Get in touch

Address

Find us:

Ralf Muller Canada Secretariat programs/Resettlement team

367 ARTHUR SAUVE,

ST EUSTACHE, J7P2B1, QC, CA

Opening Hours

Mon - Fri: 8am - 8pm
Saturday: 9am - 7pm
Sunday: 9am - 8pm

Registration Office

ralfmulleragency@gmail.com

Phone: +1(418)800-9128

Applicant Registration Case Narrative Form

RECRALF-2026- 2031

1. First name

Last name

2. Individual ID

3. Birthday

Month

Day

Year

4. Nationality

5. Country of Birth

6. ID Issuance Date:

7. ID Expiry Date:

8. Marital Status

Signature

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9. Dependents:

How many Children/ dependents do you have? List all in the group below:

Refugee ID Number:

Country of Birth

CHILDREN/WIFE ID NUMBERS:

WIFE'S NAME, ID COUNTRY OF BIRTH

Date of Birth:

Month

Day

Year

10. Event (1) Please describe how the event affected you personally and what led to you fearing for your safety.

11. Actions taken against you (You should include any actions taken against you, your family members, or any others in a similar situation .) (Specify the date(Month/Year) the event(s) occurred).

12. Event (2) Please describe how the event affected you personally and what led you fearing for your safety.

13. Actions taken against you (Specify the date(month/year) the event(s) occurred).

14. Event (3) Please describe how the event affected you personally and what led to you fearing for your safety.

Actions taken against you (Specify the date(month/year) the event(s) occurred).

15. Chronological order (Please describe in chronological order when exactly you and your family members left your home and what route you took.)

16. Escape

When did you leave your country of Origin and reached the camp? State the Date if you remember any?

Month

Day

Year

17. Mode of Transportation

Date and time of travel

Month

Day

Year

Time

HoursMinutes

How you paid for your travel?

18. Did you leave together? Please explain.

1. If yes, how many people 2. If no, why you did not travel together.

Did someone plan your travel? Did someone pay for your travel and how much he or she paid?

Where you able to return to your home country? If not, why?

Since arriving in that camp, have you returned to your country of origin, even briefly? If yes, how many times and under what circumstances?

19. Business/ Property/ Employment

Do you maintain a property, a business, or are you currently employed in your country of origin?

20. Human Rights Where you are living now with your family, do you have the right to work, go to school, or move freely? Are you able to avail yourself of these rights?

21. Place of residence: Are you residing in a refugee camp or in an urban area? Please explain.

22. Financial Support: Since arriving in the country where you currently live, how have you supported yourself and (if applicable) your family?

If you're under the office of prime minister(OPM), how much do you get per month?

Phone

Where would you like to travel?

Date of Travelling

Month

Day

Year

23. Fees/ Payments

How to make your payments? If you are a refugee in Uganda, go to the bank to make your payments after completing this form. Bank: United Bank of Africa Ltd Account Name: Ralf Muller Agency Account Number: 1453001415

In order to get in touch with you regarding our programs and services, Ralf Muller Agency needs the contact details you give us.