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PERSONAL INFORMATION |
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Salutation
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Family/Given Name |
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Date of Birth:
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Country of Current Permanent or Long-Term Residence
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Citizenship
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CONTACT INFORMATION
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Tel
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Fax
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E-mail
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Address
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Name of Your Spouse (if any)
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Spouse Date of Birth
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Age of Oldest Child (if applicable) |
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Number of children under 19 |
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YOUR EDUCATION
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What is the highest education credential you have obtained, and how long was the course of study or training? |
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How many years of total education was required to complete the education credential? |
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If you have a Bachelor degree, do you also have a second Bachelor degree?
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Yes
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No
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| YOUR SPOUSE'S EDUCATION
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Spouse's highest education credential. |
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How many total years of education?
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YOUR CURRENT OCCUPATION
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Describe your current occupation
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How long have you worked in your current occupation?
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Have you worked in any other occupation in the past ten years? If so, please describe
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| SPOUSE'S OCCUPATION
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What is your spouse's current occupation (if any)?
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How long has your spouse worked in that occupation?
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Has your spouse worked in any other occupation in the last ten years? If so, please describe.
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| LANGUAGE SKILLS
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Describe your ability to speak, read, listen and write English
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Describe your ability to speak, read, listen and write French
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If married, describe your spouse's ability to speak, read, listen and write English
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Describe your spouse's ability to speak, read, listen and write French
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ARRANGED EMPLOYMENT / EMPLOYMENT PROSPECTS |
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Do you or your spouse have a confirmed offer of permanent employment in Canada at this time? If yes, please describe |
Yes |
No |
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If no, do you have any definite prospects for employment in Canada at this time? |
Yes |
No |
If yes, please describe
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If you have neither a confirmed offer of employment nor definite employment prospects, at this time, what are your reasons for believing that you will become economically successful in Canada? |
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RELATIVE LIVING IN CANADA |
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Do you, or your spouse, have any blood relatives living in Canada, who are either Permanent Residents or Canadian Citizens, of the following types: brother, sister, aunt, uncle, niece, nephew, father, mother, spouse or child? |
Yes |
No |
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If yes, describe the relationship to you? |
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If not, are there other more distant relations or close friends living in Canada who would be prepared to offer assistance to you? If yes, please explain |
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ABILITY TO SETTLE IN CANADA |
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Canada requires applicants to be able to transfer a minimum amount of money to Canada upon immigration. This amount is CAD$ 10,000 for the principal applicant, plus CAD$ 2000 for each accompanying dependent. Will you be able to transfer such an amount to Canada? |
Yes |
No |
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MOTIVATION FOR MOVING TO CANADA |
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Please describe why you want to immigrate to Canada |
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| CURRICULUM VITAE
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In addition to completing this form You may also send your CV to
awlodyka@axionet.com.
Have you or any of your family members ever had any problems with police? If yes, please advise.
Have you or any of your family members ever have any serious medical problems? If yes, please advise.
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Thank you for completing my Personal Data Form. I will respond to you shortly with my preliminary assessment of your chances.
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