Skilled Worker Assessment Form - Amir Ismail & Associates (AIA)

Preliminary Assessment Form for Visitor Visa for Canada

Amir Ismail & Associates (AIA) - Authorized & Licensed Immigration Advisers
Basic Information:
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Country
Phone Number *

Country Code Area Code Phone Number
Cell Phone *

Country Code Prefix Phone Number
E-mail *

Confirmation Email example@example.com
Your Date of Birth *

Month Day Year
Your Age *
Most applicants more than 35 lose significant points in the age factor.
Marital Status *
Purpose of visit to Canada *
When do you wish to visit Canada *
Education:
Educational Qualification *
Most applicants require at least 3/4 years bachelors degree or diploma of similar duration.
Total # of years of study *
Name of Institution *
Professional background:
What is your profession *
Family Members:
Name of Spouse

First Name Last Name
Spouse's Date of Birth

Month Day Year
Spouse's Age
Spouse's Education
What is your Spouse's profession
Number of Kids 21 years or younger
Number of Kids 22 years or older
Relationship in Canada:
Do you have relatives in Canada *

Yes No
Relationship with Canadian relative *
Where in Canada your relatives reside
Funds

Amount of available and funds to bring to Canada during your visit
a) Amount available for visiting Canada in Canadian dollars *
cash, saving certificates, shares etc.
b) Value of Properties or any other assets you possess to show your ties to home countries in Canadian Dollars *
outstanding Loans, mortgage payments etc.
International Travel
Indicate names of countries you have visited before *
Past Visa Refusals
Provide details of any previous visa refusals including Canada *
How did you hear about us *

Seminar Internet Search (Google, Yahoo etc) Newspaper Advertisement Facebook - http://www.facebook.com/canadaimmigration Personal Reference Twitter - @canadaimmigrate Telephone Youtube: aiaconsulting Website of Immigration Consultants of Canada Regulatory Council (ICCRC)
Name of Person who referred you to us *
Record your questions or comments (optional)
By submitting this form, you agree to being called at the telephone number you've provided and/or contacted via Email, Facebook Messenger, Whatsapp or any other messaging platform, to receiving marketing-related, electronic communications from Amir Ismail & Associates, and to our Privacy. You may withdraw your consent to the calls or unsubscribe from such emails and text messages at any time.
Should be Empty:

Preliminary Assessment Form for Visitor Visa for Canada

Basic Information:

Education:

Professional background:

Family Members:

Relationship in Canada:

Funds

International Travel

Past Visa Refusals