Client Report

Dear Team,
Please fill-out the form below and attach the complete package of client’s documents:

Client Report

Date of Documents Submission: *

Payment Received *

Currency *

Full Name of Principal Applicant *

Age of Principal Applicant *

Full Name of Spouse

Full Name of Child 1

Full Name of Child 2

Full Name of Child 3

Full Name of Child 4

Full Name of Child 5

Personal Information

Age *

First Name *

Last Name *

Country of Birth *

Country of Residence *

Marital Status *

Number of Family Member *

Landline

Cell Phone *

Email Address *

English Language Proficiency

Reading *

Writing *

Listening *

Speaking *

French Language Proficiency

Reading *

Writing *

Listening *

Speaking *

Educations

Latest Program *

Field of Program *

Graduation Date

Location of Program

Wok Experience

Work Duration *

Job Type

When

Work Location

Startup Details

What is your innovative startup plan? *

Describe what do you intend to do? *

Describe the feature of your product *

Did you patent your startup plan overseas or in Canada or the United States? *

Did you launch your product? *

Are planning to establish your business in Canada? *

Financial

Your Personal Net Worth *

How much you made revenue? *

How much invest in your startup plan? *

How much fund do you need? *

Do you have any equity to backed up the investment? *

Background and Visa History

Criminal record or lawsuits against you? *

If Yes, Please Describe *

Any health issue background? *

If Yes, Please Describe *

Would you apply for Canada Startup Visa? *

Have you been refused an application for Canada, U.S.A or Europe *

Application Type *

Reason and Date of Refusal *

Pre-assessment Documents

Resume *

Maximum upload size: 4MB

PDF or JPG Format Only.

Passport *

Maximum upload size: 4MB

PDF or JPG Format Only.

English/French Language Test

Maximum upload size: 4MB

PDF or JPG Format Only.

Startup/Business Plan

Maximum upload size: 4MB

PDF or JPG Format Only.

How did you hear about us *

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.

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