Welcome to Achtari Law Immigration Questionnaire

Answer a questions to find out what immigration programs you can apply for. Each immigration program has different application and eligibility requirements. You will need about 10-15 minutes to complete the form. If you would prefer to download the questionnaire and email it back it can be found here. Once completed please email to Achtari Law.

PRELIMINARY QUESTIONNAIRE

How were you referred to this office?
Full Name
Phone
Email
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Number of years you have been residing at this address?
Date and place of birth
Country of citizenship
Residency (specify if more than one)
Native language
Marital status: (Married) (Single) (Divorced) (Widowed) (Other - Specify)
Children (Name / Date of birth / Place of birth)
Will accompany you (Children / Spouse / Other)

Education

Have you obtained an educational assessment report? Yes/No
Which educational assessment service did you use?
Primary school: (No. of years studied & Name / Place of school)
Secondary school (Before Uni): (Years studied; Name / Place of school)
Post secondary education: (No, Years studied, Name & place of school).
Bachelors degree: (No. of years studied, Name & place of school)
Masters degree: (No. of years studied, Name & place of school)
PhD: (No. of years studied, Name & place of school)
Trade or other certificates: (No. of years studied, Name and place of school)

Education Level Of Spouse

Have you obtained an educational assessment report? Yes/No
Which educational assessment service did you use?
Primary school: (No. of years studied & Name / Place of school)
Secondary school (Before University): (Years studied; Name / Place of school)
Post secondary education: (No, Years studied, Name & place of school).
Bachelors degree: (No. of years studied, Name & place of school)
Masters degree: (No. of years studied, Name & place of school)
PhD: (No. of years studied, Name & place of school)
Trade or other certificates: (No. of years studied, Name and place of school)

Foreign languages

Tests Taken / Result: (IELTS/CELPIP/TEF/DELF/DALF/other)
Show Results: (Speaking, Listening, reading, writing)
Any other language test score:
Knowledge of English: (Speaking, Listening,reading, writing)
Knowledge of French: (Speaking, Listening, reading, writing)
Are you taking French/English language courses?

Spouse Foreign languages

Tests Taken / Result: (IELTS/CELPIP/TEF/DELF/DALF/other)
Show Results: (Speaking, Listening, reading, writing)
Any other language test score:
Knowledge of English: (Speaking, Listening,reading, writing)
Knowledge of French: (Speaking, Listening, reading, writing)
Are you taking French/English language courses?

Ties to Canada

Have you/ your spouse visited Canada? If so explain
Have you/ your spouse studied in Canada? If so, explain
Do you/ your spouse have any family members in Canada?
Do you/ your spouse have any family members in Canada?
Do you/ your spouse have any friends or family members in Quebec?
Have you/ your spouse applied for a Canadian visa in the past?
Have you/ your spouse applied for Canadian/Quebec permanent residence?
Do you/ your spouse have a job offer in Canada?
Have you/ your spouse ever been convicted of a crime in any country?
Specify any serious health/mental problems.

Employment history

Employment history: Your job title / description / details.
Specify any other business experience: (you and spouse)

Assets

List your fixed assets (Real estate, car etc)
Approximate value in Canadian/US?
List your liquid assets: (cash, bond etc)
Approximate value in Canadian/US?
List any other asset (jewelry etc)
Approximate value in Canadian/US?

Verification

Please enter any two digits *Example: 12
This box is for spam protection - <strong>please leave it blank</strong>:

***END OF QUESTIONS****

By completing this form truthfully, to the best of my knowledge. I understand that this information is collected for the sole purpose of evaluating my eligibility for Canadian immigration and no other purpose and is confidential. I understand that this information will be kept by the lawyer. I understand that the lawyer will rely on this information to conduct a preliminary evaluation and will not be responsible in any way for any false, inaccurate or misleading information. I also understand that there may be further questions asked and interviews conducted by the lawyer.

The lawyer shall be under no obligation to act on my behalf until a full retainer agreement is signed.The terms of the agreement shall govern any lawyer-client relationship. I understand that I may not reproduce this questionnaire without prior permission and will not use it for any purpose other than providing information to the lawyer.

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