Form A-0361-F0, Demande d’évaluation comparative des études effectuées hors du Québec Instructions
This form contains 150 fields organized into 23 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| 2. Renseignements sur votre identité | ||
| 2.3 Genre | Combobox |
Précisez votre genre tel qu'indiqué sur votre pièce d'identité ou document officiel.
Féminin
Masculin
- Veuillez choisir -
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| Accepted Payment Method | ||
| Accepted Payment Method | Combobox |
Provide one of the accepted payment methods you will be using for the required fees.
Mandat postal de Postes Canada
Formulaire Paiement par carte de crédit (A-0591-F0)
- Veuillez choisir -
Traite bancaire tirée d’une banque canadienne
Chèque émis par un agent de change
Chèque d’une entreprise canadienne
Chèque certifié ou visé tiré d’une banque canadienne
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| Détails du diplôme ou de l'attestation | ||
| Diplôme ou attestation de diplôme | Checkbox |
Check this box if you are providing a diploma or certificate as part of the official school documents.
|
| Type de diplôme ou d'attestation | Text |
Please specify the type of diploma or certificate, for example, a doctorate from XYZ University (2020-2023).
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| Détails du relevé de notes | ||
| Relevé(s) de notes | Checkbox |
Check this box if you are providing official transcripts (relevé(s) de notes) as part of your academic records.
|
| Description du relevé de notes | Text |
Please provide a detailed description of the transcript(s) you are submitting, including the type of transcript, the institution it was issued by, and the period covered.
|
| EN FOI DE QUOI, j’ai signé à | ||
| City | Text |
Please provide the name of the city where the declaration was signed.
|
| Country or Territory | Text |
Please provide the name of the country or territory where the declaration was signed.
|
| Date Signed | Date |
Please provide the date when the declaration was signed.
|
| First Post-secondary Study | ||
| Diploma Title or Last Year Completed | Text |
Enter the title of the diploma obtained or the last year successfully completed.
|
| Program or Specialization Name | Text |
Enter the name of the program or specialization, if applicable.
|
| Educational Institution Name | Text |
Enter the name of the educational institution attended.
|
| Number of Years Successfully Completed | Number |
Enter the number of years of study successfully completed in this program.
|
| City | Text |
Enter the city where the educational institution is located.
|
| Province or State | Text |
Enter the province or state where the educational institution is located.
|
| Country or Territory | Text |
Enter the country or territory where the educational institution is located.
|
| Other Particulars | Text |
Provide any other relevant details about this post-secondary study, such as part-time study, distance learning, exemptions, or a second diploma obtained within the same program.
|
| Study Start Date | Date |
Provide the start date of the study period.
|
| Study End Date | Date |
Provide the end date of the study period.
|
| Diploma Award Year | Text |
Enter the year the diploma was obtained, if applicable.
|
| First Secondary Study | ||
| Degree Title | Text |
Please enter the title of the degree obtained or the last year successfully completed for this secondary study.
|
| Training/Specialization Name | Text |
Please provide the name of the training or specialization if applicable for this secondary study.
|
| Institution Name | Text |
Please enter the name of the educational institution attended for this secondary study.
|
| Number of Successful Study Years | Text |
Please enter the total number of years of study successfully completed in this training program.
|
| City | Text |
Please enter the city where the educational institution for this secondary study is located.
|
| Province/State | Text |
Please enter the province or state where the educational institution for this secondary study is located.
|
| Country/Territory | Text |
Please enter the country or territory where the educational institution for this secondary study is located.
|
| Other Details | Text |
Please provide any other specific details about this secondary study, such as part-time attendance, distance learning, exemptions, or additional degrees obtained.
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| Future Address and Contact Information | ||
| Future Building Number | Text |
Provide the future building number for your correspondence address.
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| Future Street Name | Text |
Provide the future street name for your correspondence address.
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| Future Apartment Number | Text |
Provide the future apartment number for your correspondence address.
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| Future Post Office Box | Text |
Provide your future post office box number.
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| Future City | Text |
Provide the future city for your correspondence address.
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| Future Province, Territory or State | Text |
Provide the future province, territory, or state for your correspondence address.
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| Future Postal Code | Text |
Provide the future postal code for your correspondence address.
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| Future Country | Text |
Provide the future country for your correspondence address.
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| Future Move Date | Date |
Provide the date of your future move.
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| Future Phone Number | Text |
Provide your future primary telephone number.
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| Future Alternate Phone Number | Text |
Provide your future alternate telephone number.
|
| General | ||
| Cliquez ici pour la marche à suivre | Button | |
| Imprimer | Button | |
| Effacer | Button | |
| Identity Documents | ||
| Type of Identity Document | Combobox |
Please specify the type of identity document you are providing a photocopy of.
- Veuillez choisir -
Page de votre passeport valide indiquant votre identité
Carte de résident permanent
Document de confirmation de résidence permanente
Document de demandeur d’asile
Acte ou certificat de naissance
Certificat de citoyenneté canadienne
|
| Proof of Name Change Document | Combobox |
Please specify the document provided as proof of your name change. Fill only if 'Type of Identity Document' the name on the school documents is different from the name on the identity document submitted.
Acte ou certificat de mariage
Certificat de changement de nom
- Veuillez choisir -
Certificat de décès de votre conjointe ou conjoint
Acte, certificat ou jugement de divorce ou d’annulation de mariage
Depends on:
Type of Identity Document
|
| Identity Information | ||
| Family Name on ID | Text |
Please enter your family name(s) exactly as they appear on your identity document.
|
| Given Name on ID | Text |
Please enter your given name(s) exactly as they appear on your identity document.
|
| Birth Name | Text |
Please enter your full name at birth, including both family and given names, if it is different from your current name.
|
| Other Names on Academic Documents | Text |
Please enter any other names that appear on your academic documents.
|
| Country of Birth | Text |
Please enter the country where you were born.
|
| Date of Birth | Date |
Please provide your date of birth.
|
| Mailing Address and Contact Information | ||
| Building Number | Text |
Please enter the building number for your mailing address.
|
| Street | Text |
Please enter the street name for your mailing address.
|
| Apartment Number | Text |
Please enter your apartment, suite, or unit number if applicable.
|
| P.O. Box | Text |
Please enter your P.O. Box number if you have one.
|
| City | Text |
Please enter the city for your mailing address.
|
| Province/State | Text |
Please enter the province, territory, or state for your mailing address.
|
| Postal Code | Text |
Please enter the postal code for your mailing address.
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| Country | Text |
Please enter the country for your mailing address.
|
| Email Address | Text |
Please enter your email address for correspondence.
|
| Phone Number | Text |
Please enter your primary telephone number.
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| Alternative Phone Number | Text |
Please enter an alternative telephone number if available.
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| Moyens d'envoi des documents scolaires officiels | ||
| Enveloppe scellée et postée | Checkbox |
Check this box if the official documents will be sent in a sealed envelope, posted by the educational institution to the specified address, with the institution's seal on the back.
|
| Center for Student Services and Development (CSSD) | Checkbox |
Check this box if the official documents will be sent via the Center for Student Services and Development (CSSD) from the People's Republic of China.
|
| Digitary Core | Checkbox |
Check this box if the official documents will be sent via Digitary Core, primarily for institutions in Ireland, the United Kingdom, or Japan.
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| My eQuals | Checkbox |
Check this box if the official documents will be sent via My eQuals, primarily for institutions in Australia and New Zealand.
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| National Student Clearinghouse – Electronic Transcript Exchange | Checkbox |
Check this box if the official documents will be sent via the National Student Clearinghouse – Electronic Transcript Exchange, primarily for institutions in the United States of America.
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| Worldwide Transcripts | Checkbox |
Check this box if the official documents will be sent via Worldwide Transcripts from India.
|
| S-Filer | Checkbox |
Check this box if the S-Filer solution has been agreed upon between the educational institution and the Ministry for sending official documents.
|
| Page 11 | ||
| Payment Proof Submitted | Radiobutton |
Check this box if you have submitted proof of payment or the credit card payment form (A-0591-FO).
|
| Payment Proof Not Submitted | Radiobutton |
Check this box if you have not submitted proof of payment or the credit card payment form (A-0591-FO).
|
| Part 1 Deferred Documents Submitted | Radiobutton |
Check this box if you have submitted Part 1 - Deferred submission of documents from an educational institution to the Ministry. Fill only if 'Partie 1 – Envoi différé de documents d'un organisme scolaire au Ministère' is 'applicable'.
|
| Part 1 Deferred Documents Not Submitted | Radiobutton |
Check this box if you have not submitted Part 1 - Deferred submission of documents from an educational institution to the Ministry. Fill only if 'Partie 1 – Envoi différé de documents d'un organisme scolaire au Ministère' is 'applicable'.
|
| Part 2 Information & Declaration Submitted | Radiobutton |
Check this box if you have submitted Part 2 - Information and declaration, signed and dated under section 6.
