C-Panal

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Personal Profile of Main Applicant :

Full Name as per the passport

Current Mailing Address

Email Address

Telephone/Mobile

Nationality

Sex

Date of Birth

Marital Status

Country of Residence

Your Education and Training starting from the most recent :

Name of School /College / University	Certificate /Diploma/ Degree Obtained	From date (yyyy-mm-dd)	To date (yyyy-mm-dd)	City/ Town	No of Study hours per week	Country

Your Employment information from the last 10 years starting from the recent :

Job Title/Position	Start Dates From date (yyyy-mm-dd)	End Dates To date (yyyy-mm-dd)	Name of Company and Country	City /Town	Hours of work per week

Your Knowledge of Languages :

Language	Reading	Writing	Listening	Speaking	Exam Date Taken	Name of Languages Test
English
French

Your Spouse Information (if applicable) :

Spouse Full Name

Date of Birth

Date of Married

Your Spouse Education and Training starting from the recent :

Name of School /College / University	Certificate /Diploma/ Degree Obtained	From date (yyyy-mm-dd)	To date (yyyy-mm-dd)	Country

Your Spouse Employment information from the last 10 years starting from the recent :

Job Title/Position	Starting & End Dates	Name of Company and Country	Hours of work per week

Your Spouse Knowledge of Languages :

Language	Reading	Writing	Listening	Speaking	Exam Date Taken	Name of Languages Test
English
French

Your Children Information (if applicable) :

Full Name	Date of Birth	Country of Birth	Marital Status	Present Occupation / study

You or your spouse family in Canada (if any) :

Relationship to him/her

Is he/she a Canadian Citizen or Permanent Resident (Yes/No)

Province they are living

Additional Information (if any):

Approximate Personal / Family Net Worth ( to be considered for investment based immigration options) :

Your Parent Details :

	Full Name	Marital Status	Current Address	Date of Birth	Country of Birth	Current Occupation
Farther
Mother

Have you been refused admission, or a travel visa to Canada or any other country? If Yes, Pls provide explanation

Have you been ordered to leave Canada or any other country?

Have you ever been in the military (including mandatory service), a militia, or a civil defense unit or the police?

Have you ever been employed by a government in a security-related capacity?

During the past five years, have you lived in any country other than your country of citizenship or permanent residence for more than six months?

In what Canadian Province or Territory would you like to live? If any.

When would you like to move to Canada?

Any additional comments

Travel History record for last ten years :

From	To	Country	Duration (Days/ months / Years)	Purpose

Attach your resume *** Only JPG, JPEG, PDF , DOC or DOCX files are allowed

Canadian Immigration Assessment