background information Home /Background Information Background InformationWithin 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? Yes No If you answered Yes, please provide detailsDo you have any physical or medical disorder that would require social and/or health services, other than medication, during a stay in Canada? Yes No If you answered Yes, please provide detailsHave you ever remained beyond the validity of your status, attended school without authorization or worked without authorization? Yes No If you answered Yes, please provide detailsHave you ever been refused a visa or permit, denied entry, or ordered to leave Canada or any country or territory? Yes No If you answered Yes, please provide detailsHave you previously applied to enter or remain in Canada? Yes No If you answered Yes, please provide detailsHave you been convicted, been arrested for, or been charged with or convicted of any criminal offence in any country or territory? Yes No If you answered Yes, please provide detailsHave you served in any military, militia, or civil defense unit or serve in a security organization or police force including non-obligatory national service, reserve, or volunteer units? Yes No If you answered Yes, please provide detailsAre you, or have you been a member or associated with any political party, or other group or organization which has engaged in or advanced violence as a means to achieving a political or religious objectives, or which has been associated with criminal activities at any time? Yes No If you answered Yes, please provide detailsHave you ever witnessed or participated in the ill treatment of prisoners or civilians, looting or desecration of religious buildings? Yes No If you answered Yes, please provide details
