FREE ASSESSMENT - Immigration

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Free Assessment

Free Assessment

Your full name (as shown in your passport or travel document)

Family name

Given name(s)

Your SexMaleFemale

Your date of birth

Your place of birth

Country

Town/City

Your native language

Your country of residence

Your country of citizenship

If your native language is not English or French, which language do you use most frequently?EnglishFrenchNeither

Colour of your eyes

Your current marital statusNever marriedMarriedWidowedLegally separatedAnnulled marriageDivorcedCommon-law

If you are married or in a common-law relationship, provide the date on which you were married or entered into the common-law relationship

Have you previously been married or in a common-law relationship?YesNoGive the following details for each previous spouse or partner. If you do not have enough space, provide details on a separate sheet of paper

Date of birth

Name of previous spouse or partner

Type of relationshipMarriageCommon-law union

From

to

Your knowledge of English and French

Can you communicate in English?YesNo

Can you communicate in French?YesNo

Education

How many years of formal education do you have?

What is your highest level of completed education?No secondaryBachelor's degreeSecondaryMaster's degreeTrade/ApprenticeshipPh DNon-university certificate/diploma

Your current occupation

Your mailing address (include city and country)

Your residential address, if different from your mailing address

Your telephone numbers

At home

Number

Area code

Country code

Alternative

Number

Area code

Country code

Your e-mail address, if applicableBy indicating your e-mail address, you are hereby authorizing Citizenship and Immigration Canada to transmit your file and personal information to this specific e-mail address.

Details from your passpor

Country of issue

Passport number

Date of expiry

Your identity card number, if applicable

Where do you intend to live in Canada?

Province/Territory

City/Town

SPOUSE/COMMON-LAW PARTNER

Child 1

Child 2

Family name

Given name(s)

Sex

MaleFemale

MaleFemale

MaleFemale

Date of birth

Place of birth Town/City

Town/City

Country

Country of citizenship

Current country of residence

Other countries with resident status

Marital status (use one of the categories in question 9)

Relationship to you

Will accompany you to Canada

YesNo

YesNo

YesNo

Passport details

Passport number

Country of issue

Date of expiry

Identity card number

Native language

If your native language is not English or French, which language do you use most frequently?

EnglishFrenchNeither

EnglishFrenchNeither

EnglishFrenchNeither

Knowledge of English and French

Can communicate in English

YesNo

YesNo

YesNo

Can communicate in French

YesNo

YesNo

YesNo

Education

Total number of years of formal education

Level of education

Current occupation

Height

Colour of eyes

Child 3

Child 4

Child 5

Family name

Given name(s)

Sex

MaleFemale

MaleFemale

MaleFemale

Date of birth

Date

Date

Date

Place of birth

Town/City

Country

Country of citizenship

Current country of residence

Other countries with resident status

Marital status (use one of the categories in question 9)

Relationship to you

Will accompany you to Canada

YesNo

YesNo

YesNo

Passport details

Passport number

Country of issue

Date of expiry

Identity card number

Native language

If your native language is not English or French, which language do you use most frequently?

EnglishFrenchNeithe

EnglishFrenchNeithe

EnglishFrenchNeithe

Knowledge of English and French

Can communicate in English

YesNo

YesNo

YesNo

Can communicate in French

YesNo

YesNo

YesNo

Education

Total number of years of formal education

Level of education

Current occupation

Height

Colour of eyes

B1. Personal details of your father

Family name

Given name(s)

Date of birth

Date of death, if deceased

Town/City of birth

Country of birth

B2. Personal details of your mother

Family name

Given name(s)

Date of birth

Date of death, if deceased

Town/City of birth

B3. Personal details of your brothers and sisters (Including half - and step-brothers and sisters)Family name 1 st line/Given name 2nd line

