Professional Documents
Culture Documents
held):
Spouse/Partner;
Citizenship
(Please
indicate
______________________________________
all
citizenships
held):
________________________
date
(MM/DD/YY):
11) Please include details about all of your children (if any). This includes all
children whether living with you or not, and, legally in your guardianship or
not;
Name of Child Sex Date of Birth (MM/DD/YY) Living With You? Y/N
Immigrating With You? Y/N ?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
12) IF any of your dependent children are not immigrating with you, please
indicate why:
13) Please indicate your HIGHEST Level of education. Note: Please include
completed qualifications only. Unfinished qualifications will not be considered
under Canadian Immigration Regulations:
Highest Qualification:
__________________________________________
Start Date: (Month/Year)
__________________________________________
Completion (Month/Year)
__________________________________________
Spouse/Partner;
Highest
__________________________________________
Qualification:
14) Please indicate your level of assets (minus debts) (Note; In order to
qualify for permanent residence to Canada applicants must have a minimum
level of funds available):
______________________________________________________________________________
15) The following applies to both you and accompanying family members;
Start Date: (Month/Year) Completion
Date (Month/Year) ____________________Please Initial Here
Are there any criminal or civil proceedings pending against you or have
you ever been convicted of a criminal offence in any country? Yes/No
16) Have you ever studied or worked in Canada? Yes/No If Yes, Please Give
Details (location, employer/school, etc) and duration (mm/yyyy to mm/yyyy)
of Study or Work permit:
______________________________________________________________________________
Please include here any additional information that you feel is important or
pertinent to an application for permanent residence to Canada:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Declaration I hereby state that the information I have provided in this preimmigration questionnaire is an accurate and true representation of my
current and past situation.
I also accept that the information given in this declaration will be used in
part - as the basis for an application for a work permit and/or a permanent
residence visa for Canada
The decision to issue such a visa or permit is the sole decision of Canadian
immigration authorities.
Signature X
Date:
_____________________________________________________
_____________________________________________________