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TRIUMPH IMMIGRATION CANADA INC.

PRELIMINARY ASSESSMENT FORM

The information gathered in this document will be used to assess your Canadian immigration options and is protected by the College of Immigration and Citizenship Consultants (CICC) Code of Professional Conduct and Canadian privacy laws. Your information will be held in the strictest of confidence and will not be shared with anyone without your explicit written consent.

Personal Information

ENGLISH LANGUAGE TEST :-

If you have taken an IELTS or CELPIP language test, please complete the following: Click here to enter text.
Test name: IELTS/CELPIP - Choose an item.
Reading: Click or tap here to enter text.
Speaking: Click or tap here to enter text.
Date of test: Click or tap here to enter text.
Writing: Click or tap here to enter text.
Listening: Click or tap here to enter text.

Education

Do you have any post-secondary education (university, college, apprenticeship training, etc)?
If you answered YES, please provide details below:

EMPLOYMENT HISTORY

Please provide details of employment in the last ten years - beginning with current – and include part-time positions.

FINANCIAL INFORMATION

Your personal net worth in Canadian dollars - e.g. your properties, investments, stocks, bonds, bank accounts that you and your spouse or common-law partner own, minus your liabilities: Click or tap here to enter text.

Additional questions

1. What do you want to do in Canada, e.g. visit, study, work, immigrate? Click here to enter text.
2. Do you have a family member who is a Canadian citizen or a permanent resident and is 18 years or older? Click here to enter text.
3. If yes please indicate how many and the relationship Click here to enter text.
4. Do you have a job in the country where you currently live? choose an item.
5. Do you own a business in the country you currently live? choose an item.
6. Do you depend on someone for financial support? choose an item.
7. Have you travelled to other countries in the previous 10 years? choose an item.
8. Have you ever committed, been arrested for, been charged with, or convicted of any criminal offence in any country? choose an item.
9. Have you ever been refused a visa, permit, or denied entry to Canada or any other country? choose an item.
10. Do you want to submit an application for a family member? choose an item.
11. Is there any other information that you feel is important to share as part of your preliminary assessment? Click here to enter text.
Thank you for filling out this questionnaire. The information provided will enable us to determine your eligibility for Canadian immigration programs.
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