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Salutation Mr.Ms.Mrs.Dr. *First Name Middle Name *Last Name Gender MaleFemale *Date of Birth JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Marital Status Never MarriedMarriedWidowedLegally SeparatedAnnulled MarriageDivorcedCommon Law *Country of Citizenship ArubaAfghanistanAngolaAnguillaÅland IslandsAlbaniaAndorraUnited Arab EmiratesArgentinaArmeniaAmerican SamoaAntarcticaFrench Southern TerritoriesAntigua and BarbudaAustraliaAustriaAzerbaijanBurundiBelgiumBeninBonaire, Sint Eustatius and SabaBurkina FasoBangladeshBulgariaBahrainBahamasBosnia and HerzegovinaSaint BarthélemyBelarusBelizeBermudaBolivia, Plurinational State ofBrazilBarbadosBrunei DarussalamBhutanBouvet IslandBotswanaCentral African RepublicCanadaCocos (Keeling) IslandsSwitzerlandChileChinaCôte d'IvoireCameroonCongo, the Democratic Republic of theCongoCook IslandsColombiaComorosCape VerdeCosta RicaCubaCuraçaoChristmas IslandCayman IslandsCyprusCzech 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See (Vatican City State)Saint Vincent and the GrenadinesVenezuela, Bolivarian Republic ofVirgin Islands, BritishVirgin Islands, U.S.Viet NamVanuatuWallis and FutunaSamoaYemenSouth AfricaZambiaZimbabwe Personal Details Correspondence Details *Mailing Address *City State/Province *Country ArubaAfghanistanAngolaAnguillaÅland IslandsAlbaniaAndorraUnited Arab EmiratesArgentinaArmeniaAmerican SamoaAntarcticaFrench Southern TerritoriesAntigua and BarbudaAustraliaAustriaAzerbaijanBurundiBelgiumBeninBonaire, Sint Eustatius and SabaBurkina FasoBangladeshBulgariaBahrainBahamasBosnia and HerzegovinaSaint BarthélemyBelarusBelizeBermudaBolivia, Plurinational State ofBrazilBarbadosBrunei DarussalamBhutanBouvet IslandBotswanaCentral African RepublicCanadaCocos (Keeling) IslandsSwitzerlandChileChinaCôte d'IvoireCameroonCongo, the Democratic Republic of theCongoCook IslandsColombiaComorosCape VerdeCosta RicaCubaCuraçaoChristmas IslandCayman IslandsCyprusCzech RepublicGermanyDjiboutiDominicaDenmarkDominican RepublicAlgeriaEcuadorEgyptEritreaWestern SaharaSpainEstoniaEthiopiaFinlandFijiFalkland Islands (Malvinas)FranceFaroe IslandsMicronesia, Federated States ofGabonUnited KingdomGeorgiaGuernseyGhanaGibraltarGuineaGuadeloupeGambiaGuinea-BissauEquatorial GuineaGreeceGrenadaGreenlandGuatemalaFrench GuianaGuamGuyanaHong KongHeard Island and McDonald IslandsHondurasCroatiaHaitiHungaryIndonesiaIsle of ManIndiaBritish Indian Ocean TerritoryIrelandIran, Islamic Republic ofIraqIcelandIsraelItalyJamaicaJerseyJordanJapanKazakhstanKenyaKyrgyzstanCambodiaKiribatiSaint Kitts and NevisKorea, Republic ofKuwaitLao People's Democratic RepublicLebanonLiberiaLibyaSaint LuciaLiechtensteinSri LankaLesothoLithuaniaLuxembourgLatviaMacaoSaint Martin (French part)MoroccoMonacoMoldova, Republic ofMadagascarMaldivesMexicoMarshall IslandsMacedonia, the former Yugoslav Republic ofMaliMaltaMyanmarMontenegroMongoliaNorthern Mariana IslandsMozambiqueMauritaniaMontserratMartiniqueMauritiusMalawiMalaysiaMayotteNamibiaNew CaledoniaNigerNorfolk IslandNigeriaNicaraguaNiueNetherlandsNorwayNepalNauruNew ZealandOmanPakistanPanamaPitcairnPeruPhilippinesPalauPapua New GuineaPolandPuerto RicoKorea, Democratic People's Republic ofPortugalParaguayPalestine, State ofFrench PolynesiaQatarRéunionRomaniaRussian FederationRwandaSaudi ArabiaSudanSenegalSingaporeSouth Georgia and the South Sandwich IslandsSaint Helena, Ascension and Tristan da CunhaSvalbard and Jan MayenSolomon IslandsSierra LeoneEl SalvadorSan MarinoSomaliaSaint Pierre and MiquelonSerbiaSouth SudanSao Tome and PrincipeSurinameSlovakiaSloveniaSwedenSwazilandSint Maarten (Dutch part)SeychellesSyrian Arab RepublicTurks and Caicos IslandsChadTogoThailandTajikistanTokelauTurkmenistanTimor-LesteTongaTrinidad and TobagoTunisiaTurkeyTuvaluTaiwan, Province of ChinaTanzania, United Republic ofUgandaUkraineUnited States Minor Outlying IslandsUruguayUnited StatesUzbekistanHoly See (Vatican City State)Saint Vincent and the GrenadinesVenezuela, Bolivarian Republic ofVirgin Islands, BritishVirgin Islands, U.S.Viet NamVanuatuWallis and FutunaSamoaYemenSouth AfricaZambiaZimbabwe Postal Code Residential AddressLeave blank if same as above *City State/Province *Country ArubaAfghanistanAngolaAnguillaÅland IslandsAlbaniaAndorraUnited Arab EmiratesArgentinaArmeniaAmerican SamoaAntarcticaFrench Southern TerritoriesAntigua and BarbudaAustraliaAustriaAzerbaijanBurundiBelgiumBeninBonaire, Sint Eustatius and SabaBurkina FasoBangladeshBulgariaBahrainBahamasBosnia and HerzegovinaSaint BarthélemyBelarusBelizeBermudaBolivia, Plurinational State ofBrazilBarbadosBrunei DarussalamBhutanBouvet IslandBotswanaCentral African RepublicCanadaCocos (Keeling) IslandsSwitzerlandChileChinaCôte d'IvoireCameroonCongo, the Democratic Republic of theCongoCook IslandsColombiaComorosCape VerdeCosta RicaCubaCuraçaoChristmas IslandCayman IslandsCyprusCzech RepublicGermanyDjiboutiDominicaDenmarkDominican RepublicAlgeriaEcuadorEgyptEritreaWestern SaharaSpainEstoniaEthiopiaFinlandFijiFalkland Islands (Malvinas)FranceFaroe IslandsMicronesia, Federated States ofGabonUnited KingdomGeorgiaGuernseyGhanaGibraltarGuineaGuadeloupeGambiaGuinea-BissauEquatorial GuineaGreeceGrenadaGreenlandGuatemalaFrench GuianaGuamGuyanaHong KongHeard Island and McDonald IslandsHondurasCroatiaHaitiHungaryIndonesiaIsle of ManIndiaBritish Indian Ocean TerritoryIrelandIran, Islamic Republic ofIraqIcelandIsraelItalyJamaicaJerseyJordanJapanKazakhstanKenyaKyrgyzstanCambodiaKiribatiSaint Kitts and NevisKorea, Republic ofKuwaitLao People's Democratic RepublicLebanonLiberiaLibyaSaint LuciaLiechtensteinSri LankaLesothoLithuaniaLuxembourgLatviaMacaoSaint Martin (French part)MoroccoMonacoMoldova, Republic ofMadagascarMaldivesMexicoMarshall IslandsMacedonia, the former Yugoslav Republic ofMaliMaltaMyanmarMontenegroMongoliaNorthern Mariana IslandsMozambiqueMauritaniaMontserratMartiniqueMauritiusMalawiMalaysiaMayotteNamibiaNew CaledoniaNigerNorfolk IslandNigeriaNicaraguaNiueNetherlandsNorwayNepalNauruNew ZealandOmanPakistanPanamaPitcairnPeruPhilippinesPalauPapua New GuineaPolandPuerto RicoKorea, Democratic People's Republic ofPortugalParaguayPalestine, State ofFrench PolynesiaQatarRéunionRomaniaRussian FederationRwandaSaudi ArabiaSudanSenegalSingaporeSouth Georgia and the South Sandwich IslandsSaint Helena, Ascension and Tristan da CunhaSvalbard and Jan MayenSolomon IslandsSierra LeoneEl SalvadorSan MarinoSomaliaSaint Pierre and MiquelonSerbiaSouth SudanSao Tome and PrincipeSurinameSlovakiaSloveniaSwedenSwazilandSint Maarten (Dutch part)SeychellesSyrian Arab RepublicTurks and Caicos IslandsChadTogoThailandTajikistanTokelauTurkmenistanTimor-LesteTongaTrinidad and TobagoTunisiaTurkeyTuvaluTaiwan, Province of ChinaTanzania, United Republic ofUgandaUkraineUnited States Minor Outlying IslandsUruguayUnited StatesUzbekistanHoly See (Vatican City State)Saint Vincent and the GrenadinesVenezuela, Bolivarian Republic ofVirgin Islands, BritishVirgin Islands, U.S.Viet NamVanuatuWallis and FutunaSamoaYemenSouth AfricaZambiaZimbabwe Postal Code Legal Statusin country of residence CitizenPermanent ResidentTemporary WorkerStudentOther Home Phone Ctry Code-Area Code-Phone No. - - Other Phone Ctry Code-Area Code-Phone No. - - Cell Phone Ctry Code-Area Code-Phone No. - Fax Ctry Code-Area Code-Phone No. - - Fax - - Email Re-enter Email Please ensure this email is active and valid as your assessment result will be sent on this address. [cf7mls_step step-1 "Next"] Comprehensive Ranking System (CRS) criteria * Highest Level of Completed Education University-level credential at the Doctoral levelUniversity-level credential at the Master's level OR an entry-to-practice professional degreeTwo or more post-secondary program credentials AND at least one of these credentials was issued on completion of a post-secondary program of three years or longerPost-secondary program credential of three years or longerTwo-year post-secondary