Canada Visa Assessment Form – General and Startup Canada Visa Assessment Form - General and Startup Place of Submission The processing of this Canada visa evaluation form is the same in all of YLG branches. If you select any of the listed branches, you only need to make the necessary arrangements with the chosen branch. After submitting this form, other branches will not respond to you. ««« Branch of Toronto, Canada »»» Your Canada visa evaluation application is submitting at the Toronto, Canada branch. Therefore, please do not contact other YLG branches. ««« Branch of Tehran, Iran »»» Your Canada visa evaluation application is submitting at the Tehran, Iran branch. Therefore, please do not contact other YLG branches. ««« Branch of Shiraz, Iran »»» Your Canada visa evaluation application is submitting at the Shiraz, Iran branch. Therefore, please do not contact other YLG branches. Are you applying for a Start-up Visa: * -- Select -- Yes, Permanent Residency(PR) through a Start-up Visa Yes, Permanent Residency(PR) through a Start-up Visa along with a Work Permit Other Apply for * -- Select -- Appeal Against a Canadian Visa Refusal Immigrate by being Nominated by a Canadian Province or Territory Permanent Residency(PR) through Express Entry (Canadian Experience Class) Permanent Residency(PR) through Express Entry (Federal) Permanent Residency(PR) through Express Entry (Provincial) Permanent Residency(PR) through Self-employed along with Work Permit Refugees and Asylum Visa Study Permit Visitor Visa Work Permit through Self-employed Work Permit through business setup or buying a business (Work Permit & Permanent Residency(PR)) Work Permit through business setup or purchasing a business (Work Permit only) Work Permit through the establishment of a company branch (Work Permit & Permanent Residency(PR)) Work Permit through the establishment of a company branch (Work Permit only) I am not sure about the type of Visa Personal Information First Name * Last Name * Age * -- Select -- Less than 18 Years Old 18 Years Old 19 Years Old 20 Years Old 21 Years Old 22 Years Old 23 Years Old 24 Years Old 25 Years Old 26 Years Old 27 Years Old 28 Years Old 29 Years Old 30 Years Old 31 Years Old 32 Years Old 33 Years Old 34 Years Old 35 Years Old 36 Years Old 37 Years Old 38 Years Old 39 Years Old 40 Years Old 41 Years Old 42 Years Old 43 Years Old 44 Years Old 45 Years Old 46 Years Old 47 Years Old 48 Years Old 49 Years Old 50 Years Old 51 Years Old 52 Years Old 53 Years Old 54 Years Old 55 Years Old 56 Years Old 57 Years Old 58 Years Old 59 Years Old 60 Years Old Over 60 Years Old Marital Status * -- Select -- Never Married (Single) Common-Law Annulled Marriage Married Widowed Legally Separated Divorced You and/or Your Spouse's Personal Net Worth * -- Select -- Less than CAD$ 5,000 CAD$ 5,000 To CAD$ 10,000 CAD$ 10,000 To CAD$ 25,000 CAD$ 25,000 To CAD$ 50,000 CAD$ 50,000 To CAD$ 100,000 CAD$ 100,000 To CAD$ 250,000 CAD$ 250,000 To CAD$ 500,000 CAD$ 500,000 To CAD$ 750,000 CAD$ 1,000,000 To CAD$ 1,500,000 CAD$ 1,500,000 To CAD$ 2,500,000 CAD$ 2,500,000 To CAD$ 5,000,000 More than CAD$ 5,000,000 Country of Residence * -- Select -- Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Isle of Man Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Contact Information Email Address * Cell Phone/WhatsApp Number * Educations Information Latest Program * -- Select -- PhD Master’s Bachelor’s College Vocational Apprenticeship Trade Certificate Associates Degree Field of Program * English Language * -- Select -- Proficient Advanced High Intermediate Low Intermediate Elementary No Knowledge French Language * -- Select -- Proficient Advanced High Intermediate Low Intermediate Elementary No Knowledge Wok Experience Job Type -- Select -- Employed Self-employed Work Duration * -- Select -- No Work Experience 1 Month or Less 2 Months 3 Months 4 Months 5 Months 6 Months 12 Months 2 Years 3 Years 4 Years 5 Years 6 Years 7 Years 8 Years 9 Years 10 Years Over 10 Years Visa History Have you been refused an application for Canada, U.S.A/Europe * -- Select -- No Yes Application Type * -- Select -- Business Visa Permanent Residency(PR) Refugees Study Permit Visitor Visa Work Permit Reason of Refusal Date of Refusal Acquaintance by How did you hear about us * -- Select -- Billboard Bing FaceLaw Magazine Facebook Ad Family Friends GEM TV Glassdoor Google Indeed Instagram Ad Kijiji Manoto TV National Words Newsletters Vakil Canada Website Visionto Magazine YLG Facebook YLG Instagram YLG LinkedIn YLG Staff YLG Twitter YLG Website YLG YouTube Other How did you hear about us First & Last Name * Page Name * Have a Coupon Code? * -- Select -- No Yes Proceed to use Coupons and YLG Credits. Coupon Code * Pre-assessment Documents Resume * Click here to upload a file Choose File Maximum upload size: 5MB PDF or JPG Format Only. Passport * Click here to upload a file Choose File Maximum upload size: 5MB PDF or JPG Format Only. English/French Language Test Click here to upload a file Choose File Maximum upload size: 5MB PDF or JPG Format Only. Startup/Business Plan Click here to upload a file Choose File Maximum upload size: 5MB PDF or JPG Format Only. I certify that I have answered all questions in this form truthfully. I do understand my personal information provided on this form is collected and will be used to assess my eligibility for Canada Visa. I would like to subscribe YLG Newsletter via email. If you are human, leave this field blank. SUBMIT
