Questionnaire

Before completing this questionnaire, please keep in mind the following points:

» Information provided in completed questionnaires will be kept strictly confidential by Primus Immigration, Inc.;

» Incomplete questionnaires will NOT be assessed and individuals will be asked to complete the questionnaire again;

» Individuals with no work experience of any kind need NOT complete the questionnaire as they will not currently qualify for immigration;

» If you are married or have been living in a common law relationship (including same sex relationships) for more than one year, please ask your partner/spouse to complete this form and send it to us as well.

Important: Do not provide any contact information that you do not want us to use. For example, if you do not want us to telephone you at your workplace, then please do not provide your work phone number. Please provide us with mailing address, e-mail address, telephone and fax numbers where we can contact you directly. We recommend that you use an e-mail address if you have one available, since this is now the fastest, easiest and least expensive method of communication.

Personal Information
* Surname:
* First Name:
Sex:	Male Female
* Date of Birth:
* Home / cellular number: (please include your country and city code)
* Country
* E-mail:
* Marital Status:
Please note that your spouse or common law partner must complete a new questionnaire.
Spouse or common law partner's name:
Spouse or common law partner's date of birth:
Spouse or common law partner's level of education:
Spouse or Common Law Partner's field of study for the University (Bachelors), Technical or Vocational diploma / degree only? (not any post graduate degree)
Spouse or common law partner`s number of work experience years:
If you have any dependents, tell us how many:
Age of Dependants:
Language (s) Information Since Canada has two official languages, English and French, please assess your skills in both languages.
Do you speak English?	Yes No
Do you speak French?	Yes No
Education Information Immigration Canada places much importance upon your educational background when evaluating your eligibility for immigration to Canada. Therefore, please state the most recent degree/diploma you have obtained. Be sure that you use the full name the degree in question. (ex: Bachelor of Science in Industrial Engineering) Make sure you have terminated everything related with your degree/diploma. (You should be able to prove your education by a document issued by your university/school/college)
* What level of education do you have?
* In what field is your University (Bachelors), Technical or Vocational diploma / degree? (please note we are not asking the field for any post graduate degree)
* Have all the requirements been met for the completion of this diploma?	Yes No
* When did you obtain your degree / title? (please tell us the year your diploma was issued)
If you did not finish or complete your degree / title, when will you complete it?
Do you have any other additional University (Bachelors), Technical or Vocational diploma / degree? (not Masters or PhD)
What is the field of study?
Have all the requirements been met for the completion of this diploma?	Yes No
When did you obtain your degree / title? (please tell us the year your diploma was issued)
If you did not finish or complete your degree / title, when will you complete it?
Do you have any other additional University (Bachelors), Technical or Vocational diploma / degree? (not Masters or PhD)
What is the field of study?
Have all the requirements been met for the completion of this diploma?	Yes No
When did you obtain your degree / title? (please tell us the year your diploma was issued)
If you did not finish or complete your degree / title, when will you complete it?
Employment Information This is one of the most important points used to determine a candidate's qualifications for immigration.
Are you working now?	Yes No
* How many years of work experience do you have in the past 10 years?
* In what field (s)?
Financial Information (in USD) Canadian Immigration officials need to know that any person moving to Canada has the money that is needed to successfully establish a new life here. Please estimate your personal net worth (this mean your total cash and property value, subtracting your total debts). We ask you to calculate in US dollars, even if your assets are not in this currency.
Total Assets:
IMPORTANT: If you also want our Law Firm to consider / evaluate your profile under the category of Business applicant either as an investor, entrepreneur or self-employed, please contact us at + 1 514 288 3886 Monday - Friday 9:00 am to 11:00 am or 3:00 - 4:45 pm Montreal time or write to us at info@primusimmigration.com
Admissibility Information
Please provide any additional information:
* I certify that the above information is truthful, complete, and correct.
* Where did you hear about Primus Immigration?
* By clicking on "submit" I authorize Primus to send me information about the company and Canada	Yes
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Questionnaire

Personal Information

Language (s) Information

Education Information

Employment Information

Financial Information (in USD)

Admissibility Information