program credentialOne-year post-secondary program credentialSecondary school (high school) credentialLess than secondary school (high school) credential Proficiency in English Refer to Canadian Language Benchmarks (CLB) Speak Level 1 - Stage ILevel 2 - Stage ILevel 3 - Stage ILevel 4 - Stage ILevel 5 - Stage IILevel 6 - Stage IILevel 7 - Stage IILevel 8 - Stage IILevel 9 - Stage IIILevel 10 - Stage IIILevel 11 - Stage IIILevel 12 - Stage III Listen Level 1 - Stage ILevel 2 - Stage ILevel 3 - Stage ILevel 4 - Stage ILevel 5 - Stage IILevel 6 - Stage IILevel 7 - Stage IILevel 8 - Stage IILevel 9 - Stage IIILevel 10 - Stage IIILevel 11 - Stage IIILevel 12 - Stage III Write Level 1 - Stage ILevel 2 - Stage ILevel 3 - Stage ILevel 4 - Stage ILevel 5 - Stage IILevel 6 - Stage IILevel 7 - Stage IILevel 8 - Stage IILevel 9 - Stage IIILevel 10 - Stage IIILevel 11 - Stage IIILevel 12 - Stage III Read Level 1 - Stage ILevel 2 - Stage ILevel 3 - Stage ILevel 4 - Stage ILevel 5 - Stage IILevel 6 - Stage IILevel 7 - Stage IILevel 8 - Stage IILevel 9 - Stage IIILevel 10 - Stage IIILevel 11 - Stage IIILevel 12 - Stage III Proficiency in French Refer to Canadian Language Benchmarks (CLB) Speak Level 1 - Stage ILevel 2 - Stage ILevel 3 - Stage ILevel 4 - Stage ILevel 5 - Stage IILevel 6 - Stage IILevel 7 - Stage IILevel 8 - Stage IILevel 9 - Stage IIILevel 10 - Stage IIILevel 11 - Stage IIILevel 12 - Stage III Listen Level 1 - Stage ILevel 2 - Stage ILevel 3 - Stage ILevel 4 - Stage ILevel 5 - Stage IILevel 6 - Stage IILevel 7 - Stage IILevel 8 - Stage IILevel 9 - Stage IIILevel 10 - Stage IIILevel 11 - Stage IIILevel 12 - Stage III Write Level 1 - Stage ILevel 2 - Stage ILevel 3 - Stage ILevel 4 - Stage ILevel 5 - Stage IILevel 6 - Stage IILevel 7 - Stage IILevel 8 - Stage IILevel 9 - Stage IIILevel 10 - Stage IIILevel 11 - Stage IIILevel 12 - Stage III Read Level 1 - Stage ILevel 2 - Stage ILevel 3 - Stage ILevel 4 - Stage ILevel 5 - Stage IILevel 6 - Stage IILevel 7 - Stage IILevel 8 - Stage IILevel 9 - Stage IIILevel 10 - Stage IIILevel 11 - Stage IIILevel 12 - Stage III Do you have Canadian work experience? None or less than a year1 Year2 Years3 Years4 Years5 Years or more Do you have work experience outside Canada? None or less than a year1 or 2 Years3 or more years Do you have certificate of qualification (trade occupations)? NoYes Do you have an HRSDC confirmed job offer from a Canadian employer? NoYes Are you nominated by a province of Canada NoYes [cf7mls_step step-2 "Back" "Next"] Admissibility Details These questions relate to the applicant i.e., the person who will be immigrating to Canada. Had any serious disease or physical or psychological disorder? NoYes Been convicted of or are currently charged with a criminal offence in any country? NoYes Applied previously for a temporary visa to Canada? NoYes Applied previously for permanent residence in Canada? NoYes Been refused a visa to Canada or any other country? NoYes Been refused admission to or order removed from Canada or any other country? NoYes Been involved in the commission of human rights violations, acts of subversion, espionage, terrorism, or organized criminality? NoYes If you answered yes to any of the above questions, please provide details here. Financial Information (in Dollars) Total Monthly Income of you and your spouse Total Net Worth of Your Family Total Savings (in Banks and Other Investments) Brief description of financial resources to cover immigration costs Final Information How did you come to know about us? Online AdvertisementReferred By A ClientSearch Engine (Google) Provide any additional information here that you think may be important to access your eligibility. Or paste your text resume: Declaration I hereby declare that the information given in this assessment form is true to the best of my knowledge and belief. I understand that your firm can use this information to contact me via all modes of communication and send information as required.
