Contact Us
 
USA
340 East 93rd Street,
Suite 26A, 
New York, N.Y. 10128-5548, 
U.S.A.
Tel:[212] 722-1110
Fax:[212] 722-5291

 

Canada
7321 Victoria Park Ave.,
Suite 157, 
Markham, ON, L3R 2Z8,
Canada
Tel: [905] 940-3268
Fax: [905] 940-9361

 

OR 

DO YOU WANT TO KNOW IF YOU ARE QUALIFIED FOR IMMIGRATION TO CANADA OR U.S.?

LET US HELP YOU ASSESS YOUR CHANCES - FREE OF CHARGE.
Let us provide you with a free assessment of your immigration qualifications with no cost and no obligation. Simply complete the Assessment Questionnaire below. Once received, we will assess your case based on the information provided and we will recommend the best and most efficient way for your application to be successful in obtaining a Permanent Resident Status.

 

PLEASE COMPLETE THE ENTIRE QUESTIONNAIRE
If your spouse has any work experience, please complete an additional questionnaire form for him/her!

 

First Name :
Last Name :
Birth Date : day    month     year

Mailing address :

Country :
Home Phone :
Office Phone :
Fax :
* E-mail Address : @
* Please note that our assessment review will be send directly to this e-mail address.
  No, please send your assessment by mail to the address indicated above.

1. Occupation : You are required to list your complete employment history for the past 10 years starting with most current employment.

Present:
 
From day    month     year
To day    month     year
Company
Title
Please describe your duties and responsibilities
 

Previous occupation : #1

 
From day    month     year
To day    month     year
Company
Title
Please describe your duties and responsibilities
 

Previous occupation : #2

 
From day    month     year
To day    month     year
Company
Title
Please describe your duties and responsibilities
 

Previous occupation : #3

 
From day    month     year
To day    month     year
Company
Title
Please describe your duties and responsibilities
 

Previous occupation : #4

 
From day    month     year
To day    month     year
Company
Title
Please describe your duties and responsibilities
 

2. Education: Please tell us the years of formal education you have attained starting with elementary school.

A. Elementary School
 
From day    month     year
To day    month     year
Institute
Degree/Diploma
Courses taken
 

B. Junior/High School

 
From day    month     year
To day    month     year
Institute
Degree/Diploma
Courses taken
 

C. College/University - including graduate studies if any

 
From day    month     year
To day    month     year
Institute
Degree/Diploma
Courses taken
 

3. Languages: Please tell us your language skills

 
English fluent

good

fair with difficulty
French fluent good fair with difficulty
Other: fluent good fair with difficulty
 

4. Personal Net Worth (give approximate value expressed in US dollars): Please give us your best estimate on your personal net worth including your spouse.

 
Particulars Now In One Year Remarks
Cash in hand/bank
Stocks or Bonds
Insurance at surrender value
Total current assets (A)
Business assets
Real Estate
Others (please specify)
Total Fixed Assets (B)
Total Debts (C)
Personal Net Worth
(A) + (B) - (C)
  

5. Have you ever been to Canada or U.S.?

 

Canada       U.S.

Yes. List the date you last came:   day month   year
No, I have never been to Canada
or U.S..

 
6. Do you have any relatives in Canada or U.S. ? If yes, please furnish their names and addresses, and relationships.
 
Name
Address
Relationship
 
Name
Address
Relationship
 
Name
Address
Relationship
 
When would you like to come to Canada ?
. After visa is issued    
 
 

          

 

Your Assessment Questionnaire will be reviewed within 72 hours of receipt. All information is held in the strictest confidence. 


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