Online Immigration Assesment | Law Offices of Nizam Hashmi

Thank you for giving us opportunity to assess your eligibility for immigration to Canada. It is very important to fill out every section of this form appropriately.

Please note that this is a preliminary assessment form. We reserve the right to ask for more information regarding your matter in the future. Any opinion given by us based on the information you are providing in this form, in no way warrants, represents, guarantees your full eligibility for immigration to Canada.

Please also note that the information you will provide in this form will not create attorney-client relationship between us, unless you retain us to proceed with your matter. We reserve the right to verify your information, if necessary, from any third party.

We will assess your information at this stage at no charge and will get back to you as soon as possible after you have submitted this assessment form.

Please fill out every section of this form; if any section in this form does not apply to you, just insert “n/a” or “none”.

If you have any question, concern, please contact us by sending your inquiries at the Contact Us page.

Thank you for giving us opportunity to assess your eligibility for immigration to Canada. It is very important to fill out every section of this form appropriately. Please note that this is a preliminary assessment form. We reserve the right to ask for more information regarding your matter in the future. Any opinion given by us based on the information you are providing in this form, in no way warrants, represents, guarantees your full eligibility for immigration to Canada. Please also note that the information you will provide in this form will not create attorney-client relationship between us, unless you retain us to proceed with your matter. We reserve the right to verify your information, if necessary, from any third party. We will assess your information at this stage at no charge and will get back to you as soon as possible after you have submitted this assessment form. Please fill out every section of this form; if any section in this form does not apply to you, just insert “n/a” or “none”. If you have any question, concern, please contact us by sending your inquiries at the Contact Us page.
A. Applicant’s Personal Information
1) Title:	2) Family/Surname:	3) First Name:
4) Middle Name:	5) Gender:	6) Current address:
7) Mailing address (if different than above address):	8) Country:	9) Phone number (including Country code):
10) Fax number:	11) E-mail address:	12) Date of birth:
13) Place of birth:	14) Country of birth:	15) Current Citizenship:
16) Passport Number:	17) Marital status:

	17-a) If Divorced, date of Divorced:
17-b) If married, date of Marriage:	17-c) If Separated, date of Separated:	18) Number of children:
19) Age of children:

28) Work phone number:	29) Work fax number:	30) Work e-mail:
D. Applicant’s Previous Employment Experience

33) Name of the previous employer:			34) Address of previous employer:	35) Previous work phone number:
36) Previous work fax number:			37) Previous work e-mail number:

F. Spouse/Partner’s Personal Information
40) Title:	41) Family/Surname:	42) First Name:
43) Middle name:	44) Gender:	45) Current address:

B. Applicant’s Education
20) Level of education:


56-a)If married, date of Marriage:	56-b)If Separated, date of Separated:	56-c)If Divorced, date of Divorced:
G. Spouse/Partner’s Education:
57) Level of education (such as Bachelor, Masters, Diploma etc.):

58) Total Year of education:
H. Additional Information for Applicant
58. Do you have a job offer from a Canadian employer?


59. Do you have HRDC confirmed offer of employment in Canada?