Business Immigration Free Assessment Form All information submitted are kept strictly confidential. View Privacy Policy A. PERSONAL DETAILSFull Name*GenderMaleFemaleDate of BirthPlace of BirthCitizenship*Country of Residence*Marital StatusNumber of ChildrenAge of ChildrenCONTACTSFull Postal AddressEmail Address*Phone Number*B. SPOUSE’S (HUSBAND, WIFE, OR COMMON-LAW PARTNER) PERSONAL DETAILS (IF APPLICABLE)Full NameGenderMaleFemaleDD-MM-YYYYPlace of BirthCitizenshipCountry of ResidenceC. NET WORTHWhat is your monetary net worth in Canadian dollars, including your assets and the assets of your spouse?D. BUSINESS EXPERIENCEHave you owned and/or managed a business within the last five years?YesNoE. DESCRIPTION OF BUSINESSPlease provide a description of your business activities:F. BUSINESS PLAN IN CANADAIf 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. EDUCATIONYour total number of years of full-time education: Level of Education AchievedPlease selectSecondary school1-year post-secondary credential2-year post-secondary credential3 or more year post-secondary credentialTwo or more post-secondary credentials, one of which was at least 3 years in durationUniversity credential at the master’s or professional levelUniversity credential at the doctoral levelC. LANGUAGE SKILLSENGLISHSpeaknonebasicwellfluently Listen (oral comprehension)nonebasicwellfluently Readnonebasicwellfluently WritenonebasicwellfluentlyFRENCHSpeaknonebasicwellfluently Listen (oral comprehension)nonebasicwellfluently Readnonebasicwellfluently Writenonebasicwellfluently If you have ever been tested for language ability under the IELTS, CELPIC or the TEF test, please record your scores here:SPOUSE’S LANGUAGE SKILLS (IF APPLICABLE)ENGLISHSpeaknonebasicwellfluently Listen (oral comprehension)nonebasicwellfluently Readnonebasicwellfluently WritenonebasicwellfluentlyFRENCHSpeaknonebasicwellfluently Listen (oral comprehension)nonebasicwellfluently Readnonebasicwellfluently WritenonebasicwellfluentlyI. EXPLORATORY VISITHave you every made an exploratory business visit to Canada?YesNoJ. ADMISSIBILITY Had any serious disease or physical or psychological disorder?YesNoBeen convicted of or are currently charged with a criminal offence in any country?YesNoApplied previously for a temporary visa to Canada?YesNoApplied previously for permanent residence in Canada?YesNoBeen refused a visa to Canada or any other country?YesNoBeen refused admission to or order removed from Canada or any other country?YesNoBeen involved in the commission of human rights violations, acts of subversion, espionage, terrorism, or organized criminality?YesNo If you have replied “yes” to any of the above questions, please provide details:K. FINAL DETAILSIf there is anything else that you believe is important in relation to your qualifications please note it here.DECLARATIONI certify that the above information provided by me in the Free Assessment is true.*Yes, TrueI consent to the law office of Matthew Jeffery, Barrister & Solicitor, contacting me in relation to the above Free Assessment.*YesSendThis field should be left blank