Immigration – New Client Intake Form

To assist us in preparing your file, please complete the following information, which will be kept completely private and confidential.
- Name*
  First Last
- Date of Birth
  MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
City/ Province/ Country of Birth
Citizenship(s)
Passport Number
Prior Canadian Visas/ Status Changes (if any)
Date Issued | Place Used | Visa/Status | Expiration Date
Have you been refused a Visa to a country?
Applied for any type of Visa to Canada and been refused?
Entries Into Canada
Date of Entry | Place of Entry | Type of Visa | Length of Stay
Made a claim for refugee in any country?
If yes, whom and where?
Please indicate your level of assets (minus debt):
Family Information
Martial Status
Spouse's Name
First Last
Spouse's Date of Birth
MM slash DD slash YYYY
Place of Birth
Date of Marriage
MM slash DD slash YYYY
Immigration Status
Is this your first marriage?
Has your spouse been previously married?
Spouse's Entries into Canada
Date of Entry | Place of Entry | Type of Visa | Length of Stay
Family Information (Children):
Name | Date of Birth | Married? | Residence
Family Information (Parents)
Father's Name
First Last
Mother's Name
First Last
Immigration Questions
Have you ever applied for permanent residence?
Are you, your spouse, child, mother, father, brother, or sister a permanent resident or citizen?
Have you been represented by or consulted with another immigration attorney or consultant?
Criminal History
Have you ever had an issue with the Canada Border Services Agency (CBSA)?
Have you ever been denied entry into Canada?
Have you ever had issues with law enforcement anywhere in the world?
Has an immediate family member ever had issues with law enforcement?
Have you ever been arrested, detained, or convicted for a crime?
Have you ever been charged with a crime, but the case was not prosecuted or the case was dismissed?
Please provide additional details about your criminal history in the space below
Language Proficiency
What is your language proficiency?
What is your spouse's language proficiency?
Education
Provide your education history (include all of your degrees)
Provide your spouse's education history (include all degrees)
Employment
What is your employment history?
Please upload a copy of your resume
Max. file size: 128 MB.
What is your spouse's employment history?
Please upload a copy of your spouse's resume
Max. file size: 128 MB.
For business class entrepreneur immigrants, please briefly describe your proposal for establishing business in Canada
Additional Information
Additional Comments
Declaration
Do you confirm that the information provided above is true?
New Client Signature
Consent*
I agree to the privacy policy.
Date
MM slash DD slash YYYY

Immigration – New Client Intake Form

To assist us in preparing your file, please complete the following information, which will be kept completely private and confidential.

Family Information

Family Information (Parents)

Immigration Questions

Criminal History

Language Proficiency

Education

Employment

Additional Information

Declaration