Business/Senior Manager Assessment

Assessment Form For Citizenship & Residence by Investment

Amir Ismail & Associates Global Citizenship & Immigration Advisers - Members of CICC & CAPIC Canada
Basic Information:
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Cell Phone*

PrefixPhone Number
E-mail*
Your Age*
Choice of Residence or Direct Citizenship Program*

Canada Start Up Visa ProgramCanada Residency - Entrepreneur (with net worth starting at C$400,000 and investment starting at C$100,000)Residency programs in Europe (Portugal, Greece, Malta, Cyprus)Direct Citizenship - TurkeyDirect Citizenship - Caribbean countries
Marital Status*
Education:
Educational Qualification*
Business/Senior Management Experience:
Name of Business/Employer*
Business/Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Type of Business/Company*
Year Established*
Position in Company*
% of ownership in business (put 0 if you are an employee)*
# of employees supervised*
INDICATE YOUR NET WORTH IN US DOLLARS

Total value of all your assets such as real estate properties, cash, savings etc)
A: Assets:
1. Cash (US$)*
2.Value of all properties owned by you and your spouse (if applicable) (US$)*
3. Publically traded stocks and other passive investments (US$)*
4. Market Value of Business (US$)*
5. Pensions, Provident Funds; Other Assets (US$) - Also give description.*
Total Assets (Add Cash, Properties and all other assets indicated in 1,2,3,4 and 5 above)*
B: Liabilities:
1. Mortgages*
2. Personal /other Loans or Debts*
Total Liabilities : 1+2*
Contribution Amount
Indicate how much you are willing to contribute for a family of four, in US$
CONTRIBUTION TYPE
Indicate the type of contrubution you would like to make

DonationGovernment bondsBank depositReal estateProject
FINANCING
Indicate if you would like to finance the required contribution

YesNo
Speed
Indicate how important it is the time to obtain citizenship

Very importantSomewhat importantNot important at all
RELOCATION
Indicate if relocating to fulfill citizenship requirements is an option for you

YesNo
MOBILITY
Indicate which countries and/or regions you would like to travel to visa-free

CanadaUSAEurope (Schengen zone)
SIMPLICITY
Indicate how important it is a simple procedure.

Very importantSomewhat importantNot important at all
QUALITY OF LIFE
Indicate how important it is the quality of life.

Very ImportantSomewhat ImportantNot Important at all
Family Members:
Spouse's Education*
Spouse's Profession*
If spouses's profession is not listed, indicate his/her profession here
# of years of experience of spouse*
Upload your Spouse's CV (doc, pdf or txt files) A CV will help us make an accurate assessment

Upload a File

Cancelof
Relationship in Canada:
Do you have relatives in Canada*

YesNo
Relationship with Canadian relative*
Where in Canada your relatives are located*
How did you hear about us*

SeminarInternet SearchAdvertisementFacebook - http://www.facebook.com/canadaimmigrationPersonal ReferenceWebsite of Immigration Consultants of Canada Regulator Council (ICCRC)Twitter - @CanadaimmigrateTelephoneYoutube: aiaconsulting
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Assessment Form For Citizenship & Residence by Investment

Basic Information:

Education:

Business/Senior Management Experience:

INDICATE YOUR NET WORTH IN US DOLLARS

A: Assets:

B: Liabilities:

Contribution Amount

CONTRIBUTION TYPE

FINANCING

Speed

RELOCATION

MOBILITY

SIMPLICITY

QUALITY OF LIFE

Family Members:

Relationship in Canada: