International Experience Canada – Application and Declarations Form.pdfVIP

PROTECTED B (When completed) International Experience Canada – Application and Declarations Form International Experience Canada, Canadian Trade Office in Taipei - iectaiwan@international.gc.ca Please print clearly in capital letters Section A: Personal Information Section B: OFFICE USE ONLY SURNAME WTN Ref. # FIRST NAME CAIPS File Ref. # Prev. CAIPS or FOSS # MIDDLE NAME Date Received DATE OF BIRTH Signatures Y - N - CITIZENSHIP PF Paid Y - N - COUNTRY OF BIRTH Information Attached Y - N - GENDER Prev. Participation Y - N - PASSPORT NUMBER Medical Condition Y - N - PASSPORT EXPIRY