Pangea Immigration

Complete your evaluation below Enter Your Contact Information

First Name*

Last Name*

Email*

Telephone

Personal Profile

Age*

Male/Female*

Country of Residence*

Country of Birth?

Preferred Destination in Canada

Marital Status

Single

Married

Common-Law Partner

If married

Do you have any children under the age of 19?

Yes No

Did you previously marry?

Yes No

If yes do you have children under 19 from previous marriage?

Yes No

Do you have any criminal record?

Yes No

Have you ever lived outside your country of birth more than Six Months? If yes please provide the details.

Yes No

Details

Have you ever previously done any application to Canada either for temporary or permanent immigration? If yes please provide details

Yes No

Details

Have your application to Canada be ever refused? If yes please provide details

Yes No

Details

Your Language Skills?
Please describe your proficiency in English and/or French under each of the four skills listed below. Please mention name and date of language tests taken in additional information section
English

Name of Test

Date of Test

Writing

Reading

Speaking

Listening

French

Name of French Test Taken

Date of Test French Test Taken

Listening

Writing

Reading

Speaking

Your Education and Training

Have you completed high school (secondary school)?* Grade 12

Yes No

Please provide your education details including all the degrees and diplomas taken?

Did you complete any studies in Canada? If yes please provide details.

Yes No

Details

Your Work History

Have you ever worked in defence services like army , navy or in airforce services for any country ?

Yes No

Please provide details of defence work in last 10 years?

Have you done any paid work during the last 10 years?*

Yes No

Please provide details of work history in last 10 years ?

Do you have any work experience in Canada? If yes please provide details.

Yes No

Details

Express Entry Profile
Have you already submitted an Express Entry profile to the Government of Canada within the past 12 months?

Yes No

Canadian Job Offer
Do you have a written job offer from a Canadian employer?

Yes No

Family or Friends in Canada
Do you have a Close Friend living in the province of Manitoba who is 18 years or older?

Yes No

Do you have any family members or relatives living in Canada and who are 18 years or older? If yes please provide details in which province

Yes No

Province Details

What kind of application are you interested in like visitor, student, work permit, Permanent skilled worker, business, Provincial nominee, PR card renewal or Citizenship application.

Your Personal Net Worth
This question is optional. Net worth is considered for some immigration programs.

Currency

Amount

You may provide additional information that you think would be relevant to your immigration assessment. Would you like to add information at this time?

***Please provide all the answers truthfully, it can affect the result of your evaluation***
Information collected is confidential and will be used to evaluate your eligibility to immigrate to Canada.

Please fill separate form for your Spouse

For Survey purpose
How you come to know about Pangea Immigration? Please provide names if someone refer you?

Reference

Thank You