Please carefully fill out the Immigration Assessment Form, and review it before submission


* fields are mandatory

1. FAMILY NAME AS IT APPEARS ON YOUR PASSPORT (in English and native language):

2. GIVEN NAME AS IT APPEARS ON YOUR PASSPORT (in English and native language):

3. IF YOU USED ANY OTHER NAMES (THIS COULD INCLUDE YOUR BIRTH NAME, MAIDEN NAME, MARRIED NAME, ETC.):

4. SEX: *

5. DATE OF BIRTH:

6. PLACE OF BIRTH:

7. CITIZENSHIP:

8. HOME POSTAL ADDRESS (IF YOU ARE IN CANADA, PLEASE TYPE CANADIAN ADDRESS:

9. CANADIAN PHONE NUMBER:

10. YOUR CURRENT MARITAL STATUS [SINGLE\ MARRIED\ DIVORCED\ WIDOWED] (Please provide information about all previous marriages):

IF YOU ARE MARRIED

FAMILY NAME AND GIVEN NAME OF YOUR CURRENT SPOUSE:

DATE (YEAR, MONTH AND DAY) YOU WERE MARRIED:

IF YOU ARE DIVORCED

FAMILY NAME AND GIVEN NAME OF YOUR PREVIOUS SPOUSE:

DATES (FROM – TO) FOR WHICH YOU WERE IN THE RELATIONSHIP WITH YOUR PREVIOUS SPOUSE:

11.COUNTRY OF RESIDENCE:

12. EDUCATION DETAILS (LIST ALL EDUCATIONAL INSTITUTIONS YOU ATTENDED INCLUDING HIGH SCHOOL, SECONDARY AND POST-SECONDARY EDUCATION:

DATES:

FROM (MONTH/YEAR)

TO (MONTH/YEAR)

INSTITUTION NAME AND INSTITUTION TYPE [UNIVERSITY\COLLEGE\SCHOOL]

INSTITUTION LOCATION (CITY AND COUNTRY)

13. IF APPLICABLE, PROVIDE DETAILS ABOUT YOUR PROFESSIONAL ACTIVITY/OCCUPATION (for the past 10 years):

DATES:

FROM (MONTH/YEAR)

TO (MONTH/YEAR)

COMPANY NAME (LOCATION - CITY AND COUNTRY)

ACTIVITY\OCUPATION (INDICATE YOUR OFFICIAL TITLES)

14. OFFICIAL LANGUAGES KNOWLEDGE:

YOU

SPOUSE

15. DO YOU HAVE RELATIVES WHO ARE CITIZENS OR PERMANENT RESIDENTS OF CANADA? (mother, father, sister, brother, children only):

YOU *

SPOUSE*

16. BUSINESS:

DO YOU HAVE ANY EXPERIENCE OF DOING BUSINESS, IF YES, WHAT KIND OF BUSINESS, HOW MANY PEOPLE WORK IN IT

WHAT ARE YOUR FINANCIAL ASSETS (AMOUNT) FOR MOVING TO CANADA, OPENING A BUSINESS?

SPOUSE INFORMATION

1. FAMILY NAME AS IT APPEARS ON YOUR PASSPORT (in English and native language):

2. GIVEN NAME AS IT APPEARS ON YOUR PASSPORT (in English and native language):

3. IF YOU USED ANY OTHER NAMES (THIS COULD INCLUDE YOUR BIRTH NAME, MAIDEN NAME, MARRIED NAME, ETC.):

4. SEX: *

5. DATE OF BIRTH:

6. PLACE OF BIRTH:

7. CITIZENSHIP:

8. EDUCATION DETAILS (LIST ALL EDUCATIONAL INSTITUTIONS YOU ATTENDED INCLUDING HIGH SCHOOL, SECONDARY AND POST-SECONDARY EDUCATION:

DATES:

FROM (MONTH/YEAR)

TO (MONTH/YEAR)

INSTITUTION NAME AND INSTITUTION TYPE [UNIVERSITY\COLLEGE\SCHOOL]

INSTITUTION LOCATION (CITY AND COUNTRY)

9. IF APPLICABLE, PROVIDE DETAILS ABOUT YOUR PROFESSIONAL ACTIVITY/OCCUPATION (for the past 10 years):

DATES:

FROM (MONTH/YEAR)

TO (MONTH/YEAR)

COMPANY NAME (LOCATION - CITY AND COUNTRY)

ACTIVITY\OCUPATION (INDICATE YOUR OFFICIAL TITLES)

Please provide us with any additional information that may be useful for your assessment.

At what stage of decision making are you?

When do you plan to start your application?