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
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
FINANCING
Indicate if you would like to finance the required contribution
Speed
Indicate how important it is the time to obtain citizenship
RELOCATION
Indicate if relocating to fulfill citizenship requirements is an option for you
MOBILITY
Indicate which countries and/or regions you would like to travel to visa-free
SIMPLICITY
Indicate how important it is a simple procedure.
QUALITY OF LIFE
Indicate how important it is the quality of life.
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
Relationship with Canadian relative
Where in Canada your relatives are located
How did you hear about us
Should be Empty:

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: