Immigration Assessment

This Questionnaire is designed to enable the firm Jane Katkova & Associates to assess your qualifications for Immigration to Canada at no cost to you, and may be completed online.

Please answer the questions truthfully and to the best of your ability.
Please mail or fax a copy of your curriculum vitae/resume as it will enable our firm to further determine whether you qualify for Immigration to Canada and, if so, under which category.

If you are unable to complete the form online, you may print and mail it or fax your responses at:

Jane Katkova & Associates
1110 Finch Ave. West, Suite 908
Toronto, Ontario, Canada
M3J 2T2 Canada
Fax: (416) 661 5893

Step 1 of 7: "Personal information"
Your Surname:*
Your Name:*
Your Middle Initial:
Mailing Address:
Street Name and Number:
Apartment Number:
City:
State/Province:
Country:
Postal Code/Zip Code:
E-mail Address:
Telephone number:
Country Code:
Area Code:
Home Telephone Number:
Business Telephone Number:
Fax Number:
Sex:
   
Marital Status (check as many as apply to you):
     
    
Number of Children:
Ages of Children:
Your Birth Date /day/month/year:
City/Town/Village of Birth:
Country of Birth:
Your Citizenship:
Permanent Resident of which Country:

 

 

 

 



Jane Katkova & Associates
1110 Finch Ave.W., Suite 908
Toronto, Ontario M3J 2T2
Canada
tel: (416) 661-4487
fax: (416) 661-5893