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| Part 2 Information & Declaration Not Submitted | Radiobutton |
Check this box if you have not submitted Part 2 - Information and declaration, signed and dated under section 6.
|
| Part 3 Documents List Submitted | Radiobutton |
Check this box if you have submitted Part 3 - List of documents to submit.
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| Part 3 Documents List Not Submitted | Radiobutton |
Check this box if you have not submitted Part 3 - List of documents to submit.
|
| Mandate of Representation Form Submitted | Radiobutton |
Check this box if you have submitted the Mandate of representation form (A-0525-AF).
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| Mandate of Representation Form Not Submitted | Radiobutton |
Check this box if you have not submitted the Mandate of representation form (A-0525-AF).
|
| Authorization to Disclose Info Form Submitted | Radiobutton |
Check this box if you have submitted the Authorization to disclose personal information form (A-0527-DF).
|
| Authorization to Disclose Info Form Not Submitted | Radiobutton |
Check this box if you have not submitted the Authorization to disclose personal information form (A-0527-DF).
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| Identity Document Photocopy Submitted | Radiobutton |
Check this box if you have submitted a photocopy of an identity document.
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| Identity Document Photocopy Not Submitted | Radiobutton |
Check this box if you have not submitted a photocopy of an identity document.
|
| Name Change Proof Photocopy Submitted | Radiobutton |
Check this box if you have submitted a photocopy of proof of name change. Fill only if 'Type of Identity Document' the name on the school documents is different from the name on the identity document submitted.
Depends on:
Type of Identity Document
|
| Name Change Proof Photocopy Not Submitted | Radiobutton |
Check this box if you have not submitted a photocopy of proof of name change. Fill only if 'Type of Identity Document' the name on the school documents is different from the name on the identity document submitted.
Depends on:
Type of Identity Document
|
| Uncompleted Secondary Transcripts Submitted | Radiobutton |
Check this box if you have submitted certified true copies of transcripts and any additional required document for uncompleted secondary studies. Fill only if 'études secondaires' are 'uncompleted'.
Depends on:
Degree Title, Second Secondary Study Diploma Title
|
| Uncompleted Secondary Transcripts Not Submitted | Radiobutton |
Check this box if you have not submitted certified true copies of transcripts and any additional required document for uncompleted secondary studies. Fill only if 'études secondaires' are 'uncompleted'.
Depends on:
Degree Title, Second Secondary Study Diploma Title
|
| Completed General Secondary Diploma Submitted | Radiobutton |
Check this box if you have submitted a certified true copy of the official diploma for completed general secondary studies. Fill only if 'études secondaires générales' are 'completed'.
Depends on:
Degree Title, Second Secondary Study Diploma Title
|
| Completed General Secondary Diploma Not Submitted | Radiobutton |
Check this box if you have not submitted a certified true copy of the official diploma for completed general secondary studies. Fill only if 'études secondaires générales' are 'completed'.
Depends on:
Degree Title, Second Secondary Study Diploma Title
|
| Professional Secondary/Post-Secondary Diploma Submitted | Radiobutton |
Check this box if you have submitted a certified true copy of the official diploma for completed professional secondary or post-secondary studies. Fill only if 'études secondaires professionnelles ou études postsecondaires (supérieures)' are 'completed'.
Depends on:
Study End Date, Second Study End Date, Study End Date
|
| Professional Secondary/Post-Secondary Diploma Not Submitted | Radiobutton |
Check this box if you have not submitted a certified true copy of the official diploma for completed professional secondary or post-secondary studies. Fill only if 'études secondaires professionnelles ou études postsecondaires (supérieures)' are 'completed'.
Depends on:
Study End Date, Second Study End Date, Study End Date
|
| Professional Secondary/Post-Secondary Transcripts Submitted | Radiobutton |
Check this box if you have submitted certified true copies of transcripts for completed professional secondary or post-secondary studies. Fill only if 'études secondaires professionnelles ou études postsecondaires (supérieures)' are 'completed'.
Depends on:
Study End Date, Second Study End Date, Study End Date
|
| Professional Secondary/Post-Secondary Transcripts Not Submitted | Radiobutton |
Check this box if you have not submitted certified true copies of transcripts for completed professional secondary or post-secondary studies. Fill only if 'études secondaires professionnelles ou études postsecondaires (supérieures)' are 'completed'.
