Employer Specific Work Permit

Employer Specific Work Permit - 2025

This form is designed to assist applicants in gathering the necessary information and documentation required to apply for an Employer-Specific Work Permit in Canada. Whether your application requires a positive LMIA or qualifies for an LMIA exemption, please complete all sections accurately to ensure a smooth application process.
Applicant's Name (As Per Passport)*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Full Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number of Applicant*
Applicant's E-mail*
example@example.com
Marital Status
Date of Marriage (if applicable)

DayMonthYear
Date
Spouse Included in the Application
(If yes, you are require to submit a separate form for the Spouse's SOWP Permit.

Have any of applicants previously been married or in a common-law relationship? If yes, please provide the name of previous spouse, date of marraige and date of sepration. ( If Applicable)

Last 10 Years Employment Details *

	FROM: YY/MM	TO: YY/MM	Company Name & City	Recent Occupation & Designation	Country	Part/Full Time
1.
2.
3,
4.
5.

Educational History: (Highest Qualification First)*

	FROM: YY/MM	TO: YY/MM	College/University	Highest Qualification	Country
1.
2.
3.
4.
5

Family Information Form of Applicant: Only complete of you are Offshore and applying for the Work Permit for the First Time inside Canada

	Name	Date of Birth	Occupation	Marital Status	Address	If Deceased, Please mention Date & Place of Deceased
Fathers Name
Mothers Name
Spouse Name
Brother 1
Brother 2
Children 1
Children 2
Children 3
Children 4
Sister 1
Sister 2
Sister 3

Background information :- Have you Ever Been Refused a Visa or Permit of Canada or of Any Other Country ?? If Yes Plz Provide details or else write NA if not Applicable.*

	Country & Type of Visa	Reason for Refusal	Application/Ref No & Date
1
2
3
4

Medical & Background Check:-
a)Within the past two years, have you or a family member ever had tuberculosis of the lungs or been in a close contact with a person with tuberculosis?*
b) Do you have any physical or mental disorder that would require social and/or health services, other than medication, during a stay in Canada?*
c) Have you ever committed, been arrested for or been charged with or convicted of any criminal offence in any country or territory?*
d) Did you serve in any military, militia, or civildefence unit or serve in a security organization or police force?*
If you have answer YES in any of the above question of a,b,c & d, please provide details:-

Travel History in last 5 year with Status (Including Canada and USA) *

	Country	Type Of Visa	Date From	Date To
1.
2.
3.
4
5

I confirm that above mentioned details are true and best to my Knowledge. I am solely responsible for the information provided to the representative for my Application. (Please Tick)
I understand that once work on the application has commenced, I am not entitled to any refund for services from your company. (Please Tick)
All Documents to be submitted to the link shared in email

Checklist of Documents Required:
1. Passport + Visa Copy
2. All the study or work Permits you hold or ever held for Canada (if inside Canada)
3. Digital photo
4. Medical Examination Receipt
5. Marriage Certificate (if applicable)
6. CV
7. Educational documents
8. Employment documents (Experience letter, Tax documents /Salary statements)
9. Bank Portfolio/ Financial Documents
10. Job Offer Letter
11. Copy of Approved LMIA or LMIA Exemption Proof + Compliance Fees payment receipt
I consent that company can provide their services and communicate with me via mobile phones, messages, WhatsApp, email and or any kind of online communication.
I would like to receive newsletter, promotional emails or any other marketing offers from your Company.
Passport and Visa Copies

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Study Permit/ Work Permits (if applicable)

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Digital Photo

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Medical Examination Receipt

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Marriage Certificate (if applicable)

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CV and Educational documents

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Employment documents (Experience Letter, Appointment letters, Tax documents /Salary statements, T4, NOA)

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Bank Portfolio/ Financial Documents

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Job Offer Letter and Copy of Approved LMIA or LMIA Exemption Proof + Compliance Fees payment receipt

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Signature

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Should be Empty:

Employer Specific Work Permit - 2025