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536 Queens Ave. Suite 101, London, ON
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225 Main St. Unit E Woodstock, ON
admin@berhanimmigration.com
Mon - Fri : 9:00 AM to 5:00 PM (EST)
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Intake Form
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Intake Form
Client Intake Form
New clients should fill out the Client Intake Form so that we can assess their eligibility for the programs.
Intake Form
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First Name
Middle Name
Last Name
Email
Phone/Mobile
How old are you?
Country of Birth
Country of Residence
Your Status in Country of Residence
What is your marital status?
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Never Married/Single
Married
Common Law
Divorced
Legally Seperated
Annulled
Widowed
Age of Spouse:
Spouse's highest level of education:
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Less than Secondary
Secondary
One-Year Diploma/Certificate
Two-Year Diploma/Certificate
Bachelor Degree
Master's Degree
Ph.D.
Two or more diplomas/degrees (one must be 3 or more years)
What is your level of education?
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Less than Secondary
Secondary
One-Year Diploma/Certificate
Two-Year Diploma/Certificate
Bachelor Degree
Master's Degree
Ph.D.
Two or more diplomas/degrees (one must be 3 or more years)
Have you earned a Canadian degree, diploma or certificate?
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Yes
No
If YES Choose the best answer to describe this level of education.
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Secondary School
One or two year diploma
3-year plus degree
You need to submit language test results that are less than two years old for all programs under Express Entry, even if English or French is your first language. Is your test result less than 2 years old.
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Yes
No
If YES which test(s) did you take?
IELTS
CELPIP
TEF Canada
TCF Canada
Please give results for
Reading
Listening
Writing
Speaking
Please give results for
Reading
Listening
Writing
Speaking
Please give results for
Reading
Listening
Writing
Speaking
Please give results for
Reading
Listening
Writing
Speaking
In the last ten years, how many years of skilled work experience in Canada do you have? (It must have been paid and full-time or an equal amount in part-time.)
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None or less than 1 year
2 years
3 years
4 years
5 or more
In the last 10 years, how many total years of foreign skilled work experience do you have?
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None or less than 1 year
2 years
3 or more
Not sure
Do you have a certificate of qualification from a Canadian province, territory or federal body?
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Yes
No
Which one?
Do you have a valid job offer supported by a Labour Market Impact Assessment (if needed)?
- Select -
Yes
No
Not sure
If YES, which TEER is the job offer?
- Select -
TEER 0
TEER 1
TEER 2
TEER 3
TEER 4 OR 5
Not sure
Do you have a nomination certificate from a province or territory?
- Select -
Yes
No
Not sure
If YES, which province?
Do you or your spouse or common law partner (if they will come with you to Canada) have at least one brother or sister living in Canada who is a citizen or permanent resident?
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Yes
No
Do you have dependents:
- Select -
Yes
No
Dependent 1
Age
Dependent 2
Age
Dependent 3
Age
Dependent 4
Age
Dependent 5
Age
I consent to have this website store my submitted information so they can respond to my inquiry.
Submit Form
Client Intake Form
New clients should fill out the Client Intake Form so that we can assess their eligibility for the programs.