Assessment Form Test

Name

This field is for validation purposes and should be left unchanged.

1. Personal Information

First Name

Last Name*

Email*

Daytime Telephone*

Please include the area code

Your Nationality

Current Country of Residence*

City Country

Date of Birth*

Sex*

Male

Female

Marritial Status*

Single

Married

Divorced

Do you have Children under the age of 19?

Yes

How many Children Under the Age of 13

How many children aged between 13 to 18

Family Information

Your Closest Relative with Canadian Residence or Citizenship

Your Relative's Province of Residence

You indicated that you have a relative in Canada. Please specify which province your relative is from

Spouse Information

You mentioned you were married. Please provide the following details about your spouse (wife/husband)

Spouse's Date of Birth

Spouse's Years of Education

Total years of education starting from primary school (grade1) up to the highest degree.

Spouse's Level of Education*

Spouse's Field of Study

Spouse's number of years of working experience

Spouse's Language Abilities

English

Reading / Writing*

Listening / Speaking*

French

Reading / Writing*

Listening / Speaking*

Spouse's closest relative in Canada is

Spouse's Relative Province of Residence

You indicated that you have a relative in Canada. Please specify which province your relative is from

Other Personal Information

Do you have an offer of employment with a Canadian company?*

Yes

Please provide additional details about your offer of employment here:

Have you ever been refused a visa to Canada*

Yes

Please provide additional details about your visa refusal here:

Have you or your spouse or common law partner ever:

Had any serious disease

Been convicted or currently charged with any crime or offence in any country

Applied previously for an immigrant visa to Canada

Visited Canada (visit/study/work)

Check all that apply

Please provide Details about your serious disease

Please provide Details about your criminal charge or offence

Please provide Details about your previous application for an immigrant visa to canada

Please provide Details of your previous visit to Canada

Are you able to obtain a visitors visa to Canada

Yes

Not Sure

Why Not?

You indicated that you are unable to obtain a visitors visa to Canada. Please provide more details here.

Language Abilities

English

Read*

Speak*

Write*

French

Read*

Speak*

Write*

Education

Total Number of Years of Education you have

Starting from Grade 1 up to your highest degree.

Your Degrees

Certificate / Diploma	Name of Institution	Actions

There are no Degrees.

Please use the "Add Degree" Button to add your degrees

Employment

Please list your past 3 employment details

Work Experience

Name of Company / Organization	Job/Position Title	Actions

There are no Employers.

Net Worth

What is the estimated value of your Personal Net Worth using Canadian Dollars?

Your Personal Net Worth is the sum of all your worldwide assets minus the total of your liabilities (debt)

Present Currency of Assets*

Please indicate the original currency that you converted to Canadian dollars in order to calculate your Personal Net Worth.

Please Check all the Assets that you own

Bank Account (Cash)

Stocks/Bonds/Mutual Funds

Land and Real Property

Other Assets

Total Amount of Cash in Bank Account using Canadian currency

Total Amount in Stocks/Bonds/Mutual Funds using Canadian currency

Total Amount in Land and Real Property

Other Assets

Name of the Asset

Value (CAD)

Business

Do you own a business?

Yes

What is the name of your business?*

Location of Your Business

City Country

Number of Employees

Revenues for the Past Year

What were your total revenues (before expenses) for the past fiscal year

Do you actively manage the business?

Yes

Are you looking to start a business in Canada

Yes

Please describe your idea below:

Your idea will be kept confidential and treated in accordance with our Privacy Policy

Please note that providing this information does not create a solicitor-client relationship, nor does it mean that you have engaged Kadrilaw to provide a legal opinion. At Kadrilaw, we take your privacy as a serious matter, and we wish to assure those who use our web based resources that we only collect your personal information for the purposes of determining if you are a candidate for any of the services we offer, or otherwise in accordance with our Privacy Policy. In order to proceed, please acknowledge the above and indicate your consent to allow Kadrilaw to collect your personal information and use it in accordance with our Privacy Policy.

I agree to the privacy policy outlined above*

Yes

1. Personal Information

Family Information

Spouse Information

Spouse's Language Abilities

English

French

Other Personal Information

Language Abilities

English

French

Education

Employment

Net Worth

Business

Immigration Services

Consultations

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