Client and designated individual(s) information (EN)

Client Information

Full name as it appears on passport *

First

Last

Date of Birth *//

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country *

Country

Upload a copy of the information page of your valid passport *

Click or drag a file to this area to upload.

Do you authorize Notion Canada Immigration to release information from your case file to someone other than yourself (Designated Individual) *

Yes
No

Designated individual(s) Information

Full name as it appears on passport *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country *

Country

Upload a copy of the information page of your valid passport *

Click or drag a file to this area to upload.

Add another designated individual? *

Yes
No

Full name as it appears on passport *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country *

Country

Upload a copy of the information page of your valid passport *

Click or drag a file to this area to upload.

Client and Designated Individual(s) Information

Client Information

Designated individual(s) Information