NNC Assessment Form

NNC Immigration Assessment Form

Please complete the following questionnaire in order for us to better serve your needs !
Select a Category*

PR - If you are considering applying for permanent residence through economic immigration programs such as Express Entry or PNP.Family Sponsorship - If you are a Canadian citizen or PR planning to sponsor a family member (spouse, child, or parent) for immigration.Study Permit - If you are considering studying in Canada and require a study permit to pursue your academic goals.Visitor Visa - If you are considering applying for a visitor visa to temporarily visit Canada for tourism, family visits, or other short-term purposeIf you are inquiring about PGWP, Work or stay extensions, Canadian citizenship, PR card renewal, PRTDOther
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
DOB

MonthDayYear
Date
City and Country of Birth
Citizenship (Please indicate all citizenships held)
Martial Status
If you are in a common-law relationship, what was date you started living together:
Spouse/Partner Name

First NameLast Name
Spouse/Partner DOB

MonthDayYear
Date
Spouse/Partner; Country and City of Birth
Spouse Citizenship (Please indicate all citizenships held)
Do you have any family in Canada: If Yes, please define the relation (i.e Siblings)
If Yes, please define their status in Canada (i.e citizen, permanent resident)
Please include details about all of your children (if any). This includes all children whether living with you or not, and, legally in your guardianship or not;
Please indicate your HIGHEST Level of education. Note: Please include completed qualifications only. Unfinished qualifications will not be considered under Canadian Immigration Regulations:
Start Date: (Month/Year)

MonthDayYear
Date
Completion (Month/Year)
Spouse/Partner Highest Qualification
Start Date: (Month/Year)

MonthDayYear
Date
Completion (Month/Year)
Have taken an IELTS or CELPIP English language test ?

IELTSCELPIPGeneral or Academic
English Language Test Results

Employment History: Please provide your Employment History for the past 10 years, starting with your current job

	From (YY/MM)	To(YY/MM)	Job Title	City/Country	Name of the Employer/Company
1
2
3
4
5

Briefly describe your case or concerns
Are there any criminal or civil proceedings pending against you – or have you ever been convicted of a criminal offence – in any country?

YesNo
Been refused refugee status in, or an immigrant or permanent resident visa or visitor or temporary resident visa to Canada or any other country?

YesNo
Been refused admission to or ordered to leave Canada OR any other country?

YesNo
Declaration

I hereby state that the information I have provided in this pre-immigration questionnaire is an accurate andtrue representation of my current and past situation. I also accept that the information given in thisdeclaration will be used – in part - as the basis for an application for a work permit and/or a permanent residence visa for Canada.
Should be Empty:

NNC Immigration Assessment Form

Declaration