THIS QUESTIONNNAIRE HAS BEEN DESIGNED TO AID H & H GLOBAL IMMIGRATION SERVICES INDETERMINING YOUR QUALIFICATIONS FOR OBTAINING PERMANENT RESIDENCE, AND/OR EMPLOYEMNT IN CANADA. PLEASE PROVIDE ALL THE INFORMATION REQUESTED IN DETAIL.

PLEASE NOTE THAT ONLY THOSE APPLICANTS WHO DO QUALIFY WILL BE CONTACTED WITHIN 30 DAYS OF SUBMITTING THIS FORM TO OUR OFFICE.

LAST NAME FIRST NAME OTHER NAMES SEX
( ) F ( ) M
COMPLETE HOME ADDRESS:
POSTAL CODE:
IF YOU ARE NOT RESIDING IN YOUR COUNTRY OF NATIONALITY WHAT IS YOUR IMMIGRATION STATUS IN THE COUNTRY WH-+ERE YOU ARE?
WHEN DID YOU ENTER THAT COUNTRY?
DID YOU ENTER LEGALLY?
IF OUR OF STATUS, FOR HOW LONG DID YOU HAVE STATUS?
HOME TELEPHONE ( ) FAX( ) E-MAIL
DATE OF BIRTH: COUNTRY OF BIRTH: CITIZENSHIP
MARITAL STATUS: NUMBER OF CHILDREN:
UNDER THE AGE OF 18: OVER THE AGE 19
SPOUSE’S DATE OF BIRTH:

PASSPORT NUMBER ______ESPIRY DATE :MONTH______DAY______YEAR______

YOUR EMPLOYMENT HISTORY SINCE YOUR 18TH BIRTHDAY: PLEASE BE DETAILED

DATES
FROM TO / COMPANY NAME YOUR POSITION / DETAILED JOB DESCRIPTION, INCLUDE DETAILED DUTIES AND RESPONSIBILITIES OF YOUR JOB

ARE YOU LICENSED IN YOUR CHOSEN PROFESSION? YES______NO______

ARE YOU WILLING TO OBTAIN A LICENSE IF REQUIRED BY CANADIAN GOVERNMENT? YES______NO______

HAVE YOU EVER TAKEN A FIRST AID COURSE? YES______NO______

DO YOU HAVE YOUR TOOLS FOR YOUR PROFESSION? YES______NO______N/A______

YOUR WIFE’S/HUSBAND’S OR PARTNER EMPLOYMENT HISTORY SINCE HIS/HER 18TH BIRTHDAY: PLEASE BE DETAILED

DATES
FROM TO /
COMPANY NAME YOUR POSITION / DETAILED JOB DESCRIPTION, INCLUDE DETAILED DUTIES AND RESPONSIBILITIES OF YOUR JOB

HAVE YOU OR ANY OF YOUR DEPENDENTS EVER WORKED IN CANADA WITH A WORK PERMIT? IF SO, PLEASE SPECIFY THE DATES:

HAVE YOU OR ANY OF YOUR DEPENDENTS EVER STUDIED AT A POST SECONDARY INSTITUTION IN CANADA FOR TWO YEARS OR MORE? IF SO, PLEASE SPECIFY THE DATES:

WHAT IS YOUR FIRST LANGUAGE ______

CANADA’S OFFICIAL LANGUAGE’S ABILITY (PLEASE MARK THE APPROPRIATE COLUMN):

ENGLISH FRENCH:

Fluently Well With Difficulty Fluently Well With Difficulty

Speak ( ) ( ) ( ) ( ) ( ) ( )

Read ( ) ( ) ( ) ( ) ( ) ( )

Write ( ) ( ) ( ) ( ) ( ) ( )

Understand ( ) ( ) ( ) ( ) ( ) ( )

LANGUAGE ABILITY OF YOUR PARTNER (PLEASE MARK THE APPROPRIATE COLUMN):

ENGLISH FRENCH:

Fluently Well With Difficulty Fluently Well With Difficulty

Speak ( ) ( ) ( ) ( ) ( ) ( )

Read ( ) ( ) ( ) ( ) ( ) ( )

Write ( ) ( ) ( ) ( ) ( ) ( )

Understand ( ) ( ) ( ) ( ) ( ) ( )

EDUCATION ( YEARS SUCCESSFULLY COMPLETED)
NUMBER OF YEARS IN PRIMARY: / NUMBER OF YEARS IN SECONDARY: / NUMBER OF YEARS IN UNIVERSITY/ COLLEGE:
DETAILS OF YOUR POST SECONDARY EDUCATION: (PLEASE INCLUDE ANY APPRENTICESHIP)
DATES:
FROM TO
M / Y M / Y / NAME OF SCHOOL / TYPE OF DIPLOMA ,DID YOU COMPLETE THE PROGRAM?
EDUCATION OF YOUR PARTNER ( YEARS SUCCESSFULLY COMPLETED)
NUMBER OF YEARS IN PRIMARY: / NUMBER OF YEARS IN SECONDARY: / NUMBER OF YEARS IN UNIVERSITY/ COLLEGE:
DETAILS OF YOUR POST SECONDARY EDUCATION: (PLEASE INCLUDE ANY APPRENTICESHIP)
DATES:
FROM TO
M / Y M / Y / NAME OF SCHOOL / TYPE OF DIPLOMA ,DID YOU COMPLETE THE PROGRAM?

