Membership Payment Report

CANADIAN IMMIGRATION FINANCIAL ASSISTANCE

The program

Requirements

My profile

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*Payment Confirmation number

PayPal: Your unique transaction ID number provided by PayPal.

Plimus: Your unique Plimus payment reference number.

Google Checkout: Your Google order number provided by Google.

Graph card: Transaction ID number provided by Graph Card.

Western union: MTCN number provided by Western Union.

MoneyGram: Your reference number provided by MoneyGram.

Bank draft: Bank draft number.

Money Order: Money order number.

Certified Check: Certified check number.

Bank to Bank: Wire transfer transaction number provided by your bank.

CIFA Applicants Full Name*:

Payment Date:

Payment Method:

Payment Confirmation number*:

Payment Amount in Canadian*:

Email used for payment*:

CIFA Reference Number*:

Telephone number used for Payment*:

Country where payment was made from:

Secret Question (if any) for Western Union and Moneygram users only:

Note or special instructions:

Name of person who paid (must enter full name)*:

Secret Answer (if any) for Western Union and Moneygram users only:

*****IMPORTANT NOTICE*****

PLEASE VERIFY THAT ALL THE INFORMATION THAT YOU SUBMIT TO US IS VALID AND ACCURATE

REPORTING ANY MISLEADING INFORMATION WILL CAUSE YOUR ACCOUNT TO BE TERMINATED