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Canadian Universities

Skilled Worker/Family Class: If you are applying for permanent resident status (Landed Immigrant) as a individuals possessing education and/or training in one of the occupations presently appearing on the General Occupations List, or if you have pre-arranged employment in Canada, or if your close family member is citizen or permanent resident of Canada then fill this form for assessment purpose only.

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CONTACT INFORMATION
Email:


Telephone No.:


ABOUT YOURSELF

Family Name:
First Name:

Date of Birth:		day month year

Sex:

Marital Status:

Spouse's Name:		(if applicable)
Spouse's Education:
		If spouse is employed, he/she should also fill an form of Assessment .

RELATIVE LIVING IN CANADA

Do you (or your spouse) have a relative residing in Canada, who is a citizen or holds permanent resident status in Canada? If so, please provide us with the relationship of the closest relative and the Province or Territory in which your relative resides.

Relationship:

Location:

About Language Abilities

Please indicate your abilities in both the English and French languages, as follows: Fluent: Very good command of the language in a range of social and work situations, and no difficulty communicating in a professional capacity. Well: Can communicate reasonably well about personal and familiar things. With Difficulty: Command of just a few basic words.
		Speak	Read	Write
English:

French:

EDUCATION

Total years of education:


Please provide us with complete details of your most recent Post-Secondary Education. If you have a detailed Curriculum Vitae, you may "cut and paste" it instead of filling out the following section. Please click here to skip to the CV paste area.

Educational Degree/Diploma No. 1
Started In:
Ended In:		month year
Institution:
City, Country:
Field of Study:
Certificate:

Educational Degree/Diploma No. 2 (if applicable)
Started In:
Ended In:		month year
Institution:
City, Country:
Field of Study:
Certificate:

Educational Degree/Diploma No. 3 (if applicable)
Started In:
Ended In:		month year
Institution:
City, Country:
Field of Study:
Certificate:

Remarks:		Describe any additional diplomas, certificates or training that you have received here.

EMPLOYMENT HISTORY

Please provide us with complete details of your most recent Employment History. If you have a detailed Curriculum Vitae, you may "cut and paste" it instead of filling out the following section. Please click here to skip to the CV paste area.

Present Employment
Joined In:		month year
Employer:
City, Country:
Title:
Duties:
		IMPORTANT: Please provide a detailed description of your duties.

Previous Employment No. 1 (if applicable)
Joined In:
Left In:		month year
Employer:
City, Country:
Title:
Duties:
		IMPORTANT: Please provide a detailed description of your duties.

Previous Employment No. 2 (if applicable)
Joined In:
Left In:		month year
Employer:
City, Country:
Title:
Duties:
		IMPORTANT: Please provide a detailed description of your duties.

Remarks:		Describe any additional work or employment experience here.

Assets & Liabilities (Fill this section only if you are applying in business Class)
	Please indicate the total value of your assets (including fixed assets and liquid assets), and of your current liabilities in US dollars.
Assets:	US$
Liabilities:	US$
Curriculum Vitae & Comments

CV Paste Area:		You may "cut and paste" a detailed curriculum vitae in this area.

Remarks:		Please mention any prior applications for permanent residence, any known medical issues, criminality issues, etc.

Optional:		How did you hear Your Passport to Canada?

Submit Form

		Your assessment result we will send you by email as soon as possible.