Personal Information ( All Applicants)

Salutation select Mr Mrs Ms Dr

First Name

Last Name

Middle Name

Gender

Male       Female     

Date of Birth

Select Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Nationality

Current Address

City

Country

Phone Number

country  area number

Fax Number

countryareanumber

Cellular Phone Number

E mail * must be valid

Contact Address( If different from above)

Marital Status

select married never married divorced widowed seperated common law

Dependent children (if any)

0 1 2 3 4 4Plus  Ages

Will your spouse accompany you to Canada?

Yes            No     

Number of accompanying family members

IF MARRIED PLEASE PROVIDE SPOUSE’S INFORMATION

Spouse’s First Name

Salutation select Mr Mrs Dr

Last Name

Middle Name

Gender

Male     Female   

Date of Birth

select Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Nationality

Level of Education

select Diploma 1 year Diploma 2 years Diploma 3 years Degree 2years Degree3 years Degree 4 years 2 bachelors Masters/Ph.D

Spouse’s Language ability

English

select high moderate basic not at all

French

select high moderate basic not at all

Your (Principal Applicant’s ) Educational Profile

Total Years of Education(including elementary)

Field of Study (post secondary)

Date of Graduation (most recent)

select jan feb mar apr may jun jul Aug Sep oct Nov Dec  year

Name of educational institution

City located

Country

Your Language Ability ( all applicants)

English   (Speak)

select high moderate basic none

Listen

select high moderate basic none

Read

select high moderate basic none

Write

select high moderate basic none

French     (Speak)

select high moderate basic none

Listen

select high moderate basic none

Read

select high moderate basic none

Write

select high moderate basic none

Do you have language test result from designated organizations? IELT,CELPIT,TEF

Yes        No  

If not, do you have plan to take the test?

Yes        No  

BUSINESS EXPERIENCE                  (Business Class Applicants only)

Total years of work experience

 years

Name of Company ( most recent)

Address of Company

Country located

Your job title

Duration (Month/Year)

FromTo

Employment Status

Full Time      Part Time  

Number of work hours per week

 hours

Your Duties (please provide detail)

Are you working with this company at present

Yes            No    

Business ownership in last 5 years       ( Business class applicants only)

Name of businesses (start from most recent)

Types of businesses (company,enterprise etc)

Types of (your)ownership (sole,share etc)

Percentage of (your) ownership

Annual Sales in US $

Annual net incomes in US $

Net assets of businesses in US $

Number of full time employees

Your Family’s Total net worth in US $ (including bank account,real estate,share etc)

Have you visited Canada in last 5 years?

Yes              No     

Other Information ( All Applicants)

Do you or your spouse have relative in Canada

Yes              No     

Did you or your spouse had worked in Canada

Yes              No     

Did you or your spouse had studied in Canada

Yes              No     

Do you currently have job offer from a Canadian Employer?

Yes              No     

For Skilled Workers Class only                   EMPLOYMENT HISTORY

Total period of work Experience (year/month)

         year        Month

Name of most recent Employer

Address of Employer

Phone

countryareanumber

Fax

countryareanumber

City/ country

Your Job title

Duration

From To

Employment Status

Full time            Part time   

Number of working hours per week

hours

Employment Duties (please provide detail)

Are you still working in this company ?

Yes              No     

Name of Previous Employers( Please attach detail employment history on your E mail)

Additional Comment (if any)

RESET