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Eligibity Questionnaire
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Eligibity Questionnaire
Preliminary Questionnaire
Your Basic Information
First Name:
Last Name:
Date of Birth:
Month
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Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Year
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1914
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1912
Citizen Of:
Marital Status:
Single
Engaged
Married
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Widowed
Common-law
Address:
A Phone Number That We Can Contact You :
Country Code:
Your Email Address:
Educational / Professional Qualifications
Please give a brief description of your post-secondary education and professional qualifications if any. Indicate the duration of each study program and the result obtained.:
Educational / Professional Qualifications of your Spouse / Common-law partner
Please give a brief description of your post-secondary education and professional qualifications if any. Indicate the duration of each study program and the result obtained.:
Your Employment Experience
(Name of Employer, Title/Designation, No.of years completed):
Your Spouse/Partner's Employment Experience
(Name of Employer, Title/Designation, No.of years completed):
Do you or your spouse have a relative other than a cousin in Canada ?:
Have you or your spouse studied in Canada for a period of two years ?:
Have you or your spouse worked in Canada for a period of one year? :
Do you have a government validated job offer in Canada ? :
How much money is available to you for settlement in Canada ? (in USD):
Your Comments / Questions :
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