a) Within the past two years, have you or a family member ever had tuberculosis of the lungs or been in close contact with a person with tuberculosis?

No

Yes

 

 

b) Do you have any physical or mental disorder that would require social and/or health services, other than medication, during a stay in Canada?

No

Yes

 

c) If you answered "yes" to question 1a) or 1b), please provide details and the name of the family member (if applicable).

 

 

2

a) Have you ever remained beyond the validity of your status, attended school without authorization or worked without authorization in Canada?

No

Yes

b) Have you ever been refused a visa or permit, denied entry or ordered to leave Canada or any other country or territory?

No

Yes

c) Have you previously applied to enter or remain in Canada?

No

Yes

d) If you answered “yes” to question 2a), 2b) or 2c), please provide details.

 

 

3

a) Have you ever committed, been arrested for, or been charged with or convicted of any criminal offence in any country or territory?

No

Yes

b) If you answered “yes” to question 3a) above, please provide details.

4

a) Did you serve in any military, militia, or civil defence unit or serve in a security organization or police force (including non obligatory national service, reserve

No

Yes

or volunteer units)?

 

 

b) If you answered yes to question 4a), please provide dates of service and countries or territories where you served.

 

 

5

Are you, or have you ever been a member or associated with any political party, or other group or organization which has engaged in or advocated violence as a

No

Yes

 

means to achieving a political or religious objective, or which has been associated with criminal activity at any time?

 

 

 

 

 

 

 

 

6

Have you ever witnessed or participated in the ill treatment of prisoners or civilians, looting or desecration of religious buildings?

No

Yes

 

 

 

 

 

 

 

 

 

If you answered “yes” to any of questions 3 to 6 above, or upon request of a visa officer, you MAY BE REQUIRED to fill out IMM 5257 Schedule 1.

IMMIGRATION, REFUGEES AND CITIZENSHIP CANADA

IMM 1294 (06-2019) EIMMIGRATION, RÉFUGIÉS ET CITOYENNETÉ CANADA APPLICATION FOR STUDY MADE OUTSIDE CANADA

 

PAGE 5 OF 5

Applicant Name

Date of Birth

 

 

SIGNATURE

Citizenship and Immigration Canada (CIC), or an organization at CIC’ request, may want to contact you in the future to ask you about any services you received from CIC prior to the application process (such as participation in an information forum), during the application process (including the application process itself as well as orientation or accreditation services), and services received after arriving in Canada (including settlement, integration and citizenship). CIC will use this information, along with the information provided by other individuals, for research, performance measurement or evaluation purposes. CIC will not use this information to make any decisions about you personally.

Do you consent to be contacted by CIC, or an organization at CIC’s request, in the future? (Y/N)

 

No

 

Yes

I understand that CIC is collecting this personal information to assess whether I should be granted a study permit and will use this information to verify my eligibility for a study permit as well as my compliance with the conditions of my study permit. CIC may disclose my personal information to CBSA to enforce the requirements of the Immigration and Refugee Protection Act.

I also understand that CIC may disclose my personal information to my designated learning institution to inquire whether I am in compliance with the conditions of my study permit. I consent to the disclosure of my personal information by my designated learning institution to CIC for the purpose of determining whether I am in compliance with these conditions. Failure to provide such consent will result in a refusal to grant a study permit.

I declare that I have answered all questions in this application fully and truthfully.

Signature of Applicant or Parent/Legal Guardian’s for a person under 18 years of age.

 

Date: YYYY-MM-DD

 

 

 

IMPORTANT NOTE:

This application must be signed and dated before it is submitted by mail.

Do not forget to include photos, fees (if applicable) and any other documents required. Review the application guide for more information and verify that you have completed and provided all of the required documents as per the document checklist.

PRIVACY NOTICE

Personal information provided on this form is collected and will be used, disclosed, and retained by Immigration, Refugees and Citizenship Canada (IRCC) under the authority of the Immigration and Refugee Protection Act (IRPA). The personal information provided will be used for the purpose of processing applications. The personal information provided may be disclosed to other federal government institutions and third parties including law enforcement bodies, provincial/territorial governments and/or foreign governments for the purpose of validating identity, eligibility and admissibility.

The personal information collected on an application, and other information collected in support of an application,may be used for computer analytics to support processing of applications and decision making, includ ing your application. Personal information, including from computer analytics, may also be used for purposes including research, statistics, program and policy evaluation, internal audit, compliance, risk management, strategy development and reporting.

Where biometrics are provided in support of an application, the fingerprints collected will be stored and shared with the RCMP. The fingerprint record may also be disclosed to law enforcement agencies in Canada in accordance with subsection 13.11(1) of the Immigration and Refugee Protection Regulations. The information may be used to establish or verify the identity of a person in order to prevent, investigate, or prosecute an offence under any law of Canada or a Province. This information may also be used to establish or verify the identity of an individual whose identity cannot reasonably be otherwise established or verified because of physical or mental condition. Canada may also share immigration information related to biometric records with foreign governments with whom Canada has an agreement or arrangement.

Failure to complete the form in full may result in a delay or the application not being processed. The Privacy Act gives individuals the right of access to, protection, and correction of their personal information. Further details are available in Info Source. If you are not satisfied with the manner in which IRCC handles your personal information, you may exercise your right to file a complaint to the Office of the Privacy Commissioner of Canada. The collection, use, disclosure and retention of your personal information is further described in IRCC’s personal information bank - IRCC PPU 051.

IMMIGRATION, REFUGEES AND CITIZENSHIP CANADA

IMM 1294 (06-2019) EIMMIGRATION, RÉFUGIÉS ET CITOYENNETÉ CANADA APPLICATION FOR STUDY MADE OUTSIDE CANADA

Documents used along the form

The IMM 1294 form is a crucial document for individuals seeking a study permit outside of Canada. However, it is often accompanied by several other forms and documents that provide additional information and support for the application. Understanding these accompanying documents is essential for a complete and successful application process.

  • Letter of Acceptance: This document is issued by a designated learning institution in Canada. It confirms that the applicant has been accepted for a specific program of study. This letter is a key requirement, as it demonstrates the applicant's intent to study in Canada.
  • Custodian Declaration (IMM 5646): If the applicant is under 17 years of age, this form is necessary. It designates a custodian in Canada who will be responsible for the minor during their stay. This document ensures that appropriate care and supervision are in place.
  • Proof of Funds: Applicants must provide evidence that they have sufficient financial resources to support themselves while studying in Canada. This may include bank statements, scholarship letters, or financial guarantees. Such proof reassures immigration officials that the applicant can cover tuition and living expenses.
  • Non-disclosure Agreement Form: Before sharing sensitive information related to your study or personal affairs, it’s prudent to have a Non-disclosure Agreement in place to protect your privacy. For more information, visit nypdfforms.com/non-disclosure-agreement-form.
  • Immigration Medical Examination (IME): Depending on the applicant's country of origin and travel history, a medical examination may be required. This examination assesses the applicant's health to ensure they do not pose a public health risk in Canada.
  • Police Clearance Certificate: In some cases, applicants may need to provide a certificate indicating that they have no criminal record. This document helps immigration officials evaluate the applicant's background and suitability for entry into Canada.

Each of these documents plays a significant role in the overall application process for a study permit. By preparing these forms and ensuring that all necessary information is included, applicants can enhance their chances of a successful outcome. Thorough preparation is key to navigating the complexities of immigration procedures effectively.

Similar forms

  • Form I-20: This document is issued by U.S. educational institutions to international students. It certifies that a student has been accepted into a program and is eligible for a student visa. Like the IMM 1294, it requires personal details and information about the intended course of study.
  • DS-160: This is the Online Nonimmigrant Visa Application form used for various U.S. visas, including student visas. Similar to the IMM 1294, it gathers personal information, travel history, and background details to assess eligibility for a visa.
  • Form I-539: Used for applying to extend or change nonimmigrant status in the U.S., this form also collects personal and background information. It is similar to the IMM 1294 in that both require detailed personal history and intentions for staying in the respective countries.
  • Michigan Durable Power of Attorney: This legal document allows someone to make crucial decisions on your behalf when you're unable to do so, including financial and healthcare matters, ensuring your wishes are fulfilled. For additional details, visit Durable Power of Attorney.

