Assessment – Caninvisas

Preliminary Assessment Questionnaire
For Express Entry Permanent Residency / Temporary Residency

Web Form : Please fill up the web form below with complete details and submit it.

Applicant's First Name*

Middle Name (If applicable)

Last Name*

Any other Name used previously

Date of Birth (dd/mm/yyyy)*

Place of Birth (Place, Country)*

Full Mailing Address*

Residentail Address If different

Home Phone Number With Country and Area Code

Cell Phone Number With Country and Area Code*

Whatsapp Number with country code if different

Email*

Other Email (If Applicable)

Gender*

Marital Status*

Date of Marriage (dd/mm/yyyy)

Nationality*

Referred By

Principal Applicant: Write all your academic activities starting with most recent graduation.

Educational History*

Type of Graduation	University / College Name / Country	From (mm/yyyy)	To (mm/yyyy)

Principal Applicant: Write all your experience you have gained after your graduation.

Employment History

Company Name	Designation	From (mm/yyyy)	To (mm/yyyy)

Principal Applicant: Language Test

Have you completed any languages test within past 2 years i.e. IELTS, CELPIP etc?

Yes
No
Not yet preparing for language exam

Module

Date of Test Result (MM/YYYY)

Are you willing to appear for exam?

Yes
No

When you are planning to appear for language test? (MM/YYYY)

Which language test you are planning to appear for?

When you are planning to appear for language test? (MM/YYYY)

Listening

Reading

Writing

Speaking

Overall Band

Spouse Information

Spouse First Name

Middle Name (If applicable)

Last Name

Any other Name used previously

Date of Birth (dd/mm/yyyy)

Place of Birth (Place, Country)

Full Mailing Address if different than Applicant's

Email

Cell Number with Country and Area Code

Spouse : Write all your academic activities starting with most recent graduation.

Educational History

Type of Graduation	Univerisity / College Name / Country	From (mm/yyyy)	To (mm/yyyy)

Spouse : Write all your experience you have gained after your graduation.

Employment History

Company Name	Designation	From (mm/yyyy)	To (mm/yyyy)

Spouse : Language Test Result - if available

Have you completed any languages test within past 2 years i.e. IELTS, CELPIP etc?

Yes
No
Not yet preparing for language exam

Module

Date of Test Result (MM/YYYY)

Are you willing to appear for exam?

Yes
No

When you are planning to appear for language test? (MM/YYYY)

Which language test you are planning to appear for?

When you are planning to appear for language test? (MM/YYYY)

Listening

Reading

Writing

Speaking

Overall Band

Children Information

Full Name	Date of Birth	Nationality	Gender

Do you or your spouse have applied / Refuse for Canada or any other Country?
i.e. PR Application, Student, Visitor, Work Permit, etc. (If yes write full details below)

Any Immigration Application Refusal History - If Applicable

Full Name of the Applicant	Country where Applied	Category for Applied	Date of Refusal

Do you or your spouse currently living in Canada?
If yes, please provide detials below.

Residency Information - If Applicable

Full Name of the Applicant In Canada	Status in Canada (i.e. Visitor, Worker, Student)	Permit Start Date	Permit Expiry Date

Do you or your spouse have any relatives in Canada?
i.e. Parents, Grand Parents, Brother, sister, nephew, cousin, uncle, aunt.
(If yes write full details below)

In Canada Relative's Information - If Applicable

Full Name of Relative in Canada	Address of Relative City / State name only	Relationship	Status of Relatives PR/Citizen

Travel Information (If you have travel outside of your origin country please write full details below)

Travel Information - If Applicable

Name of the Country	Status in Foriegn Country	From (dd-mm-yyyy)	To (dd-mm-yyyy)

You may provide additional information that you think would be relevant to your immigration assessment. Would you like to add information at this time?

Yes
No

Additional Information

*

"I understand that my first meeting with Caninvisas Immigration Services (CANINVIsas) includes an initial brief free assessment of my circumstances to see if I qualify for making an application to Canada Immigration. Caninvisas Immigration will not accept clients who do not qualify. I will declare at the beginning of the meeting if I am here to discuss any matters that deal with an existing problem with Canada Immigration, an application that has already been submitted, to go into depth on my personal immigration circumstances, or an application which I intend to prepare and submit on my own, as these are NOT included in CANINVIsas' free assessment, and I agree to pay for the entire consultation at CANINVIsas' current hourly rate. I agree to provide complete and truthful information in the interview"

Preliminary Assessment Questionnaire For Express Entry Permanent Residency / Temporary Residency

Principal Applicant: Write all your academic activities starting with most recent graduation.

Principal Applicant: Write all your experience you have gained after your graduation.

Principal Applicant: Language Test

Spouse Information

Spouse : Write all your academic activities starting with most recent graduation.

Spouse : Write all your experience you have gained after your graduation.

Spouse : Language Test Result - if available

Children Information

Do you or your spouse have applied / Refuse for Canada or any other Country? i.e. PR Application, Student, Visitor, Work Permit, etc. (If yes write full details below)

Do you or your spouse currently living in Canada? If yes, please provide detials below.

Do you or your spouse have any relatives in Canada? i.e. Parents, Grand Parents, Brother, sister, nephew, cousin, uncle, aunt. (If yes write full details below)

Travel Information (If you have travel outside of your origin country please write full details below)

Preliminary Assessment Questionnaire
For Express Entry Permanent Residency / Temporary Residency

Do you or your spouse have applied / Refuse for Canada or any other Country?
i.e. PR Application, Student, Visitor, Work Permit, etc. (If yes write full details below)

Do you or your spouse currently living in Canada?
If yes, please provide detials below.

Do you or your spouse have any relatives in Canada?
i.e. Parents, Grand Parents, Brother, sister, nephew, cousin, uncle, aunt.
(If yes write full details below)