St. Luke's Medical Center

Online Registration for Canada Visa Applicants


Upon arrival at SLEC, applicants will still be accommodated on a first-come first-served basis. This online registration form aims to reduce registration time by having most of the applicant's information ready upon arrival at the registration area. Pre-registered applicants should only need to have their biometrics captured upon arrival at the reception area.



INSTRUCTIONS:

  1. You must have your received your Medical Examination Instruction Letter from the Canadian Embassy before proceeding to the Medical Examination.
  2. Answer all applicable fields. For items that do not apply, please type 'N/A'.
  3. Once all fields have been filled out, Click on the 'Preview' button. The next step will display a preview of all data entered.
  4. Review data for errors. Use the form to correct them as needed, click 'Preview', to preview data to be submitted.
  5. If all data are correct, click on the 'Register' button to submit your registration.

   No
  • Name of Clinic and Year of Visa Medical Examination

  • Category Applied for
   Yes - Please select your preferred St. Luke's Extension Clinic location:
    



Applicant's Details

  1. Family Name

    Given Name

    Middle Name

    ALIAS/A.K.A. Name on Passport, if any








  2.  (mm/dd/yyyy format)

  3.   Male          Female

Contact Information




  1. House No./Street

    City

    Province                                Postal Code

Passport Information







  1.  (mm/dd/yyyy format)

Visa Application Information






  1. House No./Street

    State and Zip Code