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Your Personal Details
Our free eligibility assessment form for
Business Class Investors / Entrepreneurs
takes approximately
5 minutes to complete
. Please fill in the questionnaire below to begin.
Family or Surname
First Name
Initial Title Gender
Mr.
Miss
Mrs.
Ms.
Prof.
Dr.
Other
Male
Female
Street Number and Street Name
Apartment Number
City
State/Province
Zip/Postal Code
Country
Please Select:
the United States
Canada
the United Kingdom
Afghanistan
Albania
Algeria
Amer.Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barb.
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
the Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herz.
Botswana
Bouvet Island
Brazil
Br.Ind.Oc.Terr.
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
the Cayman Is.
Cen.Afr.Rep.
Chad
Chile
China
Christmas Is.
Cocos Is.
Colombia
Comoros
Congo
Cook Is.
Costa Rica
Cote dIvoire
Croatia
Cuba
Cyprus
Czech Rep.
Congo (DRC)
Denmark
Djibouti
Dominica
Dom.Rep.
East Timor
Ecuador
Egypt
El Salvador
Equ.Guinea
Eritrea
Estonia
Ethiopia
Falkland Is.
Faroe Is.
Fiji Islands
Finland
France
Fr.Guiana
Fr.Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
GuineaBissau
Guyana
Haiti
Heard and McD.Is.
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau SAR
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Is.
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
the Netherlands
Nlands Ant.
N.Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
N.Mariana Is.
Norway
Oman
Pakistan
Palau
Palestine - Gaza
Palestine - West Bank
Panama
Pap.N.Guinea
Paraguay
Peru
the Philippines
Pitcairn Is.
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
St. Kitts and Nevis
St. Lucia
St Vincent and Gr.
Samoa
San Marino
S.Tome and Pr.
Saudi Arabia
Senegal
the Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Is.
Somalia
South Africa
Spain
Sri Lanka
St. Helena
St.Pierre et Miq.
Sudan
Suriname
Svalbard and JM
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trin. and Tobago
Tunisia
Turkey
Turkmenistan
Turks and C.Is.
Tuvalu
Uganda
Ukraine
the U.A.Emirates
the United Kingdom
the United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Viet Nam
the Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Telephone Country - Area Code
Home Telephone #
Business Telephone Number
E-mail Address
Mobile/Cell #
Fax Number
Birth Date, Month and Year
City or Town of Birth
Country of Birth
01
02
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04
05
06
07
08
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30
31
Jan
Feb
March
April
May
June
July
Aug
Sept
Oct
Nov
Dec
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
Please Select:
United States
Canada
United Kingdom
Afghanistan
Albania
Algeria
Amer.Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua & Barb.
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herz.
Botswana
Bouvet Island
Brazil
Br.Ind.Oc.Terr.
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Is.
Cen.Afr.Rep.
Chad
Chile
China
Christmas Is.
Cocos Is.
Colombia
Comoros
Congo
Cook Is.
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Rep.
Congo (DRC)
Denmark
Djibouti
Dominica
Dom.Rep.
East Timor
Ecuador
Egypt
El Salvador
Equ.Guinea
Eritrea
Estonia
Ethiopia
Falkland Is.
Faroe Is.
Fiji Islands
Finland
France
Fr.Guiana
Fr.Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
GuineaBissau
Guyana
Haiti
Heard&McD.Is.
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau SAR
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Is.
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
N'lands Ant.
N.Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
N.Mariana Is.
Norway
Oman
Pakistan
Palau
Palestine - Gaza
Palestine - West Bank
Panama
Pap.N.Guinea
Paraguay
Peru
Philippines
Pitcairn Is.
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
St. Kitts & Nevis
St. Lucia
St Vincent & Gr.
Samoa
San Marino
S.Tomé & Pr.
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Is.
Somalia
South Africa
Spain
Sri Lanka
St. Helena
St.Pierre & Miq.
Sudan
Suriname
Svalbard & J.M.
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trin.&Tobago
Tunisia
Turkey
Turkmenistan
Turks & C.Is.
Tuvalu
Uganda
Ukraine
U.A.Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Viet Nam
Virgin Islands
Wallis & Futuna
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Marital Status
No of Children -Ages
Citizenship
Never Married
Engaged
Married
Common-Law
Same-Sex Partner
Widowed
Divorced
Separated
0
1
2
3
4
5
6
7
8+
Please Select:
United States
Canada
United Kingdom
Afghanistan
Albania
Algeria
Amer.Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua & Barb.
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herz.
Botswana
Bouvet Island
Brazil
Br.Ind.Oc.Terr.
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Is.
Cen.Afr.Rep.
Chad
Chile
China
Christmas Is.
Cocos Is.
Colombia
Comoros
Congo
Cook Is.
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Rep.
