| Personal Information |
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Last Name : |
First Name : |
Middle Name : |
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House No : |
Street : |
City : |
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Country : |
Postal Code : |
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| Personal Information |
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Year: |
Month: |
Day : |
Sex : |
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City : |
State : |
Country : |
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Passport Number : |
Passport Issued On : |
Passport Will Expire On : |
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| Marital Status |
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Never Married |
Engaged |
Married |
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Widowed |
Seperated |
Divorced |
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Living with same sex-partner for more than a year |
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Living with common-law partner for more than one year |
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If you are married or engaged please provide details of spouse |
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Day : |
Month : |
Year : |
Sex : |
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City : |
State : |
Country : |
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Passport Number : |
Passport Issued On : |
Passport Will Expire On : |
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Day : |
Month : |
Year : |
Place : |
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Primary School |
1 year University credential |
One year |
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High School |
2 year University credential |
Two year |
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3 year University credential |
Three year |
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2 Bachelor’s degrees |
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Masters & PhD |
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How many years of education did your spouse completed?
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Full Name |
Date of Birth |
Son |
Daughter |
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Total number of Children below 22 years of Age :
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Total number of Children above 22 years of Age :
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| Do you or your spouse have relatives living in Canada? |
Yes
No |
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Name : |
Relationship : |
Status in Canada : |
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Period |
Name & Address of Institutions : |
Courses : |
Degree / Diploma / Certificate Issued: |
From : |
To : |
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Total Years of school successfully completed :
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Date |
Name & Address of Employer: |
City & Country: |
Job Designation: |
From : |
To : |
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List duties & responsibilities of each position at previous employment since last 10 years:
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Please attach a separate sheet giving a detailed description of the job responsibilities performed by you on a day to day basis:
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How many years of work experience do you have in the last 10 years?
0
1
2
3
4 & Up |
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Please indicate your ability to communicate in English and French by checking the appropriate column |
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Mention [Yes] where applicable: |
| English |
Fluently: |
Well: |
With Difficulty: |
Not at all: |
Speak
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Read
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Write
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Understand
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| French |
Fluently: |
Well: |
With Difficulty: |
Not at all: |
Speak
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Read
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Write
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Understand
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Have you or could you pass a formal English/French Language Test? |
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English : |
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French : |
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| Are you willing to invest or start a business in Canada? |
Yes
No |
| Have you in the last 5 years ever made a trip to Canada to explore business opportunities? |
Yes
No |
| Do you have a personal net worth of at least $300,000 - $800,000 Cad$? |
Yes
No |
| Have you ever managed more than 5 people? If yes, describe briefly? |
Yes
No |
| Have you actively managed this business? |
Yes
No |
| Have you ever been self-employed as a musician or artist, or in other cultural activities? |
Yes
No |
| Have you ever owned or managed a farm? |
Yes
No |
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| Company Details : |
If you have owned a company in the last 5 years? If yes, email a complete business profile of your company to info@migrationcanada.com |
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| Have you ever owned and operated your own business in the past 5 years? |
Yes
No |
| What percentage of the company did you own? |
% |
| How many people have you employed? |
People |
| Has your company had gross sales of more than $500,000 Cad$ per year in at least 2 of the last 5 years? |
Yes
No |
| Has your company had net income of more than $50,000 Cad$ per year in at least 2 of the last 5 years? |
Yes
No |
| Has your company had net equity of more than $125,000 Cad$ per year in at least 2 of the last 5 years? |
Yes
No |
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If you have answered 'Yes' to any of the above questions, please provide details below :
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If you have answered No to questions (4) and (8) above, you do not qualify under the Investor or Entrepreneur categories and will not receive an assessment from us. We suggest that you complete the Independent Free Assessment form. |
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Details of business activities should include: Type of Business, your role, duties and responsibilities within the business.
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| Turnover & Net Profit over the last 3 years : |
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| Do you have the financial resources to adequately settle yourself in a Particular province? |
Yes
No |
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Bank : |
Property : |
Assets : |
Other: |
Total: |
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If others give details here : |
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The Value of all your assets : $
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Funds available to be transferred to Canada : $
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Cash (in Cad$):
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Property(in Cad$):
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Prior Application To Canada |
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Have you ever visited Canada?
Yes
No
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Where : |
When : |
Purpose : |
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Have you ever studied in Canada?
Yes
No |
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Name of Institution : |
Course of study : |
Date : |
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Have you ever worked in Canada?
Yes
No |
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Name of Employer : |
Occupation : |
Date : |
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Have you ever been refused a visa?
Yes
No |
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Briefly explain your interest in immigrating to Canada?
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What types of Business activity are you interested in Canada?
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Any other relevant information that may support your Business application :
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How did you come to know about our Immigration Consultancy firm? |
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Referrel |
Friend |
Seminar |
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Newspaper |
Internet |
Other |
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| 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.
Yes
No |
| Date : |
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| Place : |
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| Thank You! |
Information provided to our firm is strictly Private & Confidential. |
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