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Independent Skilled Worker

Complete the following questionaire for free assessment of your Qualifications for Canadian Permanent Residence

1.About Yourself

Full Name:

Male/Female:

Male

Female

Date of Birth:

Place of Birth:

Citizenship:

Country of Birth:

Current Mailing Address:

Permanent Mailing Address:

E-Mail:

Tel / Fax:

Marital Status:

2.Do you or your spouse have relatives in Canada?(Spouse, Partner, Parents, Grandparents, Grandchildren, Brother, Sister, Nephew, Niece, Uncle and Aunt)
If yes, please give details:

Name:

Relationship:

Address:

E-Mail:

Phone:

Status in Canada:

3.Please indicate your ability to communicate in English and French?

English:

Speak:

Read:

Write:

Understand:

French:

Speak:

Read:

Write:

Understand:

4.Education and Emplyment Details:

Your Education:

Education Details:

Employment Details:

5.Have you or your spouse ever completed more than one year's full-time work in Canada with an Employment Authorization?
If yes, please complete following information:

Employer Name:

Address:

Phone No.:

Occupation/Designation:

Duration of Employment:

From:

To:

6.Have you or your spouse ever completed a 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:

Phone No.:

Name of the course attended:

Duration of Course:

From:

To:

7.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:

Employer Name:

Address:

Phone No.:

Job/Designation Offered:

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

Employer Name:

Address:

Phone No.:

Job/Designation Offered:

Your current net worth:
(Assets less liabilities. Please include all Banks deposits, Property and other assets.)

Your current monthly income:

9.Spouse Details

Full Name:

Male/Female:

Male

Female

Date of Birth:

Place of Birth:

Citizenship:

Country of Birth:

Has he/she been married more than once?

Your Education:

Education Details:

Employment Details:

10.Please indicate your ability to communicate in English and French?

English:

Speak:

Read:

Write:

Understand:

French:

Speak:

Read:

Write:

Understand:

11.Provide details of all your children:

Full Name:

Son/Daughter:

Son

Daughter

Date of Birth:

Full Name:

Son/Daughter:

Son

Daughter

Date of Birth:

Full Name:

Son/Daughter:

Son

Daughter

Date of Birth:

Full Name:

Son/Daughter:

Son

Daughter

Date of Birth:

Full Name:

Son/Daughter:

Son

Daughter

Date of Birth:

Full Name:

Son/Daughter:

Son

Daughter

Date of Birth: