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Pre-Assessment Form
Application for the interest in processing of Canadian Immigration
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* Indicates required question
Which type of Immigration Service you are looking for?
*
Student Visa
Permanent Residence
Work Permit
Visitor Visa
Other:
Required
Please let us know to whom we need to provide the requested service:
Individual
Couple
Family
Surname and First Name
*
Your answer
Phone Number
*
Your answer
Email Id
*
Your answer
Date of Birth:
*
MM
/
DD
/
YYYY
Gender
Female
Male
Clear selection
Birth place (city, country):
Your answer
Home Address and Country of Residence
Your answer
Country of Citizenship:
*
Your answer
If you are not a citizen of your current residence, what is your status:
Your answer
Martial status:
*
Married
Single, Never married
Divorced / Widow
Conjugal relationship
Do you have any children ?
Yes
No
Clear selection
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