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Address: Madison Centre Tower | 4950 Yonge Street | Suite 1000 | Toronto | Ontario | M2N 6K1
Email Address: inquiry@cpnis.com

Canadian Provincial Nominee & Immigration Services

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Printable Form
( Send by Fax to 416-447-7033 or Mail )

APPLICATION FOR IMMIGRATION / PERMANENT RESIDENCY

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING*
- Family Class
- Investor
- Student
- Entrepreneur
- PNP
- Self Employed
- Skilled Worker
- Business Class
- Other
PERSONAL INFORMATION
Title*
First Name*
Middle Name
Last Name*
Birth Date (d/m/y)*
Place of Birth*
Country of Citizenship*
EDUCATION*
Highest Level of Completed Education
- Secondary/High School
- Bachelor's Degree
- Vocational/Trade/Apprenticeship
- Master's Degree/PhD
- College
- Others (specify)
Other Eduction
Current Occupation
Occupation in Years
Occupation in Months
LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English*
- Excellent
- Very Good
- Good
- Fair
French*
- Excellent
- Very Good
- Good
- Fair
Specify Other Language
MARITAL STATUS*
- Married
- Single
- Widow/Widower
- Common Law
- Divorced/Separated
LANGUAGE PROFICIENCY SPOUSE
English*
- Excellent
- Very Good
- Good
- Fair
French*
- Excellent
- Very Good
- Good
- Fair
Specify Other Language
SPOUSE DETAIL
Title*
First Name*
Middle Name
Last Name*
Birth Date (d/m/y)*
Place of Birth*
Country of Citizenship*
N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below
CHILDREN'S DETAIL (IF ANY)
1. Name
Date of Birth (dd/mm/yyyy)
Place of Birth
2. Name
Date of Birth (dd/mm/yyyy)
Place of Birth
3. Name
Date of Birth (dd/mm/yyyy)
Place of Birth
DO YOU HAVE ANY RELATIVES IN CANADA?*
WHERE DO YOU INTEND TO LIVE IN CANADA?
City/Town
Province
UPLOAD RESUME
Max. file size: 64 MB.
CONTACT DETAILS
Address*
Contact Number*
Email Address*
Fax Number
CAPTCHA

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Address
Madison Centre Tower |
4950 Yonge Street | Suite 1000 | Toronto | Ontario | M2N 6K1
Phone
416.447.8151 416.447.7033
Email Address
inquiry@cpnis.com

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