Marital Status

Personal Details (for your Spouse)

ID Documents - Summary

Immigration History and Citizenships (attach additional page for more details)

Family

Relatives in Canada (attach additional page for more details)

Contact Details

Education Study (attach additional page for more details)

If YES, please submit copy plus transcript with this questionnaire

Languages (attach additional page for more details – if also tested in French)

Breakdown of score: (Speaking/Reading/Listening/Writing)

Languages (for your Spouse)

attach additional page for more details – if also tested in French

Breakdown of score: (Speaking/Reading/Listening/Writing)

Application Details

You must agree to register for Express Entry
If YES, please submit copy with this questionnaire

Occupation

Canadian Certificate of Qualification (CoQ)

Intended Work in Canada

LMIA or Job Offer

Work History

(List all work experience only in NOC 0, A or B – over past 10 years. Apprenticeship not included. Attach additional page, if required, for more details.)

Use of a Representative Form

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