Full Name* (As per your Passport)

E-mail*

Phone Number (with country and area code)*

What is your current country of residence?* -select- Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire Bosnia & Herzegovina Botswana Brazil British Indian Ocean Ter Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Canary Islands Cape Verde Cayman Islands Central African Republic Chad Channel Islands Chile China Christmas Island Cocos Island Colombia Comoros Congo Cook Islands Costa Rica Cote DIvoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Ter Gabon Gambia Georgia Germany Ghana Gibraltar Great Britain Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guyana Haiti Hawaii Honduras Hong Kong Hungary Iceland Indonesia India Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea North Korea South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malaysia Malawi Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Midway Islands Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Nambia Nauru Nepal Netherland Antilles Netherlands (Holland, Europe) Nevis New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Norway Oman Pakistan Palau Island Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Republic of Montenegro Republic of Serbia Reunion Romania Russia Rwanda St Barthelemy St Eustatius St Helena St Kitts-Nevis St Lucia St Maarten St Pierre & Miquelon St Vincent & Grenadines Saipan Samoa Samoa American San Marino Sao Tome & Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Tahiti Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Is Tuvalu Uganda United Kingdom Ukraine United Arab Emirates United States of America Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Virgin Islands (Brit) Virgin Islands (USA) Wake Island Wallis & Futana Is Yemen Zaire Zambia Zimbabwe

What is your nationality?*

How did you obtain our reference? (optional)

Are you currently in Canada ?*
Yes    No   

Please select which experience pertains to you*
Business Person
Senior Manager
Self Employed Artist
I am a professional and am willing to invest in a business in Canada

What area of business or management experience have you acquired in the past 10 years (you can select more than one option)*
Manufacturing / trading
Only trading / Import / Export
Project work (builder / Construction etc)
Wholesale / Retail establishment
Information Techlology
Consulting
Other

Briefly describe product/commodity you deal in your business*

What is your education qualification?*
Post graduate
Bachelors degree (15 years of education)
Did not complete Bachelors degree
Grade 12 education with at least one year diploma / certificate
Grade 12 (Secondary school) completed
Grade 10 completed
Grade 10 not completed
Other   

Date of Birth of Principal Applicant*

Marital Status*
Married
Divorced
Legally Separated
Never Married

Have you ever been in the military (including mandatory service), a militia, or a civil defense unit or the police?*
Yes    No   

Have you ever committed, been arrested for, or been charged with any offense in any country, including driving under the influence of alcohol or drugs?*
Yes    No   

Have you been ordered to leave Canada or any other country?*
Yes    No   

Have you ever been employed by a government in a security-related capacity?*
Yes    No   

Have you visited other countries within the last 10 years?*
Yes    No   

Do you or your spouse have blood relatives in Canada*
Yes    No

Have you ever visited Canada ?*
Yes    No

Between you and your spouse, please calculate the total value of your assets, including movable, immovable property/properties, cash in the bank, mutual funds, fixed deposits, etc. Please calculate in Canadian dollars. If you wish to convert from any currency to Canadian dollars, please visit www.xe.com. Please remember to include and assess only those assets that are in your and your spouse’s name.*
$100,000 to $199,000
$200,000 to $299,000
$300,000 to $399,000
$400,000 to $499,000
$500,000 to $599,000
$600,000 to $799,000
$800,000 to $999,000
$1 million to $2 million
$2 million and up

Have you taken English proficiency test (IELTS or CELPIP) ?*
Yes    No

Do you have any queries ?

I am interested in the following Canada's business immigration / business work permit programs (you can select one or more options)*
I operate my own business and would like to set up a branch / office in Canada and world like to be transferred to the Canadian Operation

My current company is well established outside of Canada and intends to transfer me to Canada by setting up its branch / subsidiary in Canada

My business, if established in Canada, can bring economic / social / cultural benefits to Canada and create jobs and economic stimulus.

Buy a running business in Canada

Canada Star-Up Visa leading to permanent residence in Canada by bringing introducing a unique business idea

I also acknowledge this is not an employment visa or I am not applying for a job based LMIA as a skilled worker.

I am not completing this Business Questionnaire for applying to jobs or related LMIA or job offers in Canada.

My inquiry is serious and pertains to setting up a business through investment in Canada and by completing this questionnaire I wish to explore business options and opportunities only.

I would like to consider a Business Franchise in Canada

I am open to discuss all the possible options.