Preliminary Assessmment Form

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IF you choose married or, common-law relationship above:

IF you choose married or, common-law relationship above are they moving to Canada with you?

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Do you have any children?

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Have you ever worked in, studied in, visted or never been to Canada

Have you ever possessed a work or study permit in Canada?

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If you have ever lived in Canada before what days did you arrive and depate?

List the total amount of funds which are transferable as well as legal.  Not including Real Estate equity

Do you or your partner have close family members who are permanent residences/have citizenship/live in Canada?

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English Language Test

If you have taken IELTS or CELPIP please complete the following.

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Date test was taken

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Education

Please supply the following records of all high school or above level schooling.

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Section 2
Section 3

Other:

Employment

Please provide work records from the last 10 years.  This is to include part-time employment.

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Section 2
Section 3

Other:

Travel

Please provide major travel records from the last 10 years.

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Section 2
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Section 3
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Other:

Additional Questions

Please answer the following questions honestly.  Have you, your spouse or your dependents ever:  (Yes/No answers are acceptable).

Been convicted of, are currently subject to any criminal proceeding in any country?

Previously sought refugee status in Canada or applied for Canadian immigration or permanent resident visa OR any other type of visa (e.g. temporary resident or visa).

Been denied refugee status.  Or any type of Visa (e.g. immigrant, permanent resident, visitor) in Canada or in any other country?

Been refused admission or ordered to leave Canada or any other country?

Been involved in an act of genocide, a war crime, a crime against humanity, or the desecration of religious property?

Used, use or plan to use violence as an end to a political, social or religious objective?

Been a member of a group that is or was involved with organized crime?

Had any serious diseases or physical or mental illness?

Is there any other information that you feel is important to share as part of your preliminary assessment?

Tel: 604-674-7755

Fax: 604-564-5775

Complimentary parking is available at Pacific Centre. Please take a parking ticket as you enter the garage and park in any space not marked “Reserved.” Our receptionist will issue you a parking voucher at the front desk.

Bijan Law Corporation

Suite 1801 - 701 West Georgia Street

PO Box 10107 LCD Pacific Centre

Vancouver, BC

Canada V7Y 1C6