Name

Relationship

Date of birth

Place of birth

Marital status

Present address

B4. Have any of your family members listed in your application for permanent residence in Canada, ever:

been convicted of, or are you currently charged with, on trial for, or party to a crime or offence, or subject of any criminal proceedings in any country?YesNo

previously sought refugee status in Canada or applied for a Canadian immigrant or permanent resident visa or visitor or temporary resident visa?YesNo

been refused refugee status in, or an immigrant or permanent resident visa or visitor or temporary resident visa to, Canada or any other country, or have been refused a Certificat de sélection du Québec (CSQ) to Quebec?YesNo

been refused admission to, or ordered to leave, Canada or any other country?YesNo

been involved in an act of genocide, a war crime or in the commission of a crime against humanity?YesNo

used, planned or advocated the use of armed struggle or violence to reach political, religious or social objectives?YesNo

been associated with a group that used, uses, advocated or advocates the use of armed struggle or violence to reach political, religious or social objectives?YesNo

been member of an organization that is or was engaged in an activity that is part of a pattern of criminal activity?YesNo

been detained or put in jail?YesNo

had any serious disease or physical or mental disorder?YesNo

C1. Do you have an offer of employment in Canada approved by Human Resources Development Canada?NoYes

C2. Are you currently working in Canada under a work permit?NoYes

C2. Are you currently working in Canada under a work permit?NoYes

C3. LanguageEnglishFrench

Your proficiency in English

Speak

HighModerateBasicNone

Listen

HighModerateBasicNone

Read

HighModerateBasicNone

Write

HighModerateBasicNone

Your proficiency in French

Speak

HighModerateBasicNone

Listen

HighModerateBasicNone

Read

HighModerateBasicNone

Write

HighModerateBasicNone

C4. Language (continued)Yes ( Provide a copy of approved test results. )No ( Provide evidence of your proficiency in Canada's official languages. )Have you taken an approved test to assess your proficiency in English or French?

C5. Study in CanadaNoYesYouYour spouse or common-law partnerHave you or, if applicable, your accompanying spouse or common-law partner, previously completed a program of full-time study of at least two years at a post-secondary institution in Canada?

C6. Study in CanadaNoYesYouYour spouse or common-law partnerHave you or, if applicable, your accompanying spouse or common-law partner, previously worked full-time in Canada?

C7. Do you or, if applicable, your accompanying spouse or common-law partner, have a relative living in Canada who is a citizen or a permanent resident of Canada?NoYesYouYour spouse or common-law partner

Relationship

Mother or fatherGrandmother or grandfatherDaughter or sonGranddaughter or grandsonSister or brotherAunt or uncleNiece or nephewSpouse or common-law partner

C8. Funds

CAD

Amount of unencumbered transferable and available funds you have, in Canadian dollars

E1. EducationGive the number of years of school you successfully completed for each of the following levels of education.

Elementary/ primary school

University/ college

Elementary/ primary school

Trade school or other post secondary school

Give full details of all the secondary and post secondary education (including university, college and apprenticeship training) you have had.

From

To

Name of institution

City and country

Type of certificate or diploma issued

Field of study

E2. Personal historyProvide the details of your personal history since 10 years ago. Start with the most recent information. Under "Activity", write your occupation or job title if you were working. If you were not working, provide information on what you were doing (for example: unemployed, studying, travelling, in detention, etc.). Note: Please ensure that you do not leave any gaps in time.

From

To

Activity

City or town and country

Name of company, employer, school, facility, as applicable

E3. Membership or association with organizationsWhat organizations have you supported, been a member of or been associated with? Include any political, social, youth or student organization, trade unions and professional associations. Do not use abbreviations. Indicate the city and country where you were a member. Write "NONE" in the box if you have not been a member of any association/organization.

From

To

Name of organization

Type of organization

Activities and/or positions held within organization

City and country

E4. Government positionsList any government positions (such as civil servant, judge, police officer) you have held. Do not use abbreviations. Write "NONE" in the box if you have not held any government position

From

To

Country and level of jurisdiction (e.g. national, regional, municipal)

Department/Branch

Activities and/or positions held

E5. Military serviceProvide below details of military service for each of the countries in whose armed forces you served. Write "NONE" in the box if you have not undertaken military service.

Name of country

From

To

Rank(s)

Dates and places of any active combat

Branch of service, unit numbers and names of your commanding officers

Name of country

From

To

Rank(s)

Dates and places of any active combat

Branch of service, unit numbers and names of your commanding officers

E6. AddressesList all addresses where you have lived since 10 years ago. Do not use P.O. box addresses

From

To

Street and number

City or town

Province, State or District

Country

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Email

allaboardimmigration@gmail.com

Phone

778-316-2000

Office Hours

Tuesday-Saturday 9-5:30pm

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