Canada Humanitarian Assessment Form

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Name *
Email *
Date of Birth *
Country of Birth *
Have you fled your country of origin due to a threat to your life, violence, or legal prosecution? *
Did the country of origin or the country you left have the ability to protect you? *
Was there another safe and suitable place to live in your country? *
Please select the main reasons for your asylum application in Canada. *
Do you have the necessary documents to prove the threats or persecutions you faced in your country? *
Are you a family member of someone who is a Canadian citizen or permanent resident? *
Are your family members also with you in Canada and planning to apply for asylum? *
Do you currently have a specific legal status in Canada (such as a study or work permit)? *
Have you previously applied for asylum in Canada and was it rejected? *
Have you been deported from Canada or are you facing deportation due to serious crimes or security threats? *
Do you require special support such as housing or specific medical services? *
Do you have any other documents or information to support your asylum application that might assist in the decision-making process? *