Canadaquebec Lowerimmigration Canadaimmigration  
Immigrationcanada
PiniConsultant Inc.
Montréal, Canada
Téléphone: (514) 729-6131 info@imigrarecanada.com
 

Immigration Evaluations

Information that you offer us in this form is strictly confidential. Please transmit information to us which is exact and verifiable. Our goal is the success of your file. Fill a form for each adult member who accompanies you in Canada.

 
The fields marked with * are obligatory
 
Principal applicant Husband or Wife Principal applicant Wife or Husband
1. Identification
*Birth Name
*First name
*Birth date
  Sex
*City
*Country
*Department
*Passport


 

2. Permanent address (information of contact)
*City
*Street, number, building
*Country
*Code
*The country which you live in now
*Another country which you lived in
*Citizenship
*Telephone at home
*Cell phone
*Email
Do you agree to be called at home? yes non


 

3. Civil statue
   
Single people, Separated,Engaged, Divorced, Married, Widowed
Were you married before? If yes, when?


 

4. Member of family
   
Dependant people (who accompany you and who do not accompany you): wife, husband,your children or the children of your spouse, your parents.
 

Birth Name

First name
Citizenship
Birth date
Born city
He or she accompanies you in Canada ? yes non
If you have children, please write their names, first names, birth date, the city of birth, the country, their ages and if they accompany you in Canada


 

5. Former applications
   
Did you already ask for a tourist visa, asylum, and residence? For which country? When? Was your request accepted or refused?


 

6. Where did you live before?
   
Indicate the places where you lived during the 10 last years, if you want to immigrate in Quebec or if during the past 18 years you wanted to immigrate in Canada Anglophone. While starting with the most recent address.
From
To
Country, Department, City
If you have other details concerning the places where you lived please indicate here.
   


 

7. Education (while starting with most recent)
   
All studies, courses, indifferent of level, duration, qualification
From
To
School, Faculty, Course (establishment)
Diploma, Certificate
Specialization/qualification
If you have other details concerning the studies, if you studied in French or English, please specify.
 


 

8. Work Experience
   
Work experience during the 10 last years, while starting with the most recent, including other activities (military service). Each month must be justified (even the period when you did not work)
From
To
Company, (complete name) city, department, country
Job title
Hours/week
For each employment, please specify the tasks in detail
 


 

9. Knowledge of languages
   
Knowledge of languages (self-evaluation of French and English on a scale from 0 to 12). Be objective.
French - oral expression
Advanced (between 9 and 12)
Intermediate (between 5 and 8)
Minimal (between 1 and 4)
French - oral comprehension
Advanced (between 9 and 12)
Intermediate (between 5 and 8)
Minimal (between 1 and 4)
English - oral expression
Advanced (between 9 and 12)
Intermediate (between 5 and 8)
Minimal (between 1 and 4)
English - oral comprehension
Advanced (between 9 and 12)
Intermediate (between 5 and 8)
Minimal (between 1 and 4)
If you speak other languages or if you took French or English courses, please specify.


 

10.Relatives or friends in Canada
   

Name, first name, address, telephone, relation


 

11. Amount of money
   
Amount of money which you will have on your arrival in Canada (in euro)


 

12. The jobs which you want to practise in Canada
   
Job


 

13. Did you already come to Canada ?
   
If yes, mention the period, year, month, day and the reason of your visit


 

14. In which province do you want to live?
   
Province


 

15.Education
   
Level of schooling
Diploma of Quebec yes non
The second specialty


 

16.Work Experience
 
Duration of work experience
Attach the file


 

17. Your age
 
Your age


 

18. Knowledge of languages
   
French
English


 

19. Relatives, friends, sojourned, in Canada
   
Relatives, friends, sojourned in Canada/Quebec yes non


 

20. Information of the accompanying spouse
   
Level of schooling
Diploma of Quebec yes non
The second specialty
Duration of work experience
Your age
Knowledge of languages
Oral expression and comprehension in french


