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| Evaluation
Form
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DEAR CLIENT! You have
selected to fill out the full, detailed assessment form for
confidential evaludation by Status Policy Ltd. Please note that
all the fields are required for a proper assessment.
If you omit any field (leave it blank) it will change to the red color
after you press the "submit" button at the end of the form.
Other remarks: if you press "enter" on your keyboard, the form will be
submitted and any blank fields will change to red, you can simply continue your
work, no need to refill from start, no information lost; if you have slow
connection reload may take some time, be patient; . If you have technical
difficulties with filling the form, you can send email to
TechSupport@WelcomeToCanada.com explaining
nature of your problem. We work hard to assure smooth sailing for our clients
;-)
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Personal
Information
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First (given) name
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Last (family) name
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Date of birth
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Gender
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Marital (family)
status
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if you select "married" the form will reload, adding "spouse" section at the bottom of the form (in pink color) |
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Children
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Age: |
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Relatives
in Canada
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Contact
Information
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Email
address
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Phone
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Residence
address
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| Additional
Information |
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Country
of birth
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Place
of birth
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Present
citizenship
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Country
of residence
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Education |
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Level
of Education
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please
indicate: years of study, name of educational institution,
specialty/major field of study
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Ability
in English or French |
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Read
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Write
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Speak |
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English
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French
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If
needed- how many months will take to learn English "well" |
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Native
language
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Occupation |
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For
the last 15 years: please indicate your occupations,
main duties, employment (city/country)
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Have
you or any of your family members: |
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Applied
for Canadian immigrant or visitor visa? |
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Made
claim for refugee status in Canada or been orderd to leave
Canada (departure or deportation order) |
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Been
detained, charged with crime ? |
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if
yes, provide details
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Do
you plan to retain our firm to provide immigration services
for you: |
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How did you find out about our company
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I hereby confirm that all information that I provide
now and will provide in the future to Status Policy Ltd. is true and full
disclosure of relevant facts. It is my responsibility to assure using due
diligence that all facts and documents are true and correct. I hereby submit
this information for evaluation purposes only to authorized representatives of
Status Policy Ltd., my personal information will not be used for any other
purposes. I submit this information to find out about my opportunity to
immigrate/visit Canada and not for any other purpose.
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