  • Form I-901: This is the SEVIS fee payment form required for international students. It serves as proof of payment for the Student and Exchange Visitor Information System, similar to how the IMM 1294 requires proof of acceptance from a Canadian institution.
  • Form IMM 5646: This Custodian Declaration is necessary for minors applying to study in Canada. It provides information about the custodian and is similar to the IMM 1294 in that it outlines responsibilities and legal guardianship for underage applicants.
  • Form DS-2019: Issued for the J-1 Exchange Visitor Program, this form certifies eligibility for exchange visitors. Like the IMM 1294, it includes details about the program and the participant's personal information.
  • Form I-94: This Arrival/Departure Record is issued to nonimmigrants entering the U.S. It tracks their stay and requires personal information, paralleling the IMM 1294's purpose of documenting a student's entry and stay in Canada.
  • Form N-400: The Application for Naturalization requires extensive personal information and background history. While it serves a different purpose, it shares the commonality of requiring detailed personal disclosures similar to those found in the IMM 1294.
  • Form I-130: This Petition for Alien Relative is used to establish a relationship with a family member who is a U.S. citizen or permanent resident. It requires personal and family details, akin to the personal information requested in the IMM 1294.

Misconceptions

  • Misconception 1: The IMM 1294 form is only for students applying to study in Canada.

    This form is specifically designed for individuals applying for a study permit from outside of Canada. However, it can also be used by those who may be applying for other types of permits or visas, depending on their unique circumstances.

  • Misconception 2: You cannot submit additional pages with the IMM 1294 form.

    In fact, if you need more space for any section, you are encouraged to print out an additional page containing the appropriate section. This can help ensure that all necessary information is provided clearly and completely.

  • Misconception 3: The application process is the same for all applicants.

    Each applicant's situation is unique, which means that the requirements and processes may differ based on individual circumstances. Factors such as previous immigration history, country of origin, and the specific educational institution can influence the application process.

  • Misconception 4: You do not need to provide proof of funds when applying with the IMM 1294 form.

    Providing evidence of sufficient funds is a crucial part of the application. Applicants must demonstrate that they have the financial means to support themselves during their studies in Canada. This includes tuition fees, living expenses, and other costs associated with studying abroad.

Understanding Imm 1294

  1. What is the IMM 1294 form?

    The IMM 1294 form is an application for a study permit made outside of Canada. It is required for individuals who wish to study at a designated learning institution in Canada. This form collects essential personal information, details about the applicant's educational background, and information about their intended studies in Canada.

  2. Who needs to fill out the IMM 1294 form?

    Any foreign national who intends to study in Canada and is applying from outside the country must complete the IMM 1294 form. This includes students who have received an acceptance letter from a recognized educational institution in Canada.

  3. What information is required on the IMM 1294 form?

    The form requires a variety of personal details, including:

    • Full name as shown on the passport
    • Date and place of birth
    • Citizenship and current country of residence
    • Details about previous residences and marital status
    • Information about the intended educational institution in Canada
    • Financial details regarding tuition and living expenses

  4. How do I submit the IMM 1294 form?

    The IMM 1294 form can be submitted by mail. Applicants should ensure that they include all required documents, such as the original letter of acceptance from the educational institution, photographs, and any applicable fees. It is crucial to sign and date the application before submission.

  5. What happens if I make a mistake on the IMM 1294 form?

    Errors on the IMM 1294 form can lead to delays or even denial of the application. If a mistake is identified after submission, it is advisable to contact the relevant immigration office to correct the error as soon as possible. Providing accurate and complete information is essential for a smooth application process.

  6. Is there a fee associated with the IMM 1294 form?

    Yes, there is a processing fee for the study permit application. The fee amount can vary, so it is important to check the official Immigration, Refugees and Citizenship Canada (IRCC) website for the most current fee structure. Payment must be included with the application when it is submitted.

  7. How long does it take to process the IMM 1294 application?

    Processing times for the IMM 1294 application can vary based on several factors, including the applicant's country of residence and the time of year. Generally, it is recommended to apply well in advance of the intended study start date. Applicants can check the IRCC website for estimated processing times specific to their situation.