Please complete the following short form if you wish to assess your eligibility for Immigration to Canada as an Investor or Request Information on HS Immigrant Investor Program

Required *
  First Name   *
  Last Name *
  Company (if any): *
  Address
  City
  State/Province
  Prowince (Autre)
  Country:
  Postal Code/Zip/Ect.:
  Phone: (Daytime)
  Phone: (Evening)
  Fax
  E-mail
  You would prefer to be contacted by: Telephone e-mail

Immigration agents, check this option and click on the SEND button below.
  I’m acting as agent for advisor to potential clients.
  I would like information on:
   

Or continue with the following questions to assess your eligibility for the Québec Immigrant Investor Program
  Sex Male Female
  Gender Single Married Separated Divorced
  Age
  Do you have professional management experience? Oui Non
 
If yes, provide the following information on the last business you’ve been involved in:
Nome
  From(month/year) To (month/year)
  Location
  Type of organization
  Title/Position
  Duties

 Please indicate the total value of your assets (including fixed assets and liquid assets) and current liabilities, in either Canadian or US dollars.

    Canadian dollars US dollars
  Assets
  Liabilities
  Do you already have family in Canada? Yes No
  Have you ever traveled to Canada? Yes No
 
English
Fluently
Well
With difficulty
Not at all
Speak
Read
Write

Français
Fluently
Well
With difficulty
Not at all
Speak
Read
Write

  Any questions or comments?

 


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info@immigrationrecrutement.com
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