Intake Form

Name *

First

Last

Email *

Phone/Cellular Number *

Country of Citizenship *

Country of Residence

(if different from country of citizenship)

Canada, that relative,

Status in Country of Residence *

Marital Status *

Single/never married
Married
Common Law
Legally Separated
Divorced
Widowed
Annuled

Highest Level of Education *

Less than secondary
Secondary
One Year Diploma/Certificate
Two Year Diploma/Certificate
Bachelor's Degree
Master's Degree
Ph.D.Two or more diplomas/degrees (one must be 3 or more years)

Canadian degree, Diploma or Certificate *

English/French Test Results *

Full-time/part-time work experience in the last 10 years in Canada *

None or less than 1 year
2 years
3 years
4 years
5 or more years

Full-time work experience in the last 10 years abroad *

None or less than 1 year
2 years
3 years
4 years
5 or more years
Not sure

Any certificate from a Canadian province, territory or federal body *

Any valid LMIA job offer *

Do you have a PNP certificate *

Any Canadian citizen or PR card holder blood relative, such as a brother, sister, aunt, uncle *

Any dependent children *

Do you have a CV/Resume that can be presented upon request *

Have you been refused a visa by Canada, the USA, the United Kingdom, New Zealand, Australia, or Ireland *

I give my consent to allow Phalice Immigration Consulting Inc. or their RCICs to assess my CV/resume and additional information for a suitable immigration category. *

Yes, I consent

Professionalism, excellence and confidentiality are some of our core values which makes us diligently look at each client with the peculiarity of their Immigration needs. We strive to be professional in our dealings while keeping excellence and confidentiality in mind in supporting our clients towards realizing their Immigration goals

Phone: 647-774-6027
Email: info@phaliceimmigration.com,
phaliceimmigration@gmail.com

Intake Form

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