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Eligibility Assessment Form for Immigration to Canada
Immigration Eligibility Assessment Form
The personal information you provide to us is secure and is collected with the sole purpose of assessing your potential for immigration to Canada under the current Canadian immigration selection criteria. We will only respond to you in regard to your Canada Immigration evaluation. You may consult our
Privacy Policy
for complete details. Required fields are marked with an asterisk (
*
).
Personal Information
Title
Please Select Title
Mr.
Ms.
Mrs.
*
Last Name
*
Given Name(s)
*
Gender
Please Select
Male
Female
*
Status
Select Civil Status
Single
Married
Divorced
Separated
Common-Law
Widow
*
Citizenship
*
Birthdate (mm/dd/yyyy)
*
E-mail Address
*
Phone Number
*
Home Address
*
Education
Educational Qualification
Please Select
Ph.D.
Masters Degree
Bachelors (2 separate degrees)
Bachelors (a single degree)
Associates Degree (USA)
College/Trade Diploma - 3 years
College/Trade Diploma - 2 years
College/Trade Diploma - 1 year
Higher National Diploma
High School Diploma
None of the Above
*
Years of Further Studies after High School
*
Years of Full-Time Study
*
Work Experience / Business Experience
Profession / Nature of the Business
Job Position
Total number of years in the Profession / Business:
*FOR BUSINESS APPLICANTS ONLY.
If you are an owner of a business OR woking in a managerial level in a business.
Total number of full time staff currently working directly under you
If corporation, percentage of your share holding in the company
Percentage of your spouse’s share holding in the company
Estimated annual sales of the company or business
in Canadian Dollars
Estimated annual Net Income of the company or business
in Canadian Dollars
Your personal total (without your spouse) net worth
in Canadian Dollars
Net worth means everything you own, such as properties, business, cash in the bank, stock and shares etc.
Language Proficiency
Proficiency in English
Speaking
Please Select
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
*
IELTS Test Score
Please Select
Have Not Taken IELTS Test
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
*
Writing
Please Select
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
*
Reading
Please Select
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
*
Listening
Please Select
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
*
Proficiency in French
Speaking
Please Select
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
TEF Test Score
Please Select
Have Not Taken TEF Test
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
Writing
Please Select
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
Reading
Please Select
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
Listening
Please Select
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
Spouse Details (If Married)
Last Name
First Name
Birthdate (mm/dd/yyyy)
Educational Qualification
Please Select
Ph.D.
Masters Degree
Bachelors (2 separate degrees)
Bachelors (a single degree)
Associates Degree (USA)
College/Trade Diploma - 3 years
College/Trade Diploma - 2 years
College/Trade Diploma - 1 year
Higher National Diploma
High School Diploma
None of the Above
Years of Full-Time Study
Profession
Years of Professional Practice
Proficiency in English
Speaking
Please Select
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
Writing
Please Select
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
Reading
Please Select
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
Listening
Please Select
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
Proficiency in French
Speaking
Please Select
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
Writing
Please Select
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
Reading
Please Select
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
Listening
Please Select
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
Dependants
Dependent children
under the age of 19
Name of Dependants
Indicate Age
Indicate if Son or Daughter
1
Son or Daughter
Son
Daughter
2
Son or Daughter
Son
Daughter
3
Son or Daughter
Son
Daughter
4
Son or Daughter
Son
Daughter
Do you or your spouse have any blood relatives in Canada?
Please Select
No Relatives in Canada
My Parent(s)
My Grandparent(s)
My Sister or Brother
My Aunt or Uncle
My Niece or Nephew
My Daughter or Son
My Spouse or Common-Law Partner
A Parent of my Spouse or Common-Law Partner
A Grandparent of my Spouse or Common-Law Partner
A Sister or Brother of my Spouse or Common-Law Partner
An Aunt or Uncle of my Spouse or Common-Law Partner
A Niece or Nephew of my Spouse or Common-Law Partner
A Daugther or Son of my Spouse or Common-Law Partner
*
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Applied and
Denied?
If your visa application or citizenship application has been denied, it is strongly advised to consult a
qualified immigration attorney
Immigration Eligibility
Assessment Form
How Do I Qualify? Our
Free Immigration Elligibility Assessment
is the first step in finding out if you qualify for temporary or permanent residency in Canada.
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© 2007- Imran Khan
Mississauga Immigration Lawyer
assists persons with Canadian Citizenship, Canada Visa application and Naturalization issues. Imran Khan also practices in the area of Real Estate Law, serving Mississauga, Oakville, Brampton and the GTA.
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