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Assessment Forms
Skilled Worker
Business Class
   
   
Phone: 416.637.5859
Fax : 416.987.6658
Assessment Form
Business Class Assessment Form
 
Details of Applicant
 
Personal Information
First Name
Middle Name
Last Name
Sex
Date of Birth
Country of Citizenship
 
Contact
Current Mailing Address - House/ Street Number :
Current Mailing Address (Continued) :
City / Town :
Province / State :
Country of residence
Postal / ZIP Code :
Mailing address ( if differant from above)
Current Mailing Address - House/ Street Number :
Current Mailing Address (Continued) :
City / Town :
Province / State :
Country of residence
Postal / ZIP Code :
Telephone Country Code :
Telephone City Code :
Home Telephone number : Extension (If any)
Alternate Telephone number : Extension (If any)
Email address
Alternative email address
(If any)
 
Education
Highest Level of College/University Education Achieved
Details of Spouse / Common-law Partner
Family or Surname
First Name
Middle Name
Maiden Name
Details of Children
DEPENDENT CHILDREN
Given Names Country of Birth Date of birth Sex
Occupational/Business Management History
PASTE or ENTER details of your history for the past 10 years here:
Include:  
1. MONTH and YEAR in which you STARTED and COMPLETED each position
2. NAME of the organization or business entity
3. POSITION (i.e., TITLE) held
4. MANAGEMENT DUTIES PERFORMED
5. Percentage of OWNERSHIP interest, if any.
Assets & Liabilities
Please indicate the total value of your assets (including fixed assets and liquid assets), and of your current liabilities in US dollars.
Assets:
Liabilities:
ADDITIONAL IMPORTANT INFORMATION
Do you or your spouse/partner have any relative who is a permanent resident or a Canadian citizen living in Canada?
Have you or any of your dependants ever:
. Had any serious disease or physical or mental disorder?
Been convicted of or are currently charged with any crime or offence in any country?
Applied previously for temporary status in Canada (i.e. visitor/student/worker)?
Been refused a Canadian immigrant visa /visitor visa /Study Permit /Work Permit or that of any other country?
Been refused admission to, or ordered to leave Canada or any other country?
Been involved in the commission of a war crime or a crime against humanity?
Applied previously for permanent status in Canada?
If you have answered "yes" to any of the questions above, please provide details below:
How did you hear about us?
DECLARATION
The information furnished by me in the above form is true and correct, to the best of my knowledge, and provided for the sole purpose of my assessment regarding Immigration to Canada. I understand that this assessment does not create any representative-client relationship. In addition to the Assessment Questionnaire you may send an updated resume or curriculum vitae, if available. This can be sent as an attachment to our email:info@destined4canada.com
The result of this questionnaire will be sent to you by e-mail. Please make sure that the address you provided is correct.
 
 

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