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In order to properly evaluate your chances of immigrating successfully to Canada, we require some preliminary information. The information submitted with this form will be kept strictly confidential. Although not every question will apply to your particular case, you should answer as many of these questions as you are able.
Once you have submitted your completed form, you will be contacted to schedule a formal consultation within 5 business days. If you have not been contacted within that time frame, please send an e-mail message to masterslaw@sympatico.ca with your name as the subject.
Please note that you may print this questionnaire and fax it to us at 416-361-6181.
REFERRAL INFORMATION
Were you referred to Masters & Masters ? Yes No
If yes, who referred you?
PERSONAL INFORMATION - PRINCIPAL APPLICANT
E-mail Address:
Family Name: First Name:
Middle Name:
Other Names Used (If a married woman, please give maiden and surnames of any previous spouses):
Birth date (Month/Date/Year)://
City & Country of Birth:
Marital Status: Single Married Widowed Divorced
Sex (M/F): Male Female
PRINCIPAL APPLICANT - PERMANENT ADDRESS OUTSIDE CANADA
Street and Suite Number:City:
Province or State: Postal or Zip Code:
Country:
Home Phone:Business Phone:Fax:
PRINCIPAL APPLICANT - PASSPORT AND VISA INFORMATION
PassportIssued by (Country):
Issue Date:Expiry Date:
Passport Number:Visa Status
Current Visa Held:Date Admitted:
Visa Expiry Date:Previous Visa Held:
Date Admitted:Visa Expiry Date:
Canadian Social Insurance Number:
Have you ever applied for Canadian landed immigrant status? Yes No
SPOUSE - PERSONAL INFORMATION
Family Name:First Name:
Birth Date: (MM/DD/YY): //
SPOUSE - PERMANENT ADDRESS OUTSIDE CANADA
Street and Suite Number:City:
Province or State:Postal or Zip Code:
Country: Spouse's Occupation
SPOUSE - PASSPORT AND VISA INFORMATION
PassportIssued by (Country):
Issue Date:Expiry Date:
Passport Number:Visa Status
Current Visa Held:Date Admitted:
Visa Expiry Date:Previous Visa Held:
Date Admitted:Visa Expiry Date:
Canadian Social Insurance Number:
Have you ever applied for Canadian landed immigrant status? Yes No
CHILDREN INFORMATION
Names of all Children:
12
34
56
78
City and Country of Birth for all Children:
12
34
56
78
Birth dates (MM/DD/YY) for all Children:
12
34
56
78
EDUCATION
The type of education which you and your spouse have had is very important to a proper evaluation of your application. Please answer the following questions for both you and your spouse:
Principal Applicant:
Type of degree or diploma:
Academic:
Vocational:
Bachelor Degree(s):
Post Graduate Degree(s):
Any other training, licences, special skills or qualifications:
Spouse:
Type of degree or diploma:
Academic:
Vocational:
Bachelor Degree(s):
Post Graduate Degree(s):
Any other training, licences, special skills or qualifications:
PRINCIPAL APPLICANT - LANGUAGE ABILITY
SPOUSE - LANGUAGE ABILITY
PRINCIPAL APPLICANT - OCCUPATIONAL INFORMATION
Current Occupation:
Description of Current Job:
Current Employer's Name:
Current Employer's Address:
Employer's Type of Business:
Current Salary:
Dates of Your Employment:
Do you have a job offer in Canada?Yes No
PRINCIPAL APPLICANT - NET WORTH
Please provide an estimate as to your approximate net worth in USD. Your net worth will be composed of current and savings accounts, fixed deposits, stocks, shares, bonds or trading commodities, real estate holdings and estimation as to the value of your ownership of each of your business.
Total Assets: Total Liquid Assets:
Transferable Funds: Value of Real Estate:
Value of Other Assets: Present Income:
Total Debts: Net Worth:
POTENTIAL CLAIMS TO CITIZENSHIP
Do you or your spouse have a parent or grandparent who was born in or is a citizen of Canada?
Yes No
RELATIVES IN CANADA
Please list (if any) your closest relatives in the Canada and state their relationship to you, their immigration or citizenship status (e.g. Canadian citizen, landed immigrant, etc.), their address and their phone number:
ADDITIONAL INFORMATION
Give any additional information about yourself here which would help you establish your qualifications (List professional licenses, awards, prizes, membership in professional organizations, etc.) or explain your answers to the above questions:
SCHEDULING
We will contact you by e-mail unless this is not possible. If you cannot communicate via e-mail, please indicate the most convenient method of communication and the best time and day to contact you:
PLEASE NOTE THAT WITH YOUR SUBMISSION THIS QUESTIONNAIRE TO MASTERS & MASTERS YOU AGREE TO THE FOLLOWING:
1. that you have answered all the above questions truthfully and to the best of you ability;
2. that the submission of this questionnaire does not create any obligation for Masters & Masters to act on your behalf; and
3. that a solicitor-client relationship will not be created until such time as you have formally retained Masters & Masters.
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