Education (Maximum 25 points)



INITIAL QUESTIONNAIRE

|First name, middle name(s) | |

|Last name | |

|Gender |M |F |

| | | |

|Date of birth | |

|Marital status. If married or in a common-law relationship, your spouse is required to fill this application as well. | |

|Number of children and their ages (if 18 years of age, they need to fill out this questionnaire) | |

|Telephone number | |

|Your email address | |

|Your citizenship (s) | |

|Your residential address (city and country) | |

|Your legal status in the country of residence (please provide the date of your initial arrival, types of visas, dates of| |

|documented and undocumented periods of stay, if applicable) | |

|Your highest education achieved (High School Certificate, College Diploma, Bachelor’s or Master’s degree, PhD) | |

| | |

|From |To |Name of Institution |City & country |Certificate, diploma or degree |

| | |(start with the most recent | |issued, field of study and major |

| | |education) | |(as it is indicated in your |

| | | | |diploma) |

|M |Y |M |Y | | | |

| | | | | | | |

| | | | | | | |

| | | | | | | |

|Your work experience only during the last 10 years (title, duties and responsibilities you have been discharging at every job). An applicant is |

|accountable for every day of his life since 18 years of age (if you were unemployed or travelling, please indicate so, as no time gaps are permitted). |

|From |To |Title, duties and responsibilities |City, country |Name of employer |

|M |D |Y |M |D |Y | |

| |

| |High |Moderate |Basic |None |

|Speak | | | | |

|Listen | | | | |

|Read | | | | |

|Write | | | | |

| | | | | |

|Knowledge of French |

| |High |Moderate |Basic |None |

|Speak | | | | |

|Listen | | | | |

|Read | | | | |

|Write | | | | |

| |

| |Yes |No |

|Have you ever remained beyond the validity of your status, attended school or worked without | | |

|authorization in Canada or any other country? If “yes”, please provide details. | | |

|Have you ever been refused any kind of visa, admission, or been ordered to leave Canada or any other | | |

|country? If “yes”, please provide details. | | |

|Have you legally worked in Canada for one year or longer? If so, how long? | | |

|Have you legally studied in Canada for one year since you were 17 years of age? | | |

|Have you ever committed an offence or have been charged with an offence in any country? | | |

|Have you ever submitted an application for immigration to Canada in the past? If yes, please provide | | |

|details. | | |

|Do you have mandatory unencumbered settlement funds (Canadian currency)? | | |

|1 family member |2 family members |3 family members |

|If so, what is their status in Canada? | | |

|Do you have friends in Canada? If so, please indicate their city of residence. | |

|Any other information that you think might be of assistance? | |

|How did you hear about us? | |

Please accurately answer ALL the questions, as it will assist us to better assess your eligibility.

Please note that this questionnaire is not a legal document and is prepared solely for evaluation and for choosing the best possible option in obtaining Permanent Resident in Canada. Any communication with our office is confidential. Please complete this form, save it on your computer and email it to info@canimmsolutions.ca We may not be able to reply in the event we are not in the position to assist you at this time. Thank you.

With express permission of Qamar Yasmeen Tyyebi, RCIC

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