Depends on:
Study End Date, Second Study End Date, Study End Date
|
| Original Translations Submitted | Radiobutton |
Check this box if you have submitted the original of each required translation made by a recognized translator. Fill only if 'Payment Proof Submitted', 'Part 1 Deferred Documents Submitted', 'Part 2 Information & Declaration Submitted', 'Part 3 Documents List Submitted', 'Mandate of Representation Form Submitted', 'Authorization to Disclose Info Form Submitted', 'Identity Document Photocopy Submitted', 'Name Change Proof Photocopy Submitted', 'Uncompleted Secondary Transcripts Submitted', 'Completed General Secondary Diploma Submitted', 'Professional Secondary/Post-Secondary Diploma Submitted', 'Professional Secondary/Post-Secondary Transcripts Submitted' any of the documents submitted is not in French or English.
Depends on:
Payment Proof Submitted, Part 1 Deferred Documents Submitted, Part 2 Information & Declaration Submitted, Part 3 Documents List Submitted, Mandate of Representation Form Submitted, Authorization to Disclose Info Form Submitted, Identity Document Photocopy Submitted, Name Change Proof Photocopy Submitted, Uncompleted Secondary Transcripts Submitted, Completed General Secondary Diploma Submitted, Professional Secondary/Post-Secondary Diploma Submitted, Professional Secondary/Post-Secondary Transcripts Submitted
|
| Original Translations Not Submitted | Radiobutton |
Check this box if you have not submitted the original of each required translation made by a recognized translator. Fill only if 'Payment Proof Submitted', 'Part 1 Deferred Documents Submitted', 'Part 2 Information & Declaration Submitted', 'Part 3 Documents List Submitted', 'Mandate of Representation Form Submitted', 'Authorization to Disclose Info Form Submitted', 'Identity Document Photocopy Submitted', 'Name Change Proof Photocopy Submitted', 'Uncompleted Secondary Transcripts Submitted', 'Completed General Secondary Diploma Submitted', 'Professional Secondary/Post-Secondary Diploma Submitted', 'Professional Secondary/Post-Secondary Transcripts Submitted' any of the documents submitted is not in French or English.
Depends on:
Payment Proof Submitted, Part 1 Deferred Documents Submitted, Part 2 Information & Declaration Submitted, Part 3 Documents List Submitted, Mandate of Representation Form Submitted, Authorization to Disclose Info Form Submitted, Identity Document Photocopy Submitted, Name Change Proof Photocopy Submitted, Uncompleted Secondary Transcripts Submitted, Completed General Secondary Diploma Submitted, Professional Secondary/Post-Secondary Diploma Submitted, Professional Secondary/Post-Secondary Transcripts Submitted
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| Page 5 | ||
| Oui | Radiobutton |
Check this box if you have previously submitted an application for a comparative evaluation to the Ministry.
|
| Non | Radiobutton |
Check this box if you have not previously submitted an application for a comparative evaluation to the Ministry.
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| Par la transmission de ce formulaire rempli, vous reconnaissez avoir lu et compris la section 5.1 qui porte sur la communication des renseignements personnels fournis et compris les modalités qui y sont associées. | ||
| Date of Communication Consent | Date |
Provide the date on which you acknowledge reading and understanding the terms related to the communication of personal information.
|
| Date of Collection and Use Consent | Date |
Provide the date on which you acknowledge reading and understanding the terms related to the collection and use of your personal information.
|
| Previous Application File Number | ||
| Previous Application File Number | Text |
Please provide your last file number from a previous application for comparative evaluation. Fill only if 'Oui' is 'Yes'.
Depends on:
Oui
|
| Primary Studies Information | ||
| Diploma Title or Last Successful Year | Text |
Please provide the title of the diploma obtained or the last successful year of study.
|
| Training or Specialization Name | Text |
Please provide the name of the training program or specialization, if applicable.
|
| Institution Name | Text |
Please provide the full name of the educational institution you attended.
|
| Number of Successful Study Years | Text |
Please provide the number of successful years of study completed in this program.
|
| City | Text |
Please provide the city where the educational institution is located.
|
| Province or State | Text |
Please provide the province or state where the educational institution is located.
|
| Country or Territory | Text |
Please provide the country or territory where the educational institution is located.
|
| Other Particularities | Text |
Please provide any other relevant particularities about your studies, such as part-time, distance learning, exemptions, or additional diplomas.
|
| Start Date | Date |
Please provide the start date of your studies.
|
| End Date | Date |
Please provide the end date of your studies.
|
| Diploma Year of Obtention | Text |
Please provide the year you obtained your diploma, if applicable. Fill only if 'Diploma Title or Last Successful Year' indicates a diploma was obtained.
