General Intake Form - Desir Immigration

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General Intake Form

IMMIGRATE TO CANADA

Just take a minute to answer a few simple questions and we will pre-qualify you to see which pathway best suits you.

WhatsApp for related questions:

1 647-367-9367

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General Intake Form

Free Text

PLEASE READ AND FILL OUT ALL THAT APPLIES TO YOU, IF NOT APPLICABLE PUT N/A

This form WILL NOT save, you need to complete everything in one sitting. It may take up to an hour if you have all the information ready.

Please know that if you have any documentation to submit, you MUST email them to me at lara@desirimmigration.com

The APPLICANT is the person who wants to live in Canada or become a permanent resident or Citizen for the application.

Also when providing names give FULL names with middle names as well. Thank you.

Applicant UCI (Client ID if you have one on your Canadian visa or past application)

Applicant's First & Middle, then LAST (Family ) names

Email

Applicant Phone / WhatsApp Number (Preferred)

Applicant's 1) Date of birth 2) Marital Status - EG DIVORCED, SINGLE, COMMON LAW 3) City and country of birth, 4) Country where you currently live

Have you ever completed an IELTS or CELPIP General or other Immigration related test?

If Yes, Please type your grades for Speaking, Reading, Writing & Listening and the name of the TEST

Do you have an Education Credential Assessment (ECA)?

APPLICANT 1 Home Address + 2 Mailing Address if DIFFERENT FROM HOME

Date of Birth MM/DD/YYYY

What is your height?

What is your eye colour?

What is your country of Birth?

Passport Number

1) Country of Issue 2) Issue date 3) Expiry Date MM/DD/YYYY

1) National Number ID 2) Issue + Expiry date if applicable

If Applicable - What is your current status in Canada and from what date?

Native Language (1st Language)

If Applicable - Airport or land port of most recent entry - and First Entry into Canada

Date (MM/DD/YYYY) & Place of most recent entry to Canada If Applicable

Date (MM/DD/YYYY) & Place of FIRST entry to Canada If different from above

Other Countries of Permanent Residency or Citizenship

Post Secondary Certifications (Select ALL that apply)

Post Secondary Certificate

Diploma

Associate's Degree

Bachelor's Degree

Master's Degree

PhD or Doctorate

Which country do you reside in?

Are you fluent in English or French?

English

French

Both

If applicable, choose all immediate family in Canada.

Mother

Father

Sister (includes adopted, step or half)

Brother (includes adopted, step or half)

Aunt

Uncle

Nephew

Niece

Son / step-son

daughter / step-daughter

Not Applicable

Do you have at least 3 years of work experience in the past 10 years?

How long was your longest job position what is the title?

Last 10 years All jobs Plus periods of UNEMPLOYMENT , dates NO GAPS- MM/DD/YYYY to MM/DD/YYYY

Mothers 1) Name, 2) Date of birth 3) Address 4) City and country of birth, 5) Email Address, 6) Marital Status 7) If Deceased Date of death

Father's 1) Name, 2) Date of birth 3) Address 4) City and country of birth, 5) Email Address, 6) Marital Status 7) If Deceased Date of death

ENTER CHILDREN AND STEP OR ADOPTED CHILDREN WORLDWIDE 1) Name, 2) Date of birth 3) Address 4) City and country of birth, 5) Email Address, 6) Marital Status 7) If Deceased Date of death 8) Relationship to you

All Siblings Worldwide 1) Name, 2) Date of birth 3) Address 4) City and country of birth, 5) Email Address, 6) Marital Status 7) If Deceased Date of death 8) Relationship to you

Specify if you have a Spouse or Common Law 1) His / her Name, 2) Date of birth 3) Address 4) City and country of birth, 5) Email Address, 6) Marital Status 7) If Widowed -Deceased Date of death , Date relationship started or wedding day

Names of APPLICANTS schools (From Elementary to University) + Dates MM/DD/YYYY to MM/DD/YYYY

Last 10 years Addresses lived + dates- MM/DD/YYYY to MM/DD/YYYY - No gaps

Within the past 2 years, have you or your family had Tuberculosis

Yes

No

Have you ever remained beyond the validity of your status in Canada (Overstayed)

Yes

No

Have you ever been denied a permit, denied entry or asked to leave Canada or any other Country?

Yes

No

Have you or any of your family members ever been charged? committed a crime ? or been arrested for a criminal offence in any country?

Yes

No

Have you ever been a member of a political party or engaged in advocated violence?

Yes

No

Do you have a PREVIOUS Spouse or Common law Partner (Before your current spouse)?

Yes

No

PREVIOUS Spouse or Common law Partner 1) Names 2) Dates of birth 3) from MM/DD/YYYY to MM/DD/YYYY, 4) Country of Past cohabitation or Marriage

Do you have an LMIA Job offer? If yes, please put the name and address of the employer and the position titile

Do you have a Police Record from your home country dated within the last 60 days? If yes please email it.

Have you ever held a Government Position - if yes Please specify the details, position, dates and country

Have you ever held a MILITARY Position - if yes Please specify the details, position, dates and country

If most of the above do not apply to you, are you open to completing a Canadian course?

YES

NO

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THE FOLLOWING QUESTIONS TO BE ANSWERED BY SPONSORS FOR SPOUSE, COMMON LAW OR FAMILY SPONSORSHIPS.

Are you a Canadian citizen living exclusively outside Canada?

In the five years preceding this application, did you become a permanent resident after being sponsored as a spouse, common-law or conjugal partner?

Are you in receipt of social assistance (NOT disabilty) DISABILITY IS ALLOWED

Are you an undischarged bankrupt?

Have persons you previously sponsored o ther family members received social assistance during a sponsorship period?

Did you co-sign an undertaking where the sponsored person or his or her family members received social assistance during the validity period of the undertaking?

Have you been ordered to leave Canada?

Are you late In making a required payment on an Immigration loan, a performance bond?

Is there anything else that you would like to ask us or share with us?

Have you been convicted of a sexual offence or serious violent offence against anyone, or an offence causing bodily harm against someone who is or was related to you, or an attempt to commit such an offence?

Are you the subject of a report on Inadmissibility?

Have you been charged with an offence under an Act of Parliament punishable by a maximum term of Imprisonment of at least 10 years?

Please Note

Send copies of passports, Most recent Canadian stamp in Passport, ID's Resume if applicable, and other important documents to

lara@desirimmigration.com

lara @ desir immigration .com

Are you currently detained in jail, prison, penitentiary or reformatory?

Thank you for completing your pre-assessment.

We will get back to you as soon as possible if we require any further information. Thanks

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350 Rutherford Road South,

Brampton, ON L6W 3M2

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lara@pddlegal.com

WhatsApp: 1-647-367-9367

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