| 1. Personal Info: |
| Name: |
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| Email: |
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| Age of Self: |
Date of Birth of Self:
Day:
Month: Year:
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| Sex: |
Male
Female |
| Details of children, if applicable, that you wish to accompany you to Canada, including
date of birth: |
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| If applicable:* |
Age of Spouse: Date of Birth of Spouse:
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| (*spouse defined as married partner or living with comon law partner or same sex partner
for more than one year.) |
| Is your spouse a Canadian citizen or permanent resident:
Yes
No |
Where do you or your spouse intend on residing in
Canada:
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| 2. Education
and Employment Info |
Post the resume/cv of self and spouse (if applicable)
and provide information on all educational levels achieved starting with high school and
include trade certificates or diplomas achieved and the length of study. Work experience
over the past 10 years, including job title and details of job duties as well as dates.
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No of years full time or full-time equivalent studies
for yourself:
(from the age of 6 -primary school through to university or equivalent including
apprenticeship as part of a course) |
No of years full time or full-time equivalent studies
for your spouse (if applicable):
(from the age of 6 -primary school through to university or equivalent including
apprenticeship as part of a course) |
Do you hold a work visa to Canada?
Yes
No
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| 3. Language
proficiency |
| High: |
Very good command of the language in a range of social and work situations, and no
difficulty communicating in a professional capacity. |
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Moderate |
Can communicate reasonably well about personal and familiar things. |
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Basic |
Command of just a few basic words. |
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| Your Language Proficiency in English & French: |
| English |
|
French |
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| Read: |
|
Read: |
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| Write: |
|
Write: |
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| Speak: |
|
Speak: |
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| Listen: |
|
Listen: |
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For Your Spouse, if applicable: |
| English |
|
French |
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| Read: |
|
Read: |
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| Write: |
|
Write: |
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| Speak: |
|
Speak: |
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| Listen: |
|
Listen: |
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| 4. Family in Canada |
Do you or your spouse have family in Canada, please provide details and of location of
relatives?
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| 5. Financial Info |
How much money can you bring into Canada, an amount of $25,000.00 is recommended?
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| 6. Other |
Please provide information here on prior permanent residency applications, whether there are any known medical or criminal issues and whether there are any other pertinent
information that should be noted:
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| How did your hear of this website: |
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| 7. Business Immigration |
| *Net worth of self and spouse (if applicable): |
| |
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(*Net worth defined as the fair market value of all of the assets of the applicant and
their spouse minus the fair market value of all of their liabilities.)
Paste details here of business ownership and experience in the last 5 years or management
experience of more than 5 persons, in respect to business ownership and experience, also
include information in each individual year over last five years as to the percentage of
your ownership in the business, no. of full time employees or equivalent in the business,
total sales of the business, net income of the business as well as any visits to Canada
to explore business opportunities |
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Provide Entrepreneur/Investor information
if you have experience owning and operating a business or management experience.
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Repeat net worth:
In at least 2 years over the past five years have you ever been self employed as a musician, artist, in other cultural activities or in athletics or participated at a world
class level in cultural activities or athletics or have had farm management experience,
please provide details?
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| 8. Payment
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| Provide Visa/Master Card info as below, such amount
will be processed when your assessment is completed. |
| Name of Person on Card: |
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| Credit Card Type: |
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| Credit Card No: |
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| Credit Card Expiry Date: |
Month: Year: |
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