Canada Immigration Ltd

In order to evaluate your chances of successfully immigrating to Canada
we would like to ask you to complete the following questionnaire:

Online-Questionnaire

Family Name:First Name:     

Date/Place of Birth:Country:

Citizenship:    Marital Status:

Number of accompanying children:

Address:                               

Education: (Number of years successfully completed)

  Elementary school:           University/College:                     

  Secondary/High school:    Formal Apprenticeship/Training:

                      Total years of formal education:

Details Education:

Dates (from to)  Name of Institution  City/Country   Certificate/ Diploma                                                                             

Present Occupation:                 

Years of experience:                

Intended occupation in Canada:               

Intended year of immigration:       

Province, city in Canada:          

Relatives in Canada:                           

Relationship:                              

Net worth in CDN $:                  

Details Work History:

Dates (from to)   Name of Employer  City/Country  Occupation                                                                         

Languages:

English:

speak:

understand:

read:

write:

 

French:      

speak:

  

understand:

read:

write:

 

Spouses or Common-law Partnerīs Education:
(Number of years successfully completed)

  Elementary school:           University/College:                     

  Secondary/High school:    Formal Apprenticeship/Training:

                      Total years of formal education:

Have you, your spouse or common-law partner studied or worked in Canada
- if yes, please give details:

Do you or your partner have arranged employment in Canada:

Has this employment been approved by the authorities:

Self-employed, Entrepreneur, Investor:

Self-employed experience:

 

Intended self employed Occupation/Venture in Canada:

 

On receipt of the completed questionnaire we will be in the position to evaluate your chances of immigrating to Canada - provided information will be of course treated confidential.

Notification of evaluation per:

E-Mail:

    


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