Please complete the information below

 

First Name:    Last Name:
Date of Birth:
Place of Birth:
Citizenship:

 

Address:
Home Telephone Number:
Work Telephone Number:
Cellular Telephone Number:
Email Address:
 
Your current occupation:
 
Marital status
Single
Married
Widowed
Divorced
 Your education
Elementary or Primary School
High School
College
Apprentiship
University Undergraduate Degree
University Master's Degree
University Doctorate Degree
 
Work experience
1 year
2 years
3 years
4 +
 Details of your work experience (optional):
 
Resume (please attach as DOC or PDF):
Note: Maximum file size is 2 MB
 
Language ability
English    High Moderate Low None
French    High Moderate Low None
 
Have you previously applied to enter Canada as visitor, student or worker?
Yes No
 
Have you previously applied to enter Canada as a permanent resident?
Yes No
 
Have you previously been denied entry to Canada?
Yes No
 
If you answer "yes" to any of the above questions, please explain:
 
Do you have a relative who is a Canadian citizen or permanent resident in Canada?
Yes No
 
Have you ever owned a business?
Yes No
 
How did you hear about Chand & Company?
Referal from another person Internet Newspaper Other