Canada Immigration Client Form

What is your first name?

What is your middle name?

What is your last name?

Email Address

Date of Birth (Day-Month-Year)

What's your nationality?

Current Residential Address

Postal Address (if different from residential address)

Phone Number

Do you have a valid identity document (select all that apply) Do you have a valid identity document (select all that apply) Valid Passport National Identity Card Driver's Licence

Gender Gender Male Female Prefer not to say

Highest Educational Qualification Highest Educational Qualification Elementary School / Primary School Certificate High School / Secondary School Certificate 2-year post-secondary Diploma 4 or 5 or 6-year University Degree Masters Degree Doctorate (PhD)

Course/Courses of Study

What's your current employment status? What's your current employment status? Unemployed Employee Self-employed (Sole Proprietor) Entrepreneur Retiree

Current Occupation / Profession

How many years of work experience do you have? How many years of work experience do you have? 0 1 2 3 4 5 more than 5

Marital Status Marital Status Single Married Divorced Common Law

Spouse's Date of Birth (Day-Month-Year)

What's your spouse's or partner's highest educational qualification? What's your spouse's or partner's highest educational qualification? Elementary School / Primary School Certificate High School / Secondary School Certificate 2-year post-secondary Diploma 4 or 5 or 6-year University Degree Masters Degree Doctorate (PhD)

Spouse's Course/Courses of Study

What's your Spouse's current employment status? What's your Spouse's current employment status? Unemployed Employee Self-employed (Sole Proprietor) Entrepreneur Retiree

Spouse's Current Occupation / Profession

How many years of work experience does your Spouse have? How many years of work experience does your Spouse have? 0 1 2 3 4 5 more than 5

Do you have children? Do you have children? Yes No

How many children? How many children? 1 2 3 4 5 more than 5

Have you ever being denied visa into Canada or any other country? Have you ever being denied visa into Canada or any other country? Yes No

Please state the country and reason

Have you ever being granted visa into Canada? Have you ever being granted visa into Canada? Yes No Cannot remember

If you answered 'Yes' above, please indicate the reason(s) for your entry If you answered 'Yes' above, please indicate the reason(s) for your entry Permanent Residence Study Work Visit or Tourism Business Refugee Other

Do you currently have a family or relative in Canada? Do you currently have a family or relative in Canada? Yes No

If you answered 'Yes' above, please describe the relationship with the family member(s) or relative(s)

What Province / Territory would you like to stay in Canada? What Province / Territory would you like to stay in Canada? Not sure Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon

Why are you applying to immigrate to Canada? Why are you applying to immigrate to Canada? Not sure Study Work Business Visit Tourism Skilled Permanent Residence Refugee Other

If you selected 'Other' above, please can you explain further ?

Have you ever been convicted of a crime? Have you ever been convicted of a crime? Yes No

If you selected 'Yes' above, please explain

What's your preferred language of communication? What's your preferred language of communication? English French Other

If you selected 'Other', please specify

Approximately when are you planning to arrive Canada? Approximately when are you planning to arrive Canada? Within the next 3 months - 6 months Within the next 6 months - 9 months Within the next 9 months - 12 months Within the next 12 months - 24 months Not sure

What's your family's yearly income in Canadian Dollars (CAD)? What's your family's yearly income in Canadian Dollars (CAD)?Less than $1,000Between $1,000 - $3,000Between $3,000 - $5,000Between $5,000 - $7,000Between $7,000 - $10,000Between $10,000 - $15,000Between $15,000 - $20,000Between $20,000 - $25,000Between $25,000 - $30,000More than $30,000

Approximately how much money/savings do you have set aside for immigration purposes [in Canadian Dollars (CAD)]? Approximately how much money/savings do you have set aside for immigration purposes [in Canadian Dollars (CAD)]?Less than $1,000Between $1,000 - $3,000Between $3,000 - $5,000Between $5,000 - $7,000Between $7,000 - $10,000Between $10,000 - $15,000Between $15,000 - $20,000Between $20,000 - $25,000Between $25,000 - $30,000More than $30,000

Do you have Landed Property or Real Estate? Do you have Landed Property or Real Estate? Yes No

What's the approximate value of your landed property/real estate in Canadian Dollars (CAD) ? What's the approximate value of your landed property/real estate in Canadian Dollars (CAD) ?Less than $1,000Between $1,000 - $3,000Between $3,000 - $5,000Between $5,000 - $7,000Between $7,000 - $10,000Between $10,000 - $15,000Between $15,000 - $20,000Between $20,000 - $25,000Between $25,000 - $30,000More than $30,000

What is your family's current net worth in Canadian Dollars (CAD)? What is your family's current net worth in Canadian Dollars (CAD)?Less than $1,000Between $1,000 - $3,000Between $3,000 - $5,000Between $5,000 - $7,000Between $7,000 - $10,000Between $10,000 - $15,000Between $15,000 - $20,000Between $20,000 - $25,000Between $25,000 - $30,000More than $30,000

Describe what strong ties you currently have to your home country (e.g. relationships, family, investments, businesses, jobs, e.t.c)

What's your preferred means of communication? (select all that apply) What's your preferred means of communication? (select all that apply) Zoom Video Meeting WhatsApp Audio WhatsApp Video Phone Call Email SMS

Do you have any other information to share or a specific question? Do you have any other information to share or a specific question? Yes No

Please state extra information or question(s)

How did you hear about us? How did you hear about us?Rep. Prisca N. (British Columbia, CAN)Rep. Sam O. (Manitoba, CAN)Rep. Funmi O. (Manitoba, CAN)Rep. Ify O. (Manitoba, CAN)Rep. Favour O. (Ontario, CAN)Rep. Henry A. (London, ENG)Rep. Osagie O. (Abuja, NG)Rep. John I. (Abuja, NG)Rep. Olusanya I. (Lagos, NG)Other (please specify below)

If you selected "Other" in the question above, please tell us how you heard about us. We value your feedback.