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Contact Us
Head Office
2495 Haines Road, Suite-104 Mississauga, Ontario, L4Y 1Y7 Canada
Phone +1-416-930-2786
Fax +1-905-364-4336
Email Us info@migrationscanada.com
Branch Office
308 Wani Manzil, Lambert Lane, Residency Road, Srinagar, Kashmir, India -190001.
Phone 194-2477-599
Fax 9596-412-412
Email Us Kashmir@migrationscanada.
com
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MSc Canada Migration Canada Skilled Assessment Form
 
Personal Information
* Full Name : Last Name : First Name : Middle Name :
Address : Street : City :
State : Country : Postal Code :
 
Day : Month: Year: Sex :
City : State : Country :
Passport Number : Passport Issued On : Passport Will Expire On :
 
Marital Status  
 Never Married  Engaged  Married
 Widowed  Seperated  Divorced
Living with same sex-partner for more than a year
Living with common-law partner for more than one year
 
If you are married or engaged please provide details of spouse
Day : Month : Year : Sex :
City : State : Country :
Passport Number : Passport Issued On : Passport Will Expire On :
Day : Month : Year : Place :
 
Primary School 1 year University credential One year
High School 2 year University credential Two year
3 year University credential Three year
2 Bachelor’s degrees
Masters & PhD
How many years of school has spouse completed :
 
Full Name Date of Birth Son Daughter
  Total number of Children below 22 years of Age :  
  Total number of Children above 22 years of Age :  
 
Do you or your spouse have relatives living in Canada? Yes  No
Name : Relationship : Status in Canada :
 
Period
Name & Address of Institutions : Courses : Degree / Diploma / Certificate Issued:
From :
To :
  Total Years of school successfully completed :
 
 
Date
Name & Address of Employer: City & Country: Job Designation:
From :
To :
List duties & responsibilities of each position at previous employment since last 10 years:
Please attach a separate sheet giving a detailed description of the job responsibilities performed by you on a day to day basis:

How many years of work experience do you have in the last 10 years?

0 1 2 3 4 & Up

 
  Preparation for PNP program
  In Which province are you interested in settling down?
  Alberta Saskatchewan Newfoundland Quebec
  Nova Scotia New Brunswick Yukon Nunavut
  British Columbia Manitoba Ontario Northwest Territories
  Prince Edward Island Not Sure    
 
Do you have the ability to become economically established in a particular province? Yes No
Do you have the right Occupational skills that would fill critical labor shortages in a Particular province? Yes No
Do you have the training, work experience and language ability to be employed in a Particular province? Yes No
Have you initiated contact with an employer in search of a job in a particular province, as negotiating an “Offer of Employment” is an applicant’s responsibility? Yes No
Do you want us to obtain “Letter of Employment” based on your occupation if it meets labor shortages in any of the provinces? Yes No
Do you have a guaranteed permanent job offer from an employer in any of the provinces? Yes No
 
  If yes which province?
  Alberta Saskatchewan Newfoundland Quebec
  Nova Scotia New Brunswick Yukon Nunavut
  British Columbia Manitoba Ontario Northwest Territories
  Prince Edward Island Not Sure    
 
  If yes give Employer’s details
: Street : City : Province :
Phone : Fax : Email :
Job Title :
Attach description & required qualifications :
Technical training College University
 
Do you have the occupational skills that falls into the National Occupational Classification Matrix (www23.hrdc-drhc.gc.ca) level “O”, “A” or “B” or an equivalent apprenticeship –able trade? Yes No
Do you have the appropriate Licensing or accreditation needed to work in your occupation of any province in Canada? Yes No
As an applicant to this program, will you make a commitment and sign a declaration stating your intention to live, work and settle permanently in any particular province? Yes No
 
 
Please indicate your ability to communicate in English and French by checking the appropriate column
  Mention [Yes] where applicable:
English Fluently: Well: With Difficulty: Not at all:
Speak
Read
Write
Understand
 
French Fluently: Well: With Difficulty: Not at all:
Speak
Read
Write
Understand
 
Have you or could you pass a formal English/French Language Test?
  English : French :
 
 
Do you hold a work permit for Canada? Yes    No
Do you have a job offer or potential job offer from a Canadian employer? Yes    No
Have you or your spouse, common law partner or same sex partner ever worked in Canada for one full year? Yes    No
Have you or your spouse, common law partner or same sex partner ever studied in Canada for more than two years? Yes    No
Do you or your spouse, common law partner or same sex partner have a valid offer of employment in Canada upon your arrival? Yes    No
Do you have a spouse, common law partner or same sex partner who is a Canadian Citizen or Permanent Resident? Yes    No
Do you or your spouse, common law partner or same sex partner have any close family relationships in Canada? Yes    No
  If you have answered 'Yes' to any of the above questions, please provide details below :
 
Business Information
Have you ever owned and operated your own business? Yes No
If yes, email a complete business profile of your company to info@canadianvisapermit.com

Details of business activities should include: Type of Business, your role, duties and responsibilities within the business.

 
Do you have the financial resources to adequately settle yourself in Canada? Yes    No
Bank:   Property: Assets: Other:     Total:    
  If others give details here :
Cash (in Cad$): Property(in Cad$):
 
  Prior Application To Canada
  Have you ever visited Canada? Yes No
Where : When : Purpose :
  Have you ever studied in Canada? Yes No
Name of Institution : Course of study : Date :
  Have you ever worked in Canada? Yes No
Name of Employer : Occupation : Date :
Have you ever been refused a visa? Yes   No
Briefly explain your interest in immigrating to Canada?
Any other information you believe that is relevant to this assessment?
How did you come to know about our Immigration Consultancy firm? Mention [Yes] where applicable:
Referrel Friend Seminar
Newspaper Internet Other
Resume (Optional)
 
 
I agree that the information furnished by me in the above form is true and correct, to the best of my knowledge, and given for the sole purpose of my FREE assessment regarding Immigration to Canada under any of the PNP Programs offered by various provinces.    Yes     No
Date :
Place :
Thank You! Information provided to our firm is strictly Private & Confidential.
 
  
 
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