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IMMIGRATION PRELIMINARY ENQUIRY QUESTIONNAIRE

Applicant GENERAL INFORMATION

Name:*
Date of Birth:
 / 
 / 
Current Address:
Contact 1:*

FAMILY INFORMATION

Marital Status:*
Spouse’s Name:
Spouse’s Education:
Study Level
Study Field:
Spouse’s Occupation:
Work Experience in Canada:
Date of Birth of Children:

Applicant EDUCATIONAL BACKGROUND

Study Level*
Study Field:
Do you have any other qualification or training?*

LANGUAGE ABILITY

• Applicant English:
Applicant Speaking:*
Applicant Reading:*
Applicant Writing:*
Applicant Listening:*
• Spouse English:
Spouse Speaking:
Spouse Reading:
Spouse Writing:
Spouse Listening:
• Applicant French:
Applicant Speaking(F)*
Applicant Reading(F)*
Applicant Writing(F)*
Applicant Listening(F)*
• Spouse French:
Spouse Speaking(F)
Spouse Reading(F)
Spouse Writing(F)
Spouse Listening(F)
Do you have a previous IELTS score? If so please indicate the year the test was taken and the corresponding results:

ADMISSIBILITY

Have you or your immediate family ever been refused a visa or admission to ANY country, including Canada?*
Have you or your immediate family ever any contagious or chronic illness requiring long term treatment or special care?*
Also under Admissibility please add:*

NET WORTH

**Put all values in Canada Dollars
Cash
Total cash in the bank:*
Personal/Real Property (including all material Real and Personal Property). NOT including property owned by a business.
Personal Property:*
1. Location of Real Property:
2. Location of Real Property:
3. Location of Real Property:
Other Assets
Other assets not included above, if any:

TOTAL AMOUNT OF ALL AMOUNTS ABOVE:

Total cash available upon arrival in Canada:
Assets to be transferred later:

RELATIVES AND FRIENDS IN CANADA

Do you have any relatives or friends who are residents or citizens of Canada?

WORK EXPERIENCE

Applicant
Present Position:
Company Name:*
Do you own this company?*
Date of Employment:
CDN $:
Product or Service of the Company:
Previous Position:
Company Name :
Do you own this company ?
Date of Employment :
CDN $:
Product or Service of the Company :
Please describe your personal responsibilities :
Spouse
Present Position:
Company Name
Does your spouse own this company ?
Date of Employment
CDN $:
Product or Service of the Company
Please describe your spouse’s personal responsibilities
Attach supporting documents::

How did you hear about us?

How did you hear about us?



If Friend/Family (Name) :
If Other (Please specify) :
Security Verification: