General evaluation form Home » General evaluation form General evaluation form General evaluation form All information you enter on this form will be personal and confidential and will only be used to * assess your status for immigration to Canada and not to send any other person, legal department or organizational. * If you are married and you want to check your spouse's condition, please complete the relevant evaluation form for him/her from the beginning. Name* First Last Call number*If you have an ID in Instagram, please enter oEmail* Date of birth* Country of birth*Country of residence*Do you have a valid passport?*yesnoResidence address (optional) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Marital status*MarriedSingleDivorcedCommon-lawLegally SeparatedWidowedunknownDoes your spouse travel to Canada with you?*yesnoIf you have children, how many and how old are they*Travel to Canada : Have you ever traveled or studied or lived in Canada? If yes, write the city and province where you live and the start and end dates of your stay*Has your visa ever been rejected from Canada or another country? If so, please explain why?*If you lived in Canada, write its history?If you wish and for ease in submitting a proposal, write the amount of your total assets . (approximately in Canadian dollar)If you have relatives in Canada, please write about their relationship and the province in which they liveLanguage test : Have you ever taken the IELTS General or CELPIP test? If yes, test date.Reading skill scoreListening Skills ScoreWriting Skills ScoreSpeaking skills scoreApplicant's spouse language test : Have you ever taken the IELTS General or CELPIP test? If yes, test date? And quadruple skills scores (applicant spouse)Have you or your spouse ever taken the French exams? If yes, the name of the test? Test date? And skill scores?education : In the academic records section, all university levels must be enteredFirst degree : Field of StudyDegree*High school DiplomaAssociate DegreeCollege diploma/certificateBSc (More than three years)MScPhDName of city and institution of studystart dateEnd date Grade point averageSecond degreeField of StudyFileDegree*High school DiplomaAssociate DegreeCollege diploma/certificateBSc (More than three years)MScPhDName of city and institution of studystart dateEnd date Grade point averageThird degree : Field of StudyDegree*High school DiplomaAssociate DegreeCollege diploma/certificateBSc (More than three years)MScPhDName of city and institution of studyListstart dateEnd date Grade point averageEmployment (First place of work)start dateEnd date City and country of workExact job title and company namePart time or full timePrevious Activity/occupationstart dateEnd date City of workExact job title and company namePart time or full timePrevious Activity/occupationstart dateEnd date City of workExact job title and company namePart time or full timePrevious jobsPlease enter your previous jobs in fullIf you own a personal business or manage a company, describe details such as the type of .business and the percentage of shares or the number of years it has been managedIf you have professional certificates, patents or national and international honors, name .them brieflyApplicant travel history in the last 10 years1-Travel historystart dateEnd date City and countryDid you get a visa?The purpose of the travel2- Travel historystart dateEnd date City and countryDid you get a visa?The purpose of the travel3-Travel historystart dateEnd date City and countryDid you get a visa?The purpose of the travelPlease write the complete information of your other travel in the box belowFurther informationFurther information : Have you ever committed a crime ?Have you ever applied for asylum in any country?*Do you suffer from a chronic or specific disease?How did you meet us*Name of the person or company identifyingFriendsInternet searchInstagramTelegramName First Last EmailSave my name and email in this browser for the next time l comment. 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