Congo (DRC)
Denmark
Djibouti
Dominica
Dom.Rep.
East Timor
Ecuador
Egypt
El Salvador
Equ.Guinea
Eritrea
Estonia
Ethiopia
Falkland Is.
Faroe Is.
Fiji Islands
Finland
France
Fr.Guiana
Fr.Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
GuineaBissau
Guyana
Haiti
Heard&McD.Is.
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau SAR
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Is.
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
N'lands Ant.
N.Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
N.Mariana Is.
Norway
Oman
Pakistan
Palau
Palestine - Gaza
Palestine - West Bank
Panama
Pap.N.Guinea
Paraguay
Peru
Philippines
Pitcairn Is.
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
St. Kitts & Nevis
St. Lucia
St Vincent & Gr.
Samoa
San Marino
S.Tomé & Pr.
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Is.
Somalia
South Africa
Spain
Sri Lanka
St. Helena
St.Pierre & Miq.
Sudan
Suriname
Svalbard & J.M.
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trin.&Tobago
Tunisia
Turkey
Turkmenistan
Turks & C.Is.
Tuvalu
Uganda
Ukraine
U.A.Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Viet Nam
Virgin Islands
Wallis & Futuna
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Do you have a Spouse/Common-Law Partner/Same-Sex Partner?
Yes:
No:
Spouse/Partner Full Name
Title Gender
Birth Date, Month and Year
-
Mr.
Miss
Mrs.
Ms.
Prof.
Dr.
Other
-
Male
Female
-
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-
Jan
Feb
March
April
May
June
July
Aug
Sept
Oct
Nov
Dec
-
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
Is your net worth, inclusive of the assets of your spouse/common-law partner/same-sex partner (if applicable):
Choose One
less than 300,000 Canadian Dollars?
equal to or greater than 300,000 Canadian Dollars but less than 800,000 Canadian Dollars?
equal to or greater than 800,000 Canadian Dollars?
For your convenience an International Currency Converter can be found
here
Confirm here that your net worth was created by your own endeavours or legally obtained (ie. inheritance, gift, etc.)
Yes
No
Questions to confirm your Business Experience
Ownership Option
Have you owned and operated a business or percentage of a business within the past five (5) years ?
Yes
No
If
Yes
, please answer the following questions regarding the business:
2002
2003
2004
2005
2006
Percentage Ownership of Business
%
%
%
%
%
Number of full-time employees
(ie. 37.5 hours per week or more)
Sales(in CAD)
Net Income(in CAD)
Equity(in CAD)
(ii) Management Option
As an alternative to actual ownership, can you provide documentary proof that, over any two (2) of the last five (5) years, you have managed at least five (5) full-time (37.5 hours per week or more) employees in a business?
Yes
No
(iii) Details of business activities
Please furnish details below of your business activities, to date, including:
Type of business
Your role within the business
Your duties and responsibilities within the business
and any other information you deem relevant for our purposes.
Please indicate the type of business activity in which you would like to engage upon arriving in Canada. If you are not interested in engaging in business activity in Canada, please indicate what you intend to do upon arriving in Canada.
General Questions
Have you or your accompanying dependants ever:
had any serious disease or physical or mental disorder?
Yes
No
been convicted of or are currently charged with any crime or offence in any country?
Yes
No
applied previously for temporary status in Canada (i.e. visitor/student/worker)?
Yes
No
been refused a Canadian immigrant visa / visitor visa / Study Permit / Work Permit or that of any other country?
Yes
No
been refused admission to, or ordered to leave Canada or any other country?
Yes
No
been involved in the commission of a war crime or a crime against humanity?
Yes
No
applied previously for permanent status in Canada?
Yes
No
If you have answered "yes" to any of the questions above, please provide details below:
Do you currently have an Application for Permanent Residence being processed by Citizenship and Immigration Canada officials that was filed either by yourself or by any third party individual/lawyer/law firm/consultant/consultancy service/company?
Select
Yes
No
How did you learn about our website?
Please Select
Referral by Former/Present Client
Word of Mouth
Newspaper/Magazine - Emigrate
Newspaper/Magazine - Emigrate Canada
Newspaper/Magazine - Express 411
Newspaper/Magazine - Hotspots
Newspaper/Magazine - Newsweek
Newspaper/Magazine - The Advocate
Newspaper/Magazine - The Economist
Newspaper/Magazine - Time
Caribana - Program or website
Internet - Facebook
Search Engine - Google
Search Engine - Yahoo
Other Search Engine
Other - Please Specify Below
Specify other source here (if applicable):
Very important - Please confirm your e-mail address here
Declaration - MUST be completed:
I agree that the information furnished by me in the above form is true and correct, to the best of my knowledge, and is provided for the sole purpose of my FREE assessment regarding Business Immigration to Canada.
Yes
No