21. Have you received an offer of employment in Québec?
 
Have you received an offer of employment in Québec? yes non


22. Children
 
12 years or less
Between 13 and 21 years


23. Capacity of financial autonomy
Capacity of financial autonomy chosen Money Building to be sold


24. Present situation
I work, I do not work


25. Do you have a criminel records
If yes,for which reason?
1. Identification
Birth Name
First name
Birth date
Sex
City
Country
Department
Passport


 

2. Permanent address (information of contact)
City
Street, number, building
Country
Code
The country which you live in now
Another country which you lived in
Citizenship
Telephone at home
Cell phone
Email
Do you agree to be called at home? yes non


 

3. Civil statue
   
Single people, Separated,Engaged, Divorced, Married, Widowed
Were you married before? If yes, when?


 

4. Member of family
   
Dependant people (who accompany you and who do not accompany you): wife, husband,your children or the children of your spouse, your parents.
 
Birth Name
First name
Citizenship
Birth date
Born city
He or she accompanies you in Canada ? yes non
If you have children, please write their names, first names, birth date, the city of birth, the country, their ages and if they accompany you in Canada


 

5. Former applications
   
Did you already ask for a tourist visa, asylum, and residence? For which country? When? Was your request accepted or refused?


 

6. Where did you live before?
   
Indicate the places where you lived during the 10 last years, if you want to immigrate in Quebec or if during the past 18 years you wanted to immigrate in Canada Anglophone. While starting with the most recent address.
From
To
Country, Department, City
If you have other details concerning the places where you lived please indicate here.
   


 

7. Education (while starting with most recent)
   
All studies, courses, indifferent of level, duration, qualification
From
To
School, Faculty, Course (establishment)
Diploma, Certificate
Specialization/qualification
If you have other details concerning the studies, if you studied in French or English, please specify.
 


 

8. Work Experience
   
Work experience during the 10 last years, while starting with the most recent, including other activities (military service). Each month must be justified (even the period when you did not work)
From
To
Company, (complete name) city, department, country
Job title
Hours/week
For each employment, please specify the tasks in detail
 


 

9. Knowledge of languages
   
Knowledge of languages (self-evaluation of French and English on a scale from 0 to 12). Be objective.
French - oral expression
Advanced (between 9 and 12)
Intermediate (between 5 and 8)
Minimal (between 1 and 4)
French - oral comprehension
Advanced (between 9 and 12)
Intermediate (between 5 and 8)
Minimal (between 1 and 4)
English - oral expression
Advanced (between 9 and 12)
Intermediate (between 5 and 8)
Minimal (between 1 and 4)
English - oral comprehension
Advanced (between 9 and 12)
Intermediate (between 5 and 8)
Minimal (between 1 and 4)
If you speak other languages or if you took French or English courses, please specify.


 

10.Relatives or friends in Canada
   
Name, first name, address, telephone, relation


 

11. Amount of money
   
Amount of money which you will have on your arrival in Canada (in euro)


 

12. The jobs which you want to practise in Canada
   
Job


 

13. Did you already come to Canada ?
   
If yes, mention the period, year, month, day and the reason of your visit


 

14. In which province do you want to live?
   
Province


 

15.Education
   
Level of schooling
Diploma of Quebec yes non
The second specialty


 

16.Work Experience
 
Duration of work experience
Attach the file


 

17. Your age
 
Your age


 

18. Knowledge of languages
   
French
English


 

19. Relatives, friends, sojourned, in Canada
   
Relatives, friends, sojourned in Canada/Quebec yes non


 

20. Information of the accompanying spouse
   
Level of schooling
Diploma of Quebec yes non
The second specialty
Duration of work experience
Your age
Knowledge of languages
Oral expression and comprehension in french


21. Have you received an offer of employment in Québec?
 
Have you received an offer of employment in Québec? yes non


22. Children
 
12 years or less
Between 13 and 21 years


23. Capacity of financial autonomy
Capacity of financial autonomy chosen Money Building to be sold


24. Present situation
I work, I do not work


25. Do you have a criminel records
If yes,for which reason?


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Email
 
Copyright © 2007 Nicu Pintilie - Immigration