REFUGEE ASYLUM APPLICATION QUESTIONNAIRE
1. Are you from any of these Designated Countries?
Andorra, Australia, Austria, Belgium, Chile, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Israel (excludes Gaza and the West Bank), Italy, Japan, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Mexico, Monaco, Netherlands, New Zealand, Norway, Poland, Portugal, Romania, San Marino, Slovak Republic, Slovenia, South Korea, Spain, Sweden, Switzerland, United Kingdom, United States of America
2. Have you been recognized as a Convention refugee by another country to which you can return?
3. Have you already been granted protected person status in Canada?
4. Did you arrived via the Canada-United States border?
5. Do you have any security, criminal activity or human rights violations?
6. Have you made a previous refugee claim that was found to be ineligible for referral to the IRB?
7. Have you made a previous refugee claim that was rejected by the IRB?
8. Have you abandoned or withdrew a previous refugee claim?
9. Why are you outside your country of origin or the country where you normally live, and why are you unwilling to return?
- I have a well-founded fear of persecution based on: race; religion; political opinion; nationality; or
membership in a particular social group. Choose 1 or more (CONVENTIONAL REFUGEE)
- I have a well-founded fear of persecution based on: a danger of torture; a risk to their life; or
a risk of cruel and unusual treatment or punishment. Choose 1 or more (PERSON IN NEED OF PROTECTION)
10. Which of these ID documents do you have?
- Passport (Original)
- Travel document (Original)
- Birth certificate (Original)
- Identity cards (Original)
- Baptismal record (Original)
- School certificate as proof of identity (Original)
- Marriage certificate (as proof of relationship) (Original)
- Political or social organization’s membership card (Original)
They all must be in English or French or translated in either language by a licensed interpreter and notarized. Explain why you do not have the ones that are not in your possession.
You must also have:
- 2 original photos of yourself and each of your family members in Canada who are applying for refugee protection. Write the name and date of birth of the person on the back of one (1) of the photos.
- Your school records, education certificates or professional qualifications (Original & photocopy)
- Police or medical reports (Original & photocopy)
- Your membership cards for political groups, unions or other groups (Original & photocopy)
- Business records
- News articles and human rights reports on country conditions, etc. (Original & photocopy)
Fill in all these forms completely and accurately. NOTE; It is a serious offence to give false or misleading information on these forms. The information you provide on your application may be subject to verification.