Form

Business Immigration Assessments by Amir Ismail - Licensed Canadian Immigration Practitioners - Member of ICCRC
Basic Information:
Full Name*
First Name Last Name

Address*

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

Immigrant Investor Program (Federal) Immigrant Investor Program (Quebec) Business Immigration Program - Manitoba Business Immigration Program - Saskatchewan Business Immigration Program - British Columbia Entrepreneur Program (Federal) Self Employed Category (Federal) Entrepreneur Program (Quebec) Self Employed Program (Quebec)
Marital Status*
Education:
Educational Qualification*
Business Management Experience:
Name of Business*

Business Address*

Type of Business*
Year Established*
Position in Business*
% of ownership in business*
# of employees supervised*
STATEMENT OF NET WORTH
Assets:
1. Cash (C$)*
2.Value of all properties owned by you and your spouse (if applicable) (C$)*
3. Publically traded stocks and other passive investments (C$)*
4. Market Value of Business (C$)*
5. Pensions, Provident Funds; Other Assets (C$) - Also give description.*
Total Assets (Cash, Properties and all other assets)
Total of all your assets in Canadian Dollars
Liabilities:
1. Mortgages*
2. Personal /other Debts*
B: Total Liabilities : 1+2*
Family Members:
Spouse's Education*
Spouse's Profession*
If spouses's profession is not listed, indicate his/her profession here
# 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
Relationship in Canada:
Do you have relatives in Canada*

Yes No
Relationship with Canadian relative*
Where in Canada your relatives are located*
How did you hear about us*

Seminar Internet Search Advertisement Facebook - http://www.facebook.com/canadaimmigration Personal Reference Website of Immigration Consultants of Canada Regulator Council (ICCRC) Twitter - @Canadaimmigrate Blog: http://aicic.blogspot.com Youtube: aiaconsulting
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