RELATIVE(S) OR FRIENDS LIVING IN CANADA WHO ARE EITHER PERMANENT RESIDENTS OR CANADIAN CITIZENS:

NO ONE / GIRL/BOY FRIEND / SPOUSE
PARENTS / CHILDREN / BROTHER/SISTER
UNCLE/AUNT / NIECE/NEPHEW / FRIEND

RELATIVE(S)OR FRIENDS OF YOUR PARTNER LIVING IN CANADA WHO ARE EITHER PERMANENT RESIDENTS OR CANADIAN CITIZENS:

NO ONE / GIRL/BOY FRIEND / SPOUSE
PARENTS / CHILDREN / BROTHER/SISTER
UNCLE/AUNT / NIECE/NEPHEW / FRIEND

PLEASE PROVIDE US WITH THE NAME, ADDRESS AND PHONE NUMBER OF YOUR RELATIVE OR FRIEND WHO WILL BE OUR CONTACT IN CANADA.

NAME:______

PHONE NUMBER ______

EMAIL ADDRESS: ______

DO YOU HAVE A DRIVER’S LICENCE ? YES______NO______

HOW IS YOUR GENERAL HEALTH GOOD______FAIR______ILL______

LIST ANY PHYSICAL OR MENTAL ILLNESS YOU HAVE, AS WELL S THE NATURE OF THE ILLNESS______

______

DO YOU WISH TO IMMIGRATE TO CANADA TO ESTABLISH YOUR OWN BUSINESS?

( ) YES OR ( ) NO

IF YES, WHAT TYPE OF BUSINESS? ______

PLEASE INDICATE YOUR ASSETS (SHOW IN CANADIAN FUNDS):

TRANSFERABLE MONEY: $______PROPERTY: $______

MONTHLY PENSION: $______OTHER: $______

IF “OTHER” PLEASE EXPLAIN:______

DO YOU HAVE ANY INVESTMENTS: ( ) YES OR ( ) NO

DO YOU HAVE AN U.S.A. VISA? ( ) YES OR ( ) NO

IF YES, EXPIRY DATE:______

HAVE YOU EVER BEEN REFUSED AN U.S.A. VISA? ( ) YES OR ( ) NO

IF YES EXPLAIN:______

DO YOU HAVE OR HAVE YOU HAD ANY PROBLEMS WITH THE AUTHORITIES IN CANADA OR ANY OTHER COUNTRY:

( ) YES OR ( ) NO

IF YES, PLEASE SPECIFY CRIME(S) AND CONVICTION(S)______

______

DO YOU OR ANY OF YOUR DEPENDENTS HAVE OR HAVE HAD ANY MEDICAL PROBLEMS?

( ) YES OR ( ) NO

IF YES, PLEASE SPECIFY______

HAVE YOU PREVIOUSLY APPLIED FOR PERMANENT RESIDENCE IN CANADA?

( ) YES OR ( ) NO

WHEN AND WHICH OFFICE: ______

THE RESULTS:______

HAVE YOU OR ANY OF YOUR RELATIVES BEEN REFUSED A VISITOR’S VISA TO CANADA OR ANY OTHER COUNTRY?

( ) YES OR ( ) NO

WHEN ______COUNTRY______

HAVE YOU OR YOUR DEPENDENTS BEEN DEPORTED OR ORDERED TO LEAVE CANADA OR ANY OTHER COUNTRY?

( ) YES OR ( ) NO

IF YES, EXPLAIN______

*IF YOU ARE MARRIED OR HAVE CHILDREN 22 YEARS OR OLDER, THEY MUST COMPLETE A QUESTIONNAIRE AS WELL.

THIS QUESTIONNAIRE IS NOT A LEGAL DOCUMENT. THE FOLLOWING QUESTIONS WILL HELP US FIND THE BEST POSSIBLE OPTION TO PROCESS YOUR PERMANENT RESIDENCE IN CANADA APPLICATION. ALL THE INFORMATION THAT YOU PROVIDE IS CONFIDENTIAL. PLEASE ANSWER THE QUESTIONS CLEARLY AND IN DETAIL. IF YOU NEED MORE SPACE PLEASE USE A SEPARATE SHEET. IF YOU ARE MARRIED OR ENGAGED, PLEASE HAVE YOUR SPOUSE/FIANCÉ COMPLETE ANOTHER QUESTIONNAIRE. SHOULD YOU HAVE CHILDREN OVER THE AGE OF 19, PLEASE HAVE THEM COMPLETE A QUESTIONNAIRE AS WELL.

5799 Yonge St., Suite 511 Toronto, On, M2M 3V3 Canada

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