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Business Immigration Free Assessment Form

A. Personal Details

  • Family Name*
  • Given Name
  • Gender
  • Male Female
  • Address
  • Home Phone Number
  • Business Phone Number
  • Mobile Phone Number*
  • Fax Number
  • E-mail Address*
  • Confirm E-mail Address*
  • Alternate E-mail Address
  • Date of Birth
  • Place of Birth
  • Citizenship
  • Country of Residence
  • Marital Status
  • Single Married
  • Number of Children
  • Age of Children

B. Spouse’s (husband, wife, or common-law partner) personal details (if applicable)

  • Family Name
  • Given Name
  • Gender
  • Male Female
  • Date of Birth
  • Place of Birth
  • Citizenship
  • Country of Residence

C. Net Worth

  • What is your monetary net worth in Canadian dollars, including your assets and the assets of your spouse?

D. Business Experience

  • Have you owned and/or managed a business within the last five years?
  • Yes No

E. Description of Business

  • Please provide a description of your business activities

F. Business Plan in Canada

  • If you intend to start a business in Canada, please indicate what type of business you intend to start, together with any other details you believe are relevant
  • Is there any specific city or province in Canada that you wish to settle in?

G. Education

  • Your total number of years of full-time education
  • Level of Education Achieved

H. Language Ability

  • English

    • Speak
    • none basic well fluently
    • Listen (oral comprehension)
    • none basic well fluently
    • Read
    • none basic well fluently
    • Write
    • none basic well fluently
  • French

    • Speak
    • none basic well fluently
    • listen (oral comprehension)
    • none basic well fluently
    • Read
    • none basic well fluently
    • Write
    • none basic well fluently

I. Exploratory Visit

  • Have you every made an exploratory business visit to Canada?
  • Yes No

J. Admissibility

  • Have you, your spouse, or any of your children
  • Had any serious disease or physical or psychological disorder?
  • Yes No
  • Been convicted of or are currently charged with a criminal offence in any country?
  • Yes No
  • Applied previously for a temporary visa to Canada?
  • Yes No
  • Applied previously for permanent residence in Canada?
  • Yes No
  • Been refused a visa to Canada or any other country?
  • Yes No
  • Been refused admission to or order removed from Canada or any other country?
  • Yes No
  • Been involved in the commission of human rights violations, acts of subversion, espionage, terrorism, or organized criminality?
  • Yes No
  • If you have replied “yes” to any of the above questions, please provide details

K. Final Details

  • If there is anything else that you believe is important in relation to your qualifications please note it here.

Declaration

  • I () certify that the above information provided by me in the Free Assessment is true. *
  • Furthermore, I consent to the law office of Matthew Jeffery, Barrister & Solicitor, contacting me in relation to the above Free Assessment. *
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