Pre-Assesment Form

Personal Profile

Age

Write Your Age

Country of Residence

Country Of Citizenship

Marital Status

Single

Married

Common-Law Partner

Do you have any children under the age of 22 ?

Yes

Preferred destination In Canada

How many children do you have under the age of 13?

How many children do you have aged 13 to 21?

Your Language Skills

Please describe your proficiency in English and/or French under each of the four skills listed below.

English

Writing

Reading

Speaking

Listening

French

Writing

Reading

Speaking

Listening

Do you have IELTS or CELPIP test results? (if yes indicate your scores)

Yes

IELTS

Listening

Reading

Writing

Speaking

CELPIP

Listening

Reading

Writing

Speaking

Do you have TEF test results? (If yes indicate your scores)

Yes

Listening

Reading

Writing

Speaking

Do you have any criminal / security / medical issues?

Yes

Not sure

Your Education and Training

Have you completed high school (secondary school)?

Yes

Have you received any education or training other than high school (secondary school)?

Yes

Please list all of your education and/or training other than high school (secondary school), starting with the most recent:

Type of Program

Program Duration

Did you complete this program?

Yes

Location

Inside Canada

Outside Canada

Write Province / Territory

Whether Education credential assessment (ECA) Completed ?

Yes

Completed from which designated organization ?

What is the Canada Education Equivalency ?

Your Work History

Have you done any paid work during the last 10 years?

Yes

Occupation

Enter Your Occupation

Enter Length of Work

When

Work Hours

Full Time (At least 30 hours per week)

Part Time (At least 15 hours per week)

less than 15 hours per week

Type of Job

On the payroll of any organization (i.e. commercial, governmental or other)

Self-Employed or working for your own company or business

Location

Inside Canada

Outside Canada

Enter Province or Territory

What type of Work Permit do you currently hold?

Express Entry Profile

Have you already submitted an Express Entry profile to the Government of Canada within the past 12 months

Yes

Have you already received an Invitation to Apply for permanent residence from the Government of Canada through the Express Entry system?

Yes

Canadian Job Offer

Do you have a written job offer from a Canadian employer

Yes

Occupation

Enter Your Occupation

Province or Territory

Write Province or Territory

What is the contract duration?

Two years or longer

Between one and two years

Between six months and one year

Less than six months

Work Hours

Full Time (At least 30 hours per week)

Part Time (At least 15 hours per week)

Less than 15 hours per week

Is this Job Offer supported by a Labor Market Impact Assessment (LMIA)?

Yes

I don't know

Family or Friend in Canada

Do you have a close friend living in the province of Manitoba who is 18 years or older?

Yes

Do you have any family members or relatives living in Canada and who are 18 years or older?

Yes

Please list all your and/or your spouse/common-law partner's relatives in Canada

Relationship

Residency Status

Living in

Since

Relationship

Residency Status

Living in

Since

Your Personal Net Worth

This question is optional. Net worth is considered for some immigration programs.

Write Currency

Amount

Enter Your Contact Information

Name

First Last

Phone

Questions and Comments

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

Additional Information

Upload your Resume (C.V)

Max. file size: 3 GB.

Immigration Newsletter

Yes, please send me the free Canadian Immigration Newsletter by email.

Yes, I would like to receive timely immigration information and special offers from northpace.ca and trusted partners.

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Get In Touch

Contact

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Phone No.

+1 (236) – 988 – 2121

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Email

info@princessimmigration.ca

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Address

Unit 2005-7495 132 Street, Surrey BC V3W 1J8

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Abhishek Dhingra(R709645)

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