Form

Preliminary Assessment Form for Skilled Workers

Amir Ismail & Associates - Licensed Canadian Immigration Consultants
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Based in Toronto, Canada, Mr. Amir Ismail is a licensed, certified immigration consultant . You can find his license number – allowing him to represent and advise clients about Canadian Immigration Regulations - at the website of the Immigration Consultants of Canada Regulatory Council (ICCRC)
Basic Information:
Full Name*
First Name Last Name

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number*
- Area Code Phone Number
Cell Phone*
- Prefix Phone Number
E-mail*
Your Age*
Marital Status*
Choice of Immigration Program*

Federal Skilled Worker Program Quebec Skilled Worker Program I will be interested in immigration options of other countries too if not found eligible for Canada (Eg. Hong Kong, Australia etc.)
Education:
Educational Qualification*
Name of Institution*
Total # of years of study*
Professional background:
Your Profession*
# of years of experience*
Upload your CV (doc, pdf or txt files) A CV will help us make an accurate assessment*
Language Skills:

Your English language skills*

	Fluent	Moderate	With Difficulty	Not at all
Reading
Writing
Speaking
Listening

Your French language skills*

	Fluent	Moderate	With Difficulty	Not at all
Reading
Writing
Speaking
Listening

Family Members:
Spouse's Age*
Spouse's Education*
Spouse's Profession*
# of years of experience of spouse*
Upload your Spouse's CV (doc, pdf or txt files) A CV will help us make an accurate assessment
Number of Kids 12 years old or younger*
Number of Kids 13 to 21 years old*
Do you have sufficient Settlement Funds to bring to Canada*

Single Applicant - C$2,800 for Quebec Program - C$11,086 for Federal Program 2 Adults - C$4,106 for Quebec Program - C$13,801 for Federal Program 3 Family Members - C$4,600 for Quebec - C$16,967 for Federal Program 4 Family Members - C$4,965 for Quebec Program - C$20,599 for Federal Program 5 Family Members - C$5,329 for Quebec Program - C$23,364 for Federal Program 6 Family Members - C$26,350 for Federal Program 7 Family Members or more - C$ C$29,337 for Federal Program I don't have sufficient funds to bring to Canada (You will not be accepted if you won't have sufficient funds to bring to Canada).
Relationship in Canada:
Do you have relatives in Canada*

Yes No
Relationship with Canadian relative*
Where in Canada do your relatives reside
Do you have friends or relatives in Canada willing to offer you a job

Yes No
How did you hear about us*

Seminar Internet Search (Google, Yahoo etc) Newspaper Advertisement Facebook - http://www.facebook.com/canadaimmigration Personal Reference Twitter - @canadaimmigrate Blog: http://aicic.blogspot.com Youtube: aiaconsulting Website of Immigration Consultants of Canada Regulatory Council (ICCRC)
Detailed Immigration Assessment Report and One-to-One Consultation with Mr. Amir Ismail ($75 payable before consultation - fully refundable to those who retain our services after consultation)*

If found eligible, I am interested in receiving a detailed immigration assessment report describing all options available to me and a one-to-one consultation with Mr. Amir Ismail If found eligible, I do not require a detailed assessment report or consultation with Mr. Amir Ismaiil.
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Preliminary Assessment Form for Skilled Workers

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Basic Information:

Education:

Professional background:

Language Skills:

Family Members:

Relationship in Canada: