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Immigration to Canada : Free Assessment

 













 

Canadian Connections Group Ltd


APPLICATION FOR FREE ASSESSMENT
(For Professionals & Skilled Workers-Independent Class)

Please answer all questions carefully either in block letters or use typewriter. If space is insufficient continue you answer on a separate sheet. Please ensure that you attach a detailed Resume with this application. Please complete applicable Sections.

Section A - Information about yourself
Section B - Information about spouse
Section C - Information about children.


SECTION A
(To be completed by applicant)

First Name:

Last Name:

Sex:

M          F

Date of Birth:

      (Day/Month/Year)

Place of Birth:

Country of Birth:

Citizenship:

Current Mailing Address:

Country:

Telephone:

Fax:

E-mail:

Permanent Address:

Telephone:

Fax:

Marital Status:

Never Married
Engaged
Married
Widow
Seperated
Divorced
Annulled Marriage

Date of Marriage:

      (Day/Month/Year)

Do you or your spouse have relatives in Canada (Spouse, Fiance(e), partner, Parents, Grandparents, Grand Children, Brother, Sisiter, Nephew, Niece, Uncle and Aunt). If yes, please give details:

 

Name Relationship Address

 

Phone No. & Email

 

Status in Canada (Citizen or Permanent Resident)

Please provide details of your post secondary education (academic, professional or technical) from matric/secondary school onwards with dates, names and addresses of Institutions attended, courses taken and degree/diploma/certificate received. Indicate all full time and part time courses. Please do not use abbreviations.

 

 Period Names & Addresses of Institutions Courses Taken Diploma / Degree / Certificate Part / Full Time / Correspondence
From
(mm/yy)
To
(mm/yy)

Please provide detailed employment record with dates, names & addresses of employers and job designations held:

 

 Period Names & Addresses of Employers
(Write name in full; do not use abbreviations)
Job Designations Full/Part Time
From (mm/yy) To
(mm/yy)

Please give detailed description of job responsibilities you performed since you started working. Please describe the job responsibilities that you performed on day-to-day basis:

 

Please indicate your ability to communicate in English (Please check the appropriate box):

 

  Fluent Well With Difficulty Not at All

Speak

   

Read

Write

 

Understand

   

Please indicate your ability to communicate in French (Please check the appropriate box):

 

  Fluent Well With Difficulty Not at All

Speak

   

Read

Write

 

Understand

   

Have you ever visited abroad? If yes, what all cities & countries:

Duration: 

From       To

For which countries do you have valid visitor visas?

Did you or your spouse ever completed one year or more full-time work experience in Canada, with an Employment Authorization? If yes, please complete following information:

 

Name of Employer:

Address:

Telephone:

Postal Code:

Occupation/Designation:

Duration of Employment:

From       To

Did you or your spouse ever completed minimum of two years of full time post secondary study in Canada, with Student Authorization? If yes, please complete following information:

 

Name of Educational Institute:

Address:

Telephone:

Postal Code:

Name of course attended:

Duration of Course:

From       To

Do you or your spouse have an offer of employment from a Canadian employer, which would be effective upon your arrival in Canada? If yes, please complete following information:

 

Name of Employer:

Address:

Telephone:

Postal Code:

Job/Designation Offered:

Do you or your spouse have Arranged Employment in Canada approved by Human Resources Development Canada? If yes, please complete following information:

 

Name of Employer:

Address:

Telephone:

Postal Code:

Job / Designation Offered:

Duration:

From       To

a) Have you ever owned and operated your own business?        Yes          No

b) If yes, attach a complete business profile of your company and request our nearest associate office to send you our
Business Category Assessment Apllication.

Your current net worth (assets less liabilities) include all banks deposits property and other assets:

Your current monthly income:

Do you or any of your dependents (i.e. spouse and children) have any serious medical conditions? If yes, please state name of the person and give brief detail:

 

How did you come to know about CCGL?

SECTION B
(To be completed for your spouse)


 

First Name:

Last Name:

Sex:

M          F

Date of Birth:

      (Day/Month/Year)

Place of Birth:

Country of Birth:

Citizenship:

Has he/she been married more than once?

Yes        No
If yes, state no. of times:

Please provide details of your spouse's post secondary education (professional or technical) from matric/secondary onwards with dates, names and addresses of Institutions attended, courses taken and degree/diploma/certificate received. Indicate all full time and part time courses. Please do not use abbreviations.

 

 Period Names & Addresses of Institutions Courses Taken Diploma / Degree / Certificate Part / Full Time / Correspondence
From
(mm/yy)
To
(mm/yy)

Please provide your spouse's detailed employment record with dates, names & addresses of employers and job designations held:

 

 Period Names & Addresses of Employers
(Write name in full; do not use abbreviations)
Job Designations Full/Part Time
From (mm/yy) To
(mm/yy)

Please give detailed description of job responsibilities your spouse performed since he/she started working. Please describe the job responsibilities performed on day-to-day basis:

 

Please indicate your spouse's ability to communicate in English (Please check the appropriate box):

 

  Fluent Well With Difficulty Not at All

Speak

   

Read

Write

 

Understand

   

Please indicate your spouse's ability to communicate in French (Please check the appropriate box):

 

  Fluent Well With Difficulty Not at All

Speak

   

Read

Write

 

Understand

   

Have your spouse ever visited abroad? If yes, what all Cities & Countries:

Duration: 

From       To

For which countries doeshe/she has valid visitor visas?

SECTION C
(To be completed for your children)

 

Provide details of your children:

 

Full Name Son / Daughter Date of Birth

 

 

 

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