Contact Information
WELFARE SERVICE REQUEST FORM
Disclaimers:
*THIS SERVICE EXCLUDES ASYLUM SEEKERS AS NCANB DOES NOT SUPPORT SUCH SERVICE REQUEST.
*NCANB DOES NOT PROVIDE FREE ACCOMODATION OR FREE AIR BNB. WE ONLY ASSIST YOU IN SEEKING SUCH SERVICES.
The Nigerian-Canadian Association of New Brunswick (NCANB)
Name of Applicant *
Number of Dependents Travelling to Canada  *
Name of Accompanying Dependent (Spouse) *
Name and Age of Accompanying Children  *
Email *
Address *
Phone number (WhatApp Nunmer)
Airport of Arrival
Expected Number of Luggage
Date of Arrival *
MM
/
DD
/
YYYY
Type of VISA *
Type of VISA *
If Others, kindly specify.
Emergency Contact Name, Location, Mobile Number and Email
Type of Support requested *
Type of Support requested
If Others, kindly specify here..
Type of Accommodation requested
Type of Accommodation requested
If Others, kindly specify here..
Duration of Accommodation requested
Counselling or Mentoring Required *
Preferred Contact Method
Any Other Special Need or Request
Known Contact In New Brunswick(Name and Phone Number) if applicable.
Applicant's City of Intended Residency *
Applicant's City of Intended Residency
If Others, kindly specify here..
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