Depends on:
Diploma Title or Last Successful Year
|
| Renseignements sur votre identité | ||
| Nom(s) de famille | Text |
Please provide your last name(s) as registered on your identity document.
|
| Prénom(s) | Text |
Please provide your first name(s) as registered on your identity document.
|
| Date de naissance | Date |
Please provide your date of birth.
|
| Adresse courriel | Text |
Please provide your email address.
|
| Second Post-secondary Study | ||
| Second Study Diploma Title | Text |
Provide the title of the diploma obtained or the last successful year for your second post-secondary study.
|
| Second Study Training/Specialization Name | Text |
Provide the name of the training program or specialization for your second post-secondary study, if applicable.
|
| Second Study Institution Name | Text |
Provide the name of the educational institution attended for your second post-secondary study.
|
| Second Study Successful Years | Number |
Provide the number of successful years of study completed in this training program for your second post-secondary study.
|
| Second Study City | Text |
Provide the city where your second post-secondary study institution is located.
|
| Second Study Province/State | Text |
Provide the province or state where your second post-secondary study institution is located.
|
| Second Study Country/Territory | Text |
Provide the country or territory where your second post-secondary study institution is located.
|
| Second Study Particularities | Text |
Provide any other particularities regarding your second post-secondary study, such as part-time study, distance learning, exemptions, or obtaining multiple diplomas.
|
| Second Study Start Date | Date |
Provide the start date of your second post-secondary study.
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| Second Study End Date | Date |
Provide the end date of your second post-secondary study.
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| Second Study Diploma Year | Number |
Provide the year in which the diploma for your second post-secondary study was obtained, if applicable.
|
| Second Secondary Study | ||
| Second Secondary Study Start Date | Date |
Enter the start date of the second secondary study period, including the year and month.
|
| Second Secondary Study End Date | Date |
Enter the end date of the second secondary study period, including the year and month.
|
| Second Secondary Study Year of Diploma | Number |
Enter the year you obtained the diploma for the second secondary study, if applicable. Fill only if 'Degree Title' a diploma was obtained.
Depends on:
Degree Title
|
| Second Secondary Study Diploma Title | Text |
Enter the title of the diploma obtained or the last year successfully completed for the second secondary study.
|
| Second Secondary Study Training Name | Text |
Enter the name of the training or specialization for the second secondary study, if applicable.
|
| Second Secondary Study Institution Name | Text |
Enter the name of the educational institution you attended for the second secondary study.
|
| Second Secondary Study Years of Study | Number |
Enter the number of years of study successfully completed in the second secondary study training.
|
| Second Secondary Study City | Text |
Enter the city where the educational institution for the second secondary study is located.
|
| Second Secondary Study Province/State | Text |
Enter the province or state where the educational institution for the second secondary study is located.
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| Second Secondary Study Country/Territory | Text |
Enter the country or territory where the educational institution for the second secondary study is located.
|
| Second Secondary Study Other Details | Text |
Provide any other specific details about this second secondary study, such as part-time status, distance learning, or specific exemptions.
|
| Third Post-secondary Study | ||
| Degree Title | Text |
Please enter the title of the degree obtained or the last year successfully completed.
|
| Training or Specialization Name | Text |
Please enter the name of the training program or specialization, if applicable.
|
| Institution Name | Text |
Please enter the name of the educational institution attended.
|
| Years of Study | Text |
Please enter the number of years of successful study completed in this training program.
|
| City | Text |
Please enter the city where the educational institution is located.
|
| Province or State | Text |
Please enter the province or state where the educational institution is located.
|
| Country or Territory | Text |
Please enter the country or territory where the educational institution is located.
|
| Other Specific Details | Text |
Please provide any other specific details about this post-secondary study, such as part-time status, distance learning, exemptions, or additional degrees obtained.
|
| Study Start Date | Date |
Please enter the start date of the study period.
|
| Study End Date | Date |
Please enter the end date of the study period.
|
| Degree Obtention Year | Text |
Please enter the year the degree was obtained, if applicable.
|
| Third Study Period | ||
| Start Date | Date |
Please enter the start date of this study period, specifying the year and month.
|
| End Date | Date |
Please enter the end date of this study period, specifying the year and month.
|
| Diploma Year | Text |
Please enter the year when the diploma for this study period was obtained, if applicable. Fill only if 'Second Secondary Study Diploma Title' a diploma was obtained.
Depends on:
Second Secondary Study Diploma Title
|