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Complete
the following questionnaire for
free assessment of your Qualifications
for Canadian Permanent Residence.
Please make sure you provide us
with your valid email id. |
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About
Yourself |
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Full Name: |
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| Sex: |
Male
Female |
| Date
of Birth: |
Day Month Year
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| Place
Of Birth: |
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| Citizenship: |
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| Current
Mailing Address: |
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| E-mail:
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| Tel
/ Fax: |
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Marital
Status : |
(Never Married, Engaged, Married,
Widowed, Separated, Divorced/Annulled
Marriage) |
| Do
you or your spouse have relatives
in Canada
(Spouse, Partner, Parents, Grandparents,
Grandchildren, Brother, Sister,
Nephew, Niece, Uncle and Aunt)
If yes, please give details |
| Name
: |
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| Relationship
: |
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| Address
: |
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| Phone
: |
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| E-mail
: |
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Status
in Canada
(Citizen or Permanent Resident)
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| Please
indicate your ability to communicate
in English and French |
|
English
| Speak |
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| Read |
|
| Write |
|
| Understand |
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|
French
| Speak |
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| Read |
|
| Write |
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| Understand |
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Your Education
: |
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Education
Details : |
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Employment
details : |
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Have
you or your spouse ever completed
more than one year's full-time work
in Canada with an Employment Authorization?
If yes, please complete following
information: |
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Name
of Employer : |
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Address
: |
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Postal
Code : |
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Phone
No : |
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Occupation/Designation
: |
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Duration of
Employment : |
From:
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To:
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Have you or
your spouse ever completed a minimum
of two years of full time Post
Secondary study in Canada with
Student Authorization?
If yes, please complete following
information: |
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Name of Educational
Institute : |
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Address : |
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Postal Code
: |
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Phone No : |
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Name of the
course attended : |
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Duration of
Course : |
From:
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To:
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Do
you or your spouse have an Offer
of employment from a Canadian employer,
which would be effective upon your
arrival in Canada?
If yes, please complete following
information: |
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Name of Employer
: |
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Address : |
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Phone No : |
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Job/Designation
offered : |
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Do
you or your spouse have Arranged
Employment in Canada approved by
Human Resources Development Canada?
If yes, please complete following
information: |
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Name
of Employer : |
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Address
: |
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Postal
Code : |
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Phone
No : |
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Job/Designation
offered : |
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Your
current net worth (Assets
less liabilities).
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Please include all
Banks deposits, Property and other
assets.
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Your
current monthly income : |
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| Spouse
Details |
| Full
Name: |
|
| Sex: |
Male
Female |
| Date
of Birth: |
Day Month
Year |
| Place
Of Birth: |
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| Country
of Birth: |
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| Citizenship: |
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| Has
he/she been married more than once?
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| Education
: |
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| Education
Details : |
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| Employment
details : |
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Please indicate
your spouse's ability to communicate
in English and French |
|
English
| Speak |
|
| Read |
|
| Write |
|
| Understand |
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|
French
| Speak |
|
| Read |
|
| Write |
|
| Understand |
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| Provide
details of all your children - Provide
details of all your children |
| Full
Name : |
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| Son
/ Daughter : |
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| Date
of Birth : |
Day Month Year
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