The information you provide below is to assist Shell Lawyers to make a preliminary determination of the opportunities for immigrating to Canada. All of the information will be kept completely confidential and is subject to our firm's Privacy Policy.
Basic Information
(* Required Fields)
*
First Name:
*
Last Name:
*
Salutation:
Mr.
Mrs.
*
Mailing Address:
Home Phone:
Business Phone:
Cell Phone:
Fax:
*
E-mail Address:
Date of Birth:
Marital Status:
Single
Married
Divorced
Widowed
Common-Law
Number of Children:
0
1
2
3
4
5
More than 5
Children's Date of Birth:
Have you, your spouse or your children ever had any serious medical problems?
Do you, your spouse or any dependent children over the age of 18 have a criminal record?
Education (select highest level completed):
Did not complete High School
High School
Post Secondary
Name of school, college or university:
City and Country of Education:
Degree/certificate/diploma issued:
Work Experience:
From
To
Name of Business
Occupation
English Language Skills:
Fluently
Well
With Difficulty
Not at all
Speak
Read
Write
Understand
French Language Skills:
Fluently
Well
With Difficulty
Not at all
Speak
Read
Write
Understand
Information about your spouse
First Name:
Last Name:
Salutation:
Mr.
Mrs.
Mailing Address:
Date of Birth:
Education (select highest level completed):
Did not complete High School
High School
Post Secondary
Name of school, college or university:
City and Country of Education:
Degree/certificate/diploma issued:
Work Experience:
From
To
Name of Business
Occupation
English Language Skills:
Fluently
Well
With Difficulty
Not at all
Speak
Read
Write
Understand
French Language Skills:
Fluently
Well
With Difficulty
Not at all
Speak
Read
Write
Understand
Personal Holdings
Total of all Assets including Property:
Assets that can be converted to cash:
Do you currently have any relatives living in Canada?
Yes
No
If yes, what is the nature of your relationship with these members of your family?
None
Mother
Father
Sister
Brother
Aunt
Uncle
Cousin
Grandmother
Grandfather
Sister In-Law
Brother In-Law
Godfather
Godmother
For Business Applicants Only
Detailed description of your businesses over the past 5 years:
Detailed description of your responsibilities and jobs in the businesses over the past 5 years:
Your percentage of ownership of the businesses in the last 5 years:
Please provide the following information for the last 5 years:
Sales
Net Profit
# of Full-time Employees
Business Net Asset
Year 1
Year 2
Year 3
Year 4
Year 5
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