ImmigCanada

Immigration Consulting Services  

Canadian Immigration Assessment Form

Personal Profile

Name
Last Name
Email Address
Telephone
Nationality
Date of Birth
Marital Status
Country of Residence
 
Your Education and Training starting from the recent

Name of School Diploma Obtained Inclusive Dates Country

 
Your Employment information from the last 10 years starting from the recent

Job Title/Position Inclusive Dates Name of Company and Hours of work

Country per week

 
ImmigCanada -Immigration Consulting Services
600 de Maisonneuve Blvd. West Suite 1700 Montreal, Quebec Canada H3A 3J2 Tel: 1.514.574.2480 Fax: 1.888.212.2573 email: consultant@immigcanada.com
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   ImmigCanada
Immigration Consulting Services  
 
Your Knowledge of Languages

Language Reading Writing Listening Speaking Exam Date Taken Academic or

General Training

English

French

 
Your Spouse Information (if applicable)

Spouse Name

Date of Birth

 
 
Your Spouse Education and Training starting from the recent

Name of School Diploma Obtained Inclusive Dates Country

 
Your Spouse Employment information from the last 10 years starting from the recent

Job Title/Position Inclusive Dates Name of Company and Hours of work

Country per week

 
 

ImmigCanada -Immigration Consulting Services

600 de Maisonneuve Blvd. West Suite 1700 Montreal, Quebec Canada H3A 3J2 Tel: 1.514.574.2480 Fax: 1.888.212.2573 email: consultant@immigcanada.com
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   ImmigCanada
Immigration Consulting Services  

Your Knowledge of Languages

Language Reading Writing Listening Speaking Exam Date Taken Academic or

General Training

English

French

 
Your Children Information (if applicable)

Name Date of Birth

 
You or your spouse family in Canada (if any)

Relationship to him/her

Is he/she a Canadian Citizen or

Permanent Resident (Yes/No)
Province they are living

 
You or your spouse travel to Canada (if applicable)

Purpose and date travelled

Study in Canada (Yes/No)

If yes, indicate inclusive dates
Work in Canada (Yes/No)
If yes, indicate inclusive dates
 
Additional Information (if any)

ImmigCanada -Immigration Consulting Services

600 de Maisonneuve Blvd. West Suite 1700 Montreal, Quebec Canada H3A 3J2 Tel: 1.514.574.2480 Fax: 1.888.212.2573 email: consultant@immigcanada.com
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