Оцінка шансів

    Evaluation of chances to immigrate

    Country of immigration?

    Full name and surname as shown in the National Identity Document

    Do you have a valid passport/travel document?

    Date of birth

    Place of birth (city, country)

    Citizenship

    Native language

    Current country and city of residence

    Since when have you been living there?

    CONTACT DETAILS

    Residential address (Apartment number, Street number, Street name, District, City/Town, Country, Province/State, Postal code)

    Telephone Number (Enter the phone number in full format: code, city / area code Example:.: +38 048 735 37 40)

    E-mail

    MARITAL STATUS

    Marital status

    Do you have children?

    Previous marriage info

    Did you have any previous marriages?

    EDUCATION

    Work experience (profession, in which you have experience of least of 1 year during the last 10 years):

    INFORMATION ABOUT ADDITIONAL FAMILY MEMBER (SPOUSE)

    Are you planning to immigrate together with this family member?

    ADDITIONAL INFORMATION (RELATED TO ALL FAMILY MEMBERS)

    Have you or your spouse ever visited Canada?

    YESNO

    Do you or your spouse have close relatives in Canada?

    YESNO

    Did you or your spouse work in Canada with a work permit?

    YESNO

    Did you or your spouse study in Canada, having a study permit?

    YESNO

    Have you ever been refused in any kind of visa to Canada or elsewhere?

    YESNO

    Where do you prefer to live in Canada? (if there is no preference, please choose "not sure, consultation on the choice of place of residence is required". To select several cities - hold the CTRL key while selecting the city.)

    Have you or any of your family members ever been convicted of a crime?

    YESNO

    Do you or any of your family members have serious diseases?

    YESNO

    Would you like to indicate additional information about yourself?

    YESNO

    Availability of funds in the amount of (information is to obtain additional points)

    How did you find out about «Palleonn» Centre

    INTERNET (FORUMS, GOOGLE, YANDEX, ETC.)FRIEND’S REFERENCE (IF POSSIBLE, PLEASE INDICATE FRIEND’S NAME)OTHER TYPES OF ADVERTISING (PLEASE SPECIFY BELOW: TELEVISION, RADIO, ETC.)REGIONAL REPRESENTATIVE (SPECIFY BELOW)OTHER (SPECIFY BELOW)

    Would you like to receive our news and